Clinical profile of chronic daily headache in patient attending tertiary centre
Journal Title: National Journal of Physiology, Pharmacy and Pharmacology - Year 2018, Vol 8, Issue 6
Abstract
Background: The frequent headache syndrome is among the most challenging disorder that conforms clinician on a routine basis. A major problem with the relatively new form chronic daily headache (CDH) has been its confusion with chronic tension type headache (CTTH) and other community used term for which there have never been operational diagnosable criteria or even informal clinical criteria. The medical literature is replete with example over the past three decades in which the terms mixed headache combined headache tension headache; vascular headache and rebound headache are used interchangeably by interference. CDH became synonymous in many clinical setting with CTTH or inconvenient vascular or migrainous features or medication overuse. Now CDH is well described in literature with defined classification. Hence, the researcher is used to interested what is the burden and proportion of the various type of CDH. Aims and Objectives: Primary aim of this exploratory prospective study was to study the incidence of primary headache and secondary headache which were CDH in patient attending neurology outpatient department, to study the incidence of type of primary headache, the cause of secondary headache, the age wise distribution and sex wise attribution of CDH and to study the impact of family history, occupation and precipitating factor on CDH. Materials and Methods: In our study, a total of 626 cases fulfilling the International Headache Society-4th revised criteria comprising inclusion and exclusion criteria were included after informed consent, meticulous history taking pertaining to headache, in particular, thorough examinations and relevant laboratory investigations, and were certified by one neurologist. Results: Primary headache including migraine, tension-type headache, Short-lasting unilateral neuralgiform headache with conjunctival injection, new daily persistent headache, and medication overuse headache was the most common headache that caused CDH. Neurocysticercosis was leading cause of a secondary headache that leads to CDH. Light, fast, and stress were leading precipitants associated with CDH. Conclusion: CDH was mostly associated with primary headache over the secondary headache. Chronic migraine was leading cause of CDH in comparison to CTTH. Females were more affected both in chronic migraine and CTTH. Family history was more positive in case of chronic migraine. Vomiting nausea, photophobia, and phonophobia vertigo were leading symptoms associated with CDH whereas light, fast, and stress were leading precipitants associated with CDH.
Authors and Affiliations
Nilesh Kumar, Praveen Chaturvedi, Praveen Chaturvedi, Vijay Parashar, Pankaj Kannauje, Ravindu Tiwari
Keywords
Related Articles
- EP ID EP489595
- DOI 10.5455/njppp.2018.8.0832011012018
- Views 95
- Downloads 0
Sleep duration and its association with obesity and overweight in medical students: A cross-sectional study
Background: The prevalence of sleep deprivation is rising globally as is that of obesity. The association between the two is also gaining much evidence. The medical students may be specifically affected due to decreased...
Effect of cigarette smoking on erythrocyte sedimentation rate and total leukocyte count
Background: Cigarette smoking is one of the major lifestyle factors which influence the health of human beings. Erythrocyte sedimentation rate (ESR) is a certain biomarker of inflammation. It was a significant predictor...
Learning to learn and teach: Student seminar as a teaching-learning method in undergraduate medical physiology through students’ perspective
Background: The efficacy of traditional lectures has been debated. Still a predominant form of educational technique, lectures have failed to transfer concepts as effectively as active learning approaches. Innovative tea...
Variation in pulmonary function tests parameters in different phases of menstrual cycle in healthy female medical students
Background: Menstrual cycle is a physiological process that occurs in women. It is characterized by periodic vaginal bleeding owing to the shedding of uterine mucosa, which has its own effect on various systems an...
Antidiuretic hormone effect on transport of non-charged solutes (urea and glycerol) across the epithelium
Background: The frog skin epithelium is used as a model to demonstrate the transport of various charged and non-charged solutes from the mucosal to serosal side through channels and transporters. The mucosal side, otherw...