Study of Clinical Profile of Headache
Journal Title: Journal of Medical Research and Practice - Year 2018, Vol 7, Issue 1
Abstract
About 200 patients having headache were evaluated for their clinical profile of headache and for determining the type of headache in these patients. Mean age of these patients was 30.31 years and the age range was 6–70 years. Nearly 59% of total patients fell in the age range of 21–40 years. Percentage of male and females was nearly equal. Males accounted for 96 of total patients, while there were 104 females. About 91% of patients complained of headache for more than a year. Severity of headache was moderate in 69% of patients and it was non-progressive in 92% and was characterized by episodes in as many as 89.5% of patients. Two-third of patients (66%) had unilateral headache and in all patients majority (61.5%) suffered from generalized headache, whether unilateral or bilateral. Only 31% of patients gave history of regular drug usage for the relief of headache. Duration of headache attacks lasting for hours in 90% of patients and majority of patients (69%) had 1–2 attacks per week. Approximately 45% of patients had headache in both day and night while 47% patients had headache predominantly at day. Headache was throbbing in 51% patients and pulsatile in another 33%. There was no relation of headache with the body mass index or socioeconomic status of patients. Coexisting diseases such as hypothyroidism, hypertension, anemia, and others were rare in the present series, accounting for a total of 11% of patients only. Symptoms accompanying headache like nausea, vomiting, lacrimation, or photophobia were present in varying proportions without any consistency. Same was true with respect to a variety of provoking and relieving factors. Often multiple of these factors were seen in the same patient. Clinical typing of headache based mainly on a detailed history revealed that maximum proportion of patients (64%) suffered from migraine followed by only 9% suffering from tension headache and 3% suffering from cluster headache. The remaining big group of 24% comprised of patients with mixed headache and those which could not be classified. Physical examination and investigative work up like biochemistry and imaging techniques did not offer much help in arriving at the diagnosis of the type of common varieties of headache seen in clinical practice.
Authors and Affiliations
Sanjay N. Bhasme, Swapnil W. Patil, Rajesh S. S. Sangrame
Keywords
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