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Post-craniotomy headache: A proposed revision of IHS diagnostic criteria

ROCHA-FILHO, P. A. S.; GHERPELLI, J. L. D.; SIQUEIRA, J. T. T. de; RABELLO, G. D.
Fonte: SAGE PUBLICATIONS LTD Publicador: SAGE PUBLICATIONS LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.06%
Seventy-nine patients with intracranial aneurysms were evaluated in the presurgical period, and followed up to 6 months after surgery. We compare patients who fulfilled with those that did not post-craniotomy headache (PCH) diagnostic criteria, according to the International Classification of Headache Disorders. Semistructured interviews, headache diaries, Short Form-36 and McGill Pain Questionnaire were used. Seventy-two patients (91%) had headaches during the follow-up period. The incidence of PCH according to the International Headache Society diagnostic criteria was 40%. Age, sex, type of surgery, temporomandibular disorder, vasospasm, presence and type of previous headaches, and subarachnoid haemorrhage were not related to headache classification. There were no differences in the quality of life, headache frequency and characteristics or pain intensity between patients with headache that fulfilled or not PCH criteria. We proposed a revision of the diagnostic criteria for PCH, extending the headache outset after surgery from 7 to 30 days, and including the presence of headaches after surgery in patients with no past history of headaches, or an increase in headache frequency during the first 30 days of the postsurgical period followed by a decrease over time. Using these criteria we would classify 65% of our patients as having PCH.

Temporomandibular Disorders Are Differentially Associated With Headache Diagnoses A Controlled Study

GONCALVES, Daniela A. G.; CAMPARIS, Cinara M.; SPECIALI, Jose G.; FRANCO, Ana L.; CASTANHARO, Sabrina M.; BIGAL, Marcelo E.
Fonte: LIPPINCOTT WILLIAMS & WILKINS Publicador: LIPPINCOTT WILLIAMS & WILKINS
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.06%
Objectives: Temporomandibular disorders (TMDs) are considered to be comorbid with headaches. Earlier population studies have suggested that TMD may also be a risk factor for migraine progression. If that is true, TMD should be associated with specific headache syndromes (eg, migraine and chronic migraine), but not with headaches overall. Accordingly, our aim was to explore the relationship between TMD subtypes and severity with primary headaches in a controlled clinical study. Methods: The sample consisted of 300 individuals. TMDs were assessed using the Research Diagnostic Criteria for TMD, and primary headache was classified according to International Classification for Headache Disorders-2. Univariate and multivariate models assessed headache diagnoses and frequency as a function of the parameters of TMD. Results: Relative to those without TMD, individuals with myofascial TMD were significantly more likely to have chronic daily headaches (CDHs) [ relative risk (RR) = 7.8; 95% confidence interval (CI), 3.1-19.6], migraine (RR = 4.4; 95% CI, 1.7-11.7), and episodic tension-type headache (RR = 4.4; 95% CI, 1.5-12.6). Grade of TMD pain was associated with increased odds of CDH (P < 0.0001), migraine (P < 0.0001), and episodic tension-type headache (P < 0.05). TMD severity was also associated with headache frequency. In multivariate analyses...

Temporomandibular disorders in headache patients

Mello, Christiane-Espinola-Bandeira; Oliveira, Jose-Luiz-Goes; Jesus, Alan-Chester-Feitosa; Maia, Mila-Leite-de Moraes; de Santana, Jonielly-Costa-Vasconcelos; Andrade, Loren-Suyane-Oliveira; Quintans, Jullyana-de Souza Siqueira; Quintans-Junior, Lucindo-
Fonte: MEDICINA ORAL S L; VALENCIA Publicador: MEDICINA ORAL S L; VALENCIA
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.06%
Objective: To identify the frequency of signs and symptoms of temporomandibular disorder (TMD) and its severity in individuals with headache. Study Design: 60 adults divided into three groups of 20 individuals: chronic daily headache (CDH), episodic headache (EH) and a control group without headache (WH). Headache diagnosis was performed according to the criteria of International Headache Society and the signs and symptoms of TMD were achieved by using a clinical exam and an anamnestic questionnaire. The severity of TMD was defined by the temporomandibular index (TMI). Results: The TMD signs and symptoms were always more frequent in individuals with headache, especially report of pain in TMJ area (CDH, n=16; EH, n=12; WH, n=6), pain to palpation on masseter (CDH, n=19; EH, n=16; WH, n=11) which are significantly more frequent in episodic and chronic daily headache. The mean values of temporomandibular and articular index (CDH patients) and muscular index (CDH and EH patients) were statistically higher than in patients of the control group, notably the articular (CDH=0.38; EH=0.25; WH=0.19) and muscular (CDH=0.46; EH=0.51; WH=0.26) indices. Conclusions: These findings allow us to speculate that masticatory and TMJ pain are more common in headache subjects. Besides...

Dor, temperamento e problemas de comportamento em crianças com queixa de dor de cabeça; Pain, temperament and behavior problems in children with headache complaints.

Correia, Luciana Leonetti
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 29/03/2010 PT
Relevância na Pesquisa
37.14%
A presente Tese teve por objetivo verificar a relação entre dor, temperamento e problemas de comportamento em crianças com queixa de dor de cabeça. Para a realização deste objetivo, foram desenvolvidos três objetivos específicos: 1) identificar a prevalência de dor em uma amostra de crianças cadastradas em Núcleos de Atenção Primária do Programa de Saúde da Família (PSF); 2) comparar dois grupos de crianças diferenciados em relação à presença de queixa de dor de cabeça, quanto a temperamento e problemas de comportamento e 3) identificar o melhor modelo de predição de queixa de dor de cabeça em crianças na fase pré-escolar. A amostra foi composta de 75 crianças e suas mães, as quais pertenciam a famílias cadastradas em Núcleos de Atenção Primária do PSF. De forma a atender ao segundo objetivo, a amostra foi distribuída em dois grupos, de acordo com a presença de queixas de dor de cabeça das crianças, que foi referida pela mãe, por meio do Questionário sobre histórico de saúde, queixa de dor e desenvolvimento da criança, sendo 22 crianças com queixa de dor de cabeça (Grupo CD) e 53 crianças sem esta queixa (Grupo SD). A coleta de dados foi realizada em visitas domiciliares com entrevistas com as mães. Na primeira entrevista foram aplicados a SCID Não- Paciente- Entrevista Clínica Estruturada para DSM III-R...

Prevalência de cefaleia relacionada com alguns hábitos de vida em escolares do ensino fundamental e médio de Ribeirão Preto (SP); Prevalence of headache associated with some lifestyle habits in schoolchildren of Ribeirão Preto

Grassi, Luiz Eduardo Vieira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 24/10/2011 PT
Relevância na Pesquisa
37.08%
As cefaleias acometem grande parte da população mundial. Este sintoma afeta a qualidade de vida e a produtividade de quem as têm Crianças e adolescentes com cefaleia também são alvos destas perdas. Objetivos: Estimar a prevalência de cefaleia em uma amostra representativa de alunos dos ensinos fundamental e médio da rede pública. Verificar a relação entre: 1) cefaleias e variáveis físicas (gênero, cor da pele referida, índice massa corporal-IMC e doenças crônicas referidas); 2) cefaleias e alguns hábitos de vida (ingestão de álcool, prática de exercícios físicos regulares, horas diárias de sono noturno, horas semanais gastas em TV, internet e videogame); 3) cefaleia e uso de aparelhos, como os ortodônticos e óculos, e 4) cefaleia e rendimento escolar avaliado por meio das notas referidas. Métodos: Após sorteio de uma escola da rede estadual de ensino de cada região da cidade de Ribeirão Preto (norte, sul, leste, oeste e centro), foram sorteadas as salas de aula, uma de cada ano/série dos cursos fundamental II e médio. Foi aplicado um questionário em 415 alunos com idade mediana de 15 anos, que concordaram em participar do estudo e cujos pais ou responsáveis assinaram o Termo de Livre Consentimento e Esclarecimento. Foram utilizados os testes para análises estatísticas: 1) Teste exato de Fischer através do comando PROC FREQ do Software SAS® 9; 2) Anova através do comando PROC GLM do Software SAS® 9; 3) Regressão logística para calculo do ODDS RATIO...

Temporomandibular Disorders Are Differentially Associated With Headache Diagnoses A Controlled Study

Goncalves, Daniela A. G.; Camparis, Cinara Maria; Speciali, Jose G.; Franco, Ana L.; Castanharo, Sabrina M.; Bigal, Marcelo E.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica Formato: 611-615
ENG
Relevância na Pesquisa
37.06%
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Processo FAPESP: 06/00730-5; Processo FAPESP: 06/00981-8; Objectives: Temporomandibular disorders (TMDs) are considered to be comorbid with headaches. Earlier population studies have suggested that TMD may also be a risk factor for migraine progression. If that is true, TMD should be associated with specific headache syndromes (eg, migraine and chronic migraine), but not with headaches overall. Accordingly, our aim was to explore the relationship between TMD subtypes and severity with primary headaches in a controlled clinical study.Methods: The sample consisted of 300 individuals. TMDs were assessed using the Research Diagnostic Criteria for TMD, and primary headache was classified according to International Classification for Headache Disorders-2. Univariate and multivariate models assessed headache diagnoses and frequency as a function of the parameters of TMD.Results: Relative to those without TMD, individuals with myofascial TMD were significantly more likely to have chronic daily headaches (CDHs) [ relative risk (RR) = 7.8; 95% confidence interval (CI), 3.1-19.6], migraine (RR = 4.4; 95% CI, 1.7-11.7), and episodic tension-type headache (RR = 4.4; 95% CI, 1.5-12.6). Grade of TMD pain was associated with increased odds of CDH (P < 0.0001)...

Headache in childhood : clinical and neuroimaging evaluation = Cefaleia na infância: avaliação clínica e de neuroimagem; Cefaleia na infância : avaliação clínica e de neuroimagem

Karine Couto Sarmento Teixeira
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 31/07/2013 PT
Relevância na Pesquisa
37.11%
A cefaléia é uma condição extremamente prevalente em crianças e gera transtorno na vida familiar e escolar do seu portador. O objetivo geral do presente estudo foi caracterizar a frequência e tipos de cefaléia na infância, além de responder a algumas perguntas organizadas em subprojetos expostos abaixo. Foi realizada avaliação retrospectiva de prontuários, visando analisar os dados clínicos e de neuroimagem. As informações obtidas por análise de prontuários e complementadas em visitas de rotina. Os 674 pacientes estudados integraram um banco de dados, a partir do qual os resultados foram analisados e distribuídos em subprojetos. No subprojeto 1, verificamos o papel da investigação por neuroimagem nas cefaléias na infância. Foram incluídos 646 pacientes que apresentavam queixa de cefaléia e exame neurológico normal, a fim de avaliar o benefício da neuroimagem no diagnóstico e tratamento dessa patologia. Achados anormais de neuroimagem foram encontrados em 60 pacientes, classificados em três grupos: a) 9 pacientes com alterações relacionadas à patologia de base; b) 43 pacientes com alterações radiológicas benignas; e c) 8 pacientes com alterações radiológicas que mudaram a conduta médica. Desse último grupo...

Headache as the sole presentation of cerebral venous thrombosis: a prospective study

Timóteo, A; Inácio, N; Machado, S; Pinto, A; Parreira, E
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica
Publicado em //2012 ENG
Relevância na Pesquisa
37.09%
Headache is the most frequent presenting symptom of cerebral venous thrombosis (CVT), most commonly associated with other manifestations. It has been described as its only clinical presentation in 15 % of patients. There is no typical pattern of headache in CVT. The objective of this study was to study the characteristics of headache as the sole manifestation of CVT. From a prospective study of 30 consecutive patients diagnosed with CVT over 18 months, we selected those who presented with headache only: they had a normal neurological examination, no papilloedema and no blood or any parenchymal lesion on CT scan. All were submitted to a systematic etiological workup and a structured questionnaire about the characteristics of headache was provided. Headache was the sole manifestation of CVT in 12 patients; it was diffuse or bilateral in the majority. Seven patients referred worsening with sleep/lying down, Valsalva maneuvers or straining. There was no association between the characteristics of headache and extension of CVT. Time from onset to diagnosis was significantly delayed in these patients presenting only with headache. In our series, 40 % of patients presented only with headache. There was no uniform pattern of headache apart from being bilateral. There was a significant delay of diagnosis in these patients. Some characteristics of headache should raise the suspicion of CVT: recent persistent headache...

Cluster headache without autonomic symptoms: why is it different?

Martins, I; Gouveia, R; Parreira, E
Fonte: American Association for the Study of Headache Publicador: American Association for the Study of Headache
Tipo: Artigo de Revista Científica
Publicado em //2005 ENG
Relevância na Pesquisa
46.82%
BACKGROUND: Some patients with otherwise typical cluster headache (CH) have persistent attacks free of cranial autonomic symptoms (CAS). The factors responsible for this atypical presentation are not known. OBJECTIVES: To identify factors associated to the absence of CAS in patients with CH. METHODS: A prospective series of 157 patients with the diagnosis of CH was analyzed, comparing 148 typical CH patients with 9 CH patients without CAS. RESULTS: Patients without CAS reported significantly less intense attacks (P = .003) when compared to those with CAS. There was also a tendency (not reaching statistical significance) for a higher frequency of females and chronic CH among those without CAS. Otherwise, there were no differences between the two groups (in age, duration of illness, follow-up time, attack duration or frequency, nor side or site of pain). A logistic regression analysis showed that only pain intensity could explain the difference between the two groups, since the other explanatory variables were also associated with different intensity of attacks. CONCLUSIONS: These results support the hypothesis that CH without cranial autonomic symptoms represents a milder form of CH.

Primary headache diagnosis among chronic daily headache patients

Krymchantowski,Abouch Valenty
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2003 EN
Relevância na Pesquisa
37.07%
Chronic daily headache (CDH) refers to a group of non-paroxysmal daily or near-daily headaches with peculiar characteristics that are highly prevalent in populations of neurological clinics and not uncommon among non-patient populations. Most of the patients with CDH had, as primary diagnosis, episodic migraine, which, with the time, presented a progressive frequency, pattern modification and loss of specific migraine characteristics. Other CDH patients had chronic tension-type headache, new daily persistent headache and hemicrania continua, which evolved thru the time to the daily or near-daily presentation. The objective of this study was to determine the primary headache diagnosis among a population of chronic daily headache patients attending a tertiary center for headache treatment. During a 5-year period 651 consecutive chronic daily headache patients attending a private subspecialty center were studied prospectively. The criteria adopted were those proposed by Silberstein et al (1994, revised 1996). Five hundred seventy four patients (88.1%) had episodic migraine as primary headache before turning into daily presentation, 52 (8%) had chronic tension-type headache, 14 (2.2%) had hemicrania continua and 11 patients (1.7%) had new daily persistent headache. CDH is quite frequent in patients from clinic-based studies suggesting a high degree of disability. Emphasis on education of patients suffering from frequent primary headaches with regard to measures that are able to decrease suffering and disability as well as better medical education directed to more efficient ways to handle these patients are necessary to improve outcome of such a prevalent condition.

Prevalence and impact of headache and migraine among Pomeranians in Espirito Santo, Brazil

Domingues,Renan B.; Aquino,Camila C.H.; Santos,Jasper G.; Silva,André L. Pirajá da; Kuster,Gustavo W.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2006 EN
Relevância na Pesquisa
37.06%
This is the first study to assess the prevalence of headache and migraine among Pomeranian descendents in Brazil. A high prevalence of headache in the last 6 months was found (53.2%). Most headache sufferers were diagnosed as having migraine (55%). More women reported to have headache than men (65% and 33.8%, respectively). Migraine was the most common headache found among women (62.2%). Among men migraine was responsible for only 37.8% of the cases of headache. A high impact of headache was found, especially among migraineurs. Most of the headache sufferers declared to seek medical assistance for headache (67%) and most of them used to take common analgesics for headache relief. None of them was under prophylactic therapy.

Patients with sudden onset headache not meeting the criteria of the International Headache Society for new daily persistent headache. How to classify them?

Monzillo,Paulo Hélio; Nemoto,Patrícia Homsi
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2011 EN
Relevância na Pesquisa
37.07%
We conducted a retrospective analysis of the records of 1348 patients regularly treated at the headache clinic of Department of Neurology of Santa Casa de São Paulo, Brazil. Sixty-two patients reported history of daily and persistent headache. From the 62 patients selected, only 21 (group 1) could be diagnosed with new daily-persistent headache (NDPH) according to the International Headache Society (HIS) 2004 criteria. The 41 remaining patients (group 2) could not be diagnosed with NDPH according to IHS-2004 once they presented two or more migraine attack-related symptoms, such as: nausea, photophobia, phonophobia and vomiting, in different combinations. It was not possible to classify them in groups 1 to 4 of primary headaches either. How to classify them? We suggest that the criteria are revised. And one way we can classify them, would be the subdivision: NDPH with migraine features and without migraine features that would allow the inclusion of all individuals present who has a daily and persistent headache from the beginning

Familial aggregation of cluster headache

Cruz,Simao; Lemos,Carolina; Monteiro,Jose Maria Pereira
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2013 EN
Relevância na Pesquisa
37.07%
Several studies suggest a strong familial aggregation for cluster headache (CH), but so far none of them have included subjects with probable cluster headache (PCH) in accordance with the International Classification of Headache Disorders. Objective To identify cases of probable cluster headache and to assess the familial aggregation of cluster headache by including these subjects. Method Thirty-six patients attending a headache consultation and diagnosed with trigeminal autonomic headaches were subjected to a questionnaire-based interview. A telephone interview was also applied to all the relatives who were pointed out as possibly affected as well as to some of the remaining relatives. Results Twenty-four probands fulfilled the criteria for CH or PCH; they had 142 first-degree relatives, of whom five were found to have CH or PCH, including one case of CH sine headache. The risk for first-degree relatives was observed to be increased by 35- to 46-fold. Conclusion Our results suggest a familial aggregation of cluster headache in the Portuguese population.

Alcohol use problems in migraine and tension-type headache

Domingues,Renan B.; Domingues,Simone A.; Lacerda,Cássio B.; Machado,Tarnara V.C.; Duarte,Halina; Teixeira,Antônio L.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
37.06%
Objective: The aim of this study was to assess alcohol use problems in patients with migraine and tension-type headache. Method: We evaluated 81 patients with migraine and 62 patients with tension-type headache. The identification of alcohol consumption problems was carried out with Alcohol Use Disorders Identification Test (AUDIT). Alcohol use problem was defined as an AUDIT score of 8 or above. The headache impact was calculated with headache impact test (HIT-6). Results: The proportions of alcohol use problem among patients with migraine and tension-type headache were 5.2% and 16.1%, respectively (P=0.044). The headache impact was significantly higher with migraine than with tension-type headache (P<0.0001). There was an inverse correlation between headache impact and AUDIT (P=0.043). Conclusions: Our results suggest that migraine patients are less prone to alcohol use problems than tension-type headache patients. One of the possible reasons is that migraine is associated with greater impact than tension-type headache.

Headache, migraine, and structural brain lesions and function: population based Epidemiology of Vascular Ageing-MRI study

Mohamed, Shajahal; Maillard, Pauline; Zhu, Yi-Cheng; Chabriat, Hugues; Mazoyer, Bernard; Bousser, Marie-Germaine; Dufouil, Carole; Tzourio, Christophe; Kurth, Tobias
Fonte: BMJ Publishing Group Ltd. Publicador: BMJ Publishing Group Ltd.
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
37.07%
Objective: To evaluate the association of overall and specific headaches with volume of white matter hyperintensities, brain infarcts, and cognition. Design: Population based, cross sectional study. Setting: Epidemiology of Vascular Ageing study, Nantes, France. Participants: 780 participants (mean age 69, 58.5% women) with detailed headache assessment. Main outcome measures: Brain scans were evaluated for volume of white matter hyperintensities (by fully automated imaging processing) and for classification of infarcts (by visual reading with a standardised assessment grid). Cognitive function was assessed by a battery of tests including the mini-mental state examination. Results: 163 (20.9%) participants reported a history of severe headache and 116 had migraine, of whom 17 (14.7%) reported aura symptoms. An association was found between any history of severe headache and increasing volume of white matter hyperintensities. The adjusted odds ratio of being in the highest third for total volume of white matter hyperintensities was 2.0 (95% confidence interval 1.3 to 3.1, P for trend 0.002) for participants with any history of severe headache when compared with participants without severe headache being in the lowest third. The association pattern was similar for all headache types. Migraine with aura was the only headache type strongly associated with volume of deep white matter hyperintensities (highest third odds ratio 12.4...

Chronic daily headache

Spierings, Egilius L. H.
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
37.07%
Chronic daily headache relates to the daily or almost daily occurrence of headache in a nonparoxysmal pattern. In this review, I discuss the presentation, development, outcome, and treatment of chronic daily headache. In the context of the development of chronic daily headache, a headache continuum is presented along with its underlying pathophysiology. The treatment section covers rebound headache, analgesic and vasoconstrictor withdrawal, and the use of long-acting opioids in intractable patients. The review concludes with a discussion of hemicrania continua, an indomethacin-responsive headache syndrome.

Headache, migraine and risk of brain tumors in women: prospective cohort study

Kurth, Tobias; Buring, Julie E; Rist, Pamela M
Fonte: Springer Milan Publicador: Springer Milan
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
37.11%
Background: While headache is a common symptom among brain tumors patients, often patients with common headache have concerns of being at risk for developing brain tumors. We aimed to disprove that migraine or headache in general is associated with increased risk of developing brain tumors. Methods: Prospective study among 39,534 middle-aged women, free of any cancer, and who provided information on headache history at baseline. We followed participants for occurrence of medical record-confirmed brain tumors. We ran multivariable-adjusted Cox proportional hazards models to evaluate associations between any headache, migraine, and non-migraine headache with incident brain tumors. We further evaluated whether migraine frequency and updated headache information during follow-up could be linked with brain tumors. Results: A total of 13,022 (32.9%) women reported headache, of which 5,731 were classified as non-migraine headache and 7,291 as migraine. During a mean follow-up of 15.8 years, 52 brain tumors were confirmed. The multivariable-adjusted hazard ratios (95% confidence interval) for brain tumors were 1.33 (0.76-2.34) for any headache, 1.18 (0.58-2.41) for migraine and 1.53 (0.75-3.12) for non-migraine headache. The association for any headache was further attenuated in time-varying analyses (1.15; 0.58-2.24). Those who experience migraine six times/year were also not at increased risk of brain tumor (0.67; 0.13-3.32). Conclusions: Results of this large...

Prevalence and impact of headache in undergraduate students in Southern Brazil

Falavigna,Asdrubal; Teles,Alisson Roberto; Velho,Maíra Cristina; Vedana,Viviane Maria; Silva,Roberta Castilhos da; Mazzocchin,Thaís; Basso,Maira; Braga,Gustavo Lisbôa de
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2010 EN
Relevância na Pesquisa
37.07%
OBJECTIVE: To determine the prevalence, characteristics and impact of headache among university students. METHOD: The criteria established by the International Headache Society were used to define the primary headache subtypes and the Migraine Disability Assessment Questionnaire (MIDAS), to assess the disability. The students were then grouped into six categories: [1] migraine; [2] probable migraine; [3] tension-type headache; [4] probable tension-type headache; [5] non-classifiable headache; [6] no headache. RESULTS: Of all undergraduate students interviewed, 74.5% had at least one headache episode in the last three months. Regarding disability, there was a significant difference between the headache types (p<0.0001). In the post-hoc analysis, migraine was the headache type with most reported disability. CONCLUSION: Headache is a highly prevalent condition among the students at the University of Caxias do Sul. This disease may have a major impact on the students' lives and in some cases, ultimately lead to educational failure.

Codeine, heightened pain sensitivity and medication overuse headache: a neuroimmune hypothesis and novel treatment strategy.

Johnson, Jacinta Lee
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2015
Relevância na Pesquisa
37.08%
Codeine is the most widely consumed opioid analgesic worldwide. It relies upon partial metabolism to morphine to elicit analgesic effects. Paradoxically, the pain-reliever morphine has previously been linked to states of increased pain sensitivity; such as medication overuse headache and opioid-induced hyperalgesia and allodynia. Despite the clinical impact of medication overuse headache the pathophysiology behind this disorder remains unclear and mechanism-based treatments are lacking. Although most acute headache treatments are alleged to cause medication overuse headache, within this thesis we conclude from the literature opioids are the drug class most strongly associated with worsening headache. In opioid-induced hyperalgesia and allodynia sensitivity to normally noxious, and non-noxious stimuli respectively, are enhanced due to opioid exposure. Chronic morphine may exacerbate pain in the long-term by non-specifically activating toll-like receptor-4 (TLR4) on glial cells, resulting in a pro-inflammatory state that manifests clinically as increased pain. Here we hypothesise medication overuse headache is a specific form of opioid-induced hyperalgesia, which derives from a cumulative interaction between central sensitisation and glial priming...

Lifestyle, quality of life, nutritional status and headache in school-aged children

Castro,Kamila; Rockett,Fernanda C.; Billo,Maira; Oliveira,Gabriela T.; Klein,Luciana S.; Parizotti,Cristiane S; Perla,Alexandre S.; Perry,Ingrid D. S.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/10/2013 ENG
Relevância na Pesquisa
37.06%
Background: Headache has been described as a factor with significant negative impact on the quality of life of school-aged children with a high risk of developing in chronic and persistent form in adulthood. Among other headache associated triggers or aggravating factors, lifestyle and obesity has been investigated, but results are still conflicting. Objective: To evaluate the prevalence of headache in school-aged children and its relationship to anthropometric characteristics, lifestyle, and quality of life. Methods: A cross-sectional study was conducted in six schools located in two cities in southern Brazil, involving 750 students aged 7 to 14 years. Information was collected on sociodemographic characteristics, clinical variables (presence of headache and menarche), anthropometric data, lifestyle, and quality of life. Results: A total of 185 (24.7%) students reported having headache crises in the last 3 months. Among students aged 10 to 14 years, presence of headache was associated with female sex, affecting 32.2% of girls vs. 23.3% of boys (p = 0.042, chi-square test). Anthropometric parameters (data on overweight/obesity) were consistent with national prevalence rates, and there was no association between Body Mass Index (BMI) and headache. Regarding lifestyle...