Vol. 4, Issue 2 (2019)
Study of types of headache and its characteristics: A study from single centre of central India
Author(s): Dr. Prakash Chandra Mishra, Dr. VK Namdar, Dr. RS Yadav, Dr. TN Dubey
Abstract: Background: Each type of headache has a different pathogenesis. Incorrect diagnosis and therefore inappropriate treatment can mean poor outcomes for the headache sufferer. Aims and Objectives: To study the prevalence of different types of headache and its characteristics. Materials and Methods: Four hundred and ninety seven patients with history of headache presented in Neurology Department of Gandhi Medical College and affiliated Hamidia Hospital were studied. For each patient a routine clinic questionnaire was completed. Demographic variable, frequency, onset, duration, precipitating and relieving factor in all the patients were recorded. Whenever required we also did CT /MRI head and fundus examination of eye. Results: Primary headache was more prevalent (n=471), of which IEH (40.33%) was more common. Most common secondary type of headache was TBM (50%). Migraine was most common among patients with age group of 21-40 years (n=72), in female ((n=74), who belong to urban area (n=80) and were from the nuclear family (n=82) similarly tension type headache was most common among 21-40 years (n=192) age group, in females (n=156), who belong to urban area (n=238) and who were from the nuclear family (n=212). Majority of the patients with migraine (n=101) were unilateral whereas majority of TTH (n=280) were bilateral. Majority of MWA (n=42) patients had fever duration between 3-6 days whereas and MA (n=16) had fever duration of >6 days. Mean age of occurrence of CVT, FEH, ICSOL, IEH, MA, MEN, MWA and TBM was 26.63±5.60, 20.69±12.37, 18.25±0.5, 30.24±11.94, 29.19±9.9, 14.00, 30.80±13.64, 27.31±8.42 and 29.84±12.31 respectively. Most common trigger in migraine was emotional stress (20.52%) followed by physical stress (16.70%) and fast (13.48%). Conclusion: Most common was primary headache such as migraine and TTH affecting young age group subjects (21-40 years), nuclear family and urban population. Unilateral headache was most common in young population. TTH was found as the most common headache disorder followed by migraine.