Search results for "Primary headache"

showing 10 items of 29 documents

Diagnosis and therapeutic management of primary headache in an emergency setting

2013

Introduction and aim: Much headachers are under or mis-diagnoses and data regarding the proportion of patients attending an emergency department (ED) because of headache are still few. We conducted a retrospective observational study in an ED with the following aims: (a) estimate the proportion of headache attending to an ED (b) to estimate and describe the therapeutic management of primary headache and (c) to assessment the exam most frequently requested. Materials and methods: We collected data regarding patients diagnosed with headache consecutively attending the ED of the University of Palermo between September 2011 and March 2012. The study was approved by the ethics committee. Results: Between the semester evaluated 25110 subjects were admitted to ED headache suffers were equal to 1.6 %. Of these 263 (63.1 %) were woman and 154 (36.9 %). Mean age was 44.2 (DS ± 18.4) years (p = 0.068).According to ED registry headache admission was as follow assigned: 76.5 % with a diagnosis of headache 22.8 % with a secondary headache 0.7 % with Trigeminal Autonomic Cephalgias (TACs). Among those with a primary headache about 36 % of patient did not received a pharmacological treatment. Monotherapy was prescribed less frequently than combination therapy (19.1 vs 44.5 %).In monotherapy the most frequent medication were NSAIDs (28.3 %) benzodiazepines (26.7 %) and dopamine antagonists (11.7 %). Among those with a primary headache a CT scan was performed in the 124 subjects and 111 (34.8 %) had a neurologist consultation. Discussion: Our data are in line with the one previously reported in literature. The most frequently medication in the Italian ED were NSAIDs benzodiazepines dopamine antagonists and steroids. Neverless our data unlikely can be compared to other study give a snapshot. We believe that much more can be done to improve treatment of primary headache in ED.Settore MED/26 - Neurologia
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Headache attributed to aeroplane travel: the first multicentric survey in a paediatric population affected by primary headaches

2018

BACKGROUND: This multicentric survey investigates the prevalence and characteristics of Airplane Headache in children affected by primary headaches. METHODS: Patients with symptoms of Airplane Headache were recruited from nine Italian Pediatric Headache Centres. Each patient was handed a structured questionnaire which met the ICHD-III criteria. RESULTS: Among 320 children suffering from primary headaches who had flights during their lifetime, 15 (4.7%) had Airplane Headache, with mean age of 12.4 years. Most of the patients were females (80%). The headache was predominantly bilateral (80%) and localized to the frontal area (60%); it was mainly pulsating, and lasted less than 30 min in all c…

MalePediatricsNeurologyPhotophobiaAircraftHeadache Disorderlcsh:MedicineAirplane0302 clinical medicinePhotophobiaSurveys and QuestionnairesSurveys and Questionnaire030212 general & internal medicineChildChildrenAeroplane travelPain MeasurementTravelICHD-IIIHeadacheGeneral MedicinePediatric headachePhonophobiaItalyChild PreschoolFemalemedicine.symptomResearch ArticleHumanAdultmedicine.medical_specialtyAdolescentHeadache Disorders03 medical and health sciencesPrimary headachePrimary headachePrimary headachesmedicineHumansPreschoolAeroplane travel; Airplane; Children; Headache; ICHD-III; Pediatric headache; Primary headaches; Adolescent; Adult; Child; Child Preschool; Female; Headache Disorders; Humans; Italy; Male; Pain Measurement; Photophobia; Aircraft; Surveys and Questionnaires; Travelbusiness.industrylcsh:RMean agePediatric headacheAnesthesiology and Pain MedicineConcomitantNeurology (clinical)business030217 neurology & neurosurgeryPaediatric population
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Survey on treatments for primary headaches in 13 specialized juvenile Headache Centers: The first multicenter Italian study

2017

Abstract Aim The purpose of this retrospective multicenter study was to evaluate the use and the self-perceived efficacy and tolerability of pharmacological and non-pharmacological treatments in children and adolescents with primary headaches. Methods Study of a cohort of children and adolescents diagnosed with primary headache, consecutively referred to 13 juvenile Italian Headache Centers. An ad hoc questionnaire was used for clinical data collection. Results Among 706 patients with primary headaches included in the study, 637 cases with a single type of headache (migraine 76% – with and without aura in 10% and 67% respectively; tension-type headache 24%) were selected (mean age at clinic…

MalePediatricsmedicine.medical_specialtyAdolescentMigraine DisordersAdolescents; Children; Migraine; Primary headaches; Tension-type headache; Treatment; Pediatrics Perinatology and Child Health; Neurology (clinical)Tension-typeTriptansPizotifenPediatrics03 medical and health sciences0302 clinical medicinechildrenPrimary headacheBehavior TherapySurveys and QuestionnairesmedicineAcupunctureHumansAmitriptylinemigraine030212 general & internal medicineadolescentsPractice Patterns Physicians'ChildFlunarizineRetrospective Studiestreatmentbusiness.industryAnti-Inflammatory Agents Non-SteroidalGeneral Medicineadolescents; children; migraine; primary headaches; tension-type headache; treatmentPerinatology and Child Healthmedicine.diseasetension-type headacheMigraineTolerabilityItalyPediatrics Perinatology and Child HealthCohortAnticonvulsantsFemaleprimary headachesNeurology (clinical)businessheadache030217 neurology & neurosurgeryPrimary headaches; Migraine; Tension-type; headache; Treatment; Children; Adolescentsmedicine.drug
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Migraine and cranial autonomic symptoms in children and adolescents: a clinical study.

2014

The frequency of cranial autonomic symptoms in children affected by primary headaches is uncertain. The aim of our study was to estimate the frequency of symptoms in pediatric headaches and correlate it with main migraine characteristics. A questionnaire investigating the presence of cranial autonomic symptoms was administered to all children with primary headache for 2 years. A total of 230 children with primary headache (105 males, 125 females) were included. Two hundred two children were affected by migraine and 28 (12.2%) by other primary headaches. Cranial autonomic symptoms were significantly complained by migraineurs (55% vs 17.8%) ( P < .001) and by children with higher frequenc…

MalePediatricsmedicine.medical_specialtyAdolescentMigraine DisordersPrimary headachechildrenSurveys and Questionnaireschildren; cranial autonomic symptoms; migraine; primary headaches; trigemino-autonomic reflexmedicineHumansmigraineLongitudinal StudiesChildChi-Square Distributionbusiness.industrytrigemino-autonomic reflexprimary headacheOdds ratiomedicine.diseaseConfidence intervalPathophysiologyMigraineAutonomic Nervous System DiseasesAnesthesiaPediatrics Perinatology and Child Healthcranial autonomic symptomReflexAutonomic symptomsFemaleNeurology (clinical)Headachesmedicine.symptombusinessJournal of child neurology
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Migraine in a pediatric population: a clinical study in children younger than 7 years of age.

2015

Aim Migraines in children younger than 7 years of age have received limited attention in the published literature. The aim of this study is to describe the characteristics of migraine phenotypes in children younger than 7 years, and to compare them with migraines in children older than 7 years of age. Method We reviewed all standard clinical files, collected over 4 years, related to children with a diagnosis of primary headache. We included all children younger than 7 years diagnosed with migraine in our study. Results A total of 374 children (188 males, 186 females) were affected by migraine with/without aura: 40 of these patients (10.7%; 20 males, 20 females; mean age 5y 7mo, SD 1y 2mo) w…

MalePediatricsmedicine.medical_specialtyYounger ageAdolescentAuraMigraine Disordersmigraine children epidemiologyClinical studyPrimary headacheDevelopmental NeuroscienceAge groupsmedicineHumansChildbusiness.industryAge FactorsMean agemedicine.diseasePhenotypeMigraineChild PreschoolPediatrics Perinatology and Child HealthFemaleNeurology (clinical)businessPediatric populationDevelopmental medicine and child neurology
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Prevalence of primary headaches in Italian elderly: Preliminary data from the Zabút Aging Project

2003

We describe preliminary 1-year prevalence data of recurrent migraine headache (MH), tension-type headache (TTH), and other headaches (OH) in a rural elderly population. A door-to-door two-phase survey was conducted on all elderly (or=65 years) residents of a rural village in southern Italy. Participants underwent a two-phase screening including a validated semi-structured questionnaire for headaches based on the International Headache Society criteria, and a neurological evaluation. Recurrent headache was defined as 3 or more attacks within the past 12 months. Out of 1031 participants evaluated, 225 (21.8%) suffered from recurrent headaches. One-year prevalence rates for headaches were resp…

MaleWithin the past 12 monthsmedicine.medical_specialtyPediatricsNeurologyEpidemiologyPopulationPrevalenceDermatologyPrimary headacheElderlymedicineConfidence IntervalsPrevalenceHumanseducationMigraineAgedAged 80 and overeducation.field_of_studyChi-Square DistributionNeuroscience (all)business.industryHeadacheGeneral Medicinemedicine.diseaseTension-type headacheIHS criteriaPsychiatry and Mental healthMigraineItalyFemaleSettore MED/26 - NeurologiaNeurosurgeryNeurology (clinical)Headachesmedicine.symptombusiness
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Osmophobia as an early marker of migraine: a follow-up study in juvenile patients.

2012

Background: Osmophobia is frequent in children with migraine (20–35%) but can also occur in up to 14% of cases with tension-type headache (TTH). So far, the prognostic role of this symptom in children with primary headaches has never been evaluated. Methods: A longitudinal prospective study was conducted on 90 young patients with TTH (37 with osmophobia, 53 without osmophobia). We evaluated whether osmophobia could predict the diagnosis transformation from TTH to migraine after a 3-year follow-up. Results and Discussion: In our cases the rate of diagnosis change was significantly greater in cases with osmophobia (62%) than in those without (23%). Osmophobia persisted at a 3-year follow-up …

Malechildren; follow-up; migraine without aura; Osmophobia; tension-type headachePediatricsmedicine.medical_specialtyAdolescentMigraine DisordersComorbidityRisk AssessmentPhobic disorderOlfaction DisorderschildrenRisk Factorsosmophobia; juvenile primary headache; migraine without aura; tension-type headachePrevalencefollow-upHumansMedicineJuvenileSex DistributionChildbusiness.industryOsmophobiaDisease progressionFollow up studiesGeneral Medicinemedicine.diseaseComorbiditytension-type headacheCausalityOsmophobiaEarly Diagnosisjuvenile primary headacheItalyPhobic DisordersMigrainemigraine without auraDisease ProgressionPhysical therapyFemaleNeurology (clinical)businessFollow-Up Studies
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Migrēnas raksturojums 21.gadsimta sākumā

2019

KOPSAVILKUMS – Migrēnas raksturojums 21. gadsimta sākumā Ievads: Migrēna ir primāras galvassāpes, kas zīmīgi var paliktināt dzīves kvalitāti. Pēdējo desmitu gadu laikā uzskati par migrēnu ir stipri mainījušies un ir sagaidāms, ka 21. gadsimtā zinātniskie pētījumi par šo tēmu palielināsies. Mērķis: Noteikt dažādu migrēnas formu prevalenci, aprakstīt un analizēt migrēnas īpašības Latvijas populācijas grupā un atklāt iespējamos iemeslus novēlotai migrēnas diagnozei. Materiāli un Metodes: Dažādas migrēnas pazīmes tika ievāktas, analizējot 101 migrēnas diagnozes pacienta slimības vēsturi. Migrēnas īpašības tika analizētas, pielietojot aprakstošo statistiku. Pazīmju atšķirību analīze tika veikta,…

Migraine without AuraMigraine with AuraPrimary Headache DisorderICHD-3 classificationMigraineMedicīna
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Prevalence of red ear syndrome in juvenile primary headaches.

2010

Background: Previous studies have suggested a relationship between ‘red ear syndrome’ (RES) and pediatric migraine. Aims of this study were (i) to assess the frequency, specificity and sensitivity of RES in a population of pediatric migraineurs and (ii) to establish the pathophysiological mechanisms of RES associated with migraine. Methods and results: A total of 226 children suffering from headache (aged 4–17 years) were enrolled. One hundred and seventy-two (76.4%) were affected by migraine, the remaining 54 (23.6%) by other primary headaches. RES was followed significantly more frequently by migraine (23.3%; p < .0001), and was characterized by high specificity and positive predictiv…

Pediatric migraineMalemedicine.medical_specialtyAdolescentRed ear syndromebusiness.industryMigraine DisordersGeneral Medicinemedicine.diseaseDermatologyPrimary headacheAnesthesiaChild PreschoolmedicinePrevalenceJuvenileRed ear syndrome pediatric migraine trigeminal autonomic cephalgias parasympathetic system trigeminal-autonomic reflexHumansSettore MED/26 - NeurologiaFemaleNeurology (clinical)Trigeminal autonomic reflexbusinessChildEar DiseasesCephalalgia : an international journal of headache
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Pediatric Chronic Migraine Severity and Maternal Stress

2021

Primary headache is an increasing phenomenon in pediatric age, and very often, it causes disabling limitations in children’s daily activities, negatively affecting family well-being. There are conflicting data in the literature on the impact of children’s migraines on parental experienced stress. This study aimed to evaluate maternal stress in a sample of school-aged children with a migraine without aura (MwoA) and its correlation with migraine intensity and frequency. A total of 474 mothers aged between 31 and 55 participated in the study: 237 were mothers of children with MwoA, and 237 were mothers of typical developing children. All participants were administered the Parent Stress Index-…

Pediatric migrainePediatricsmedicine.medical_specialtyActivities of daily livingAuraPediatricsArticleRJ1-570Disability assessmentMaternal stressChronic MigrainePrimary headachemedicineSettore M-PSI/02 - Psicobiologia E Psicologia Fisiologicabusiness.industryRprimary headachemedicine.diseaseSettore MED/39 - Neuropsichiatria Infantilematernal streMigrainematernal stressmigraine without auraMedicinebusinessPedMIDASPediatric Reports
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