Frequency of Headache Disorders in Neurology Outpatients at Yalgado Ouedraogo University Teaching Hospital. A 3-Month Prospective Cross-sectional Study (original) (raw)
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Aim: To assess the lifetime prevalence of tension-type headache, migraine and chronic daily headache, including the primary headaches in a student population. Methods: This is a cross-sectional descriptive study. Data were collected from consecutive consenting students by means of a semi-structured questionnaire. The questionnaire was designed to assess demographic data, headache profiles and medical consultation. Results: Four hundred and forty-nine (89.8%) out of 500 students who were interviewed were analyzed. The lifetime prevalence of primary headache was 89.8%; it 90.5% and 88.6% in females and males respectively. The overall prevalence of migraine was 8.9%, with a prevalence of 10.6% in females and 6.5% in males. Migraine without aura was most commonly seen at 73%. The prevalence of migraine without aura was 7.6% in females and 4.9% in males. Tension type headache (TTH) had an overall prevalence of 22.9%, with a prevalence of 28.4% in females and 15.1% in males. Migraine and tension type headache co-existed in 5.8% of the students. About 8.5% suffered from chronic daily headache: chronic migraine 2.9%, chronic tension headache 3.1%. The rate of medical consultation was 54.8% (males 49.7%, females 58.3%). Conclusions: Headache is a common health problem among medical and nursing students in Enugu South East Nigeria where 89.8% of respondents have had primary headaches. The prevalence of migraine, TTH and chronic daily headache was 8.9%, 22.9% and 8.5% respectively. Headaches therefore, represent one of the most challenging neurological disorders in Sub-Saharan Africa where most sufferers do not have access to specialist care.
Pattern of Headache Among Patients Attending at Muhimbili National Hospital Neurology CLINIC-2012
2013
Last but not least, I want to thank my wife, Anitha and my Daughter Stacey who showed their love and dedication throughout my study period. Their presence made a tremendous difference in my life during some tiring moments in the course of preparation and accomplishment of this dissertation. Thanks to the Almighty God for giving me good health and power throughout my study period. vi DEDICATION This dissertation is dedicated to my lovely wife, Anitha Mushi and my daughter Stacey. It is also dedicated to my parents Mr&Mrs Longopa, who inspired me right from childhood to study hard and become a good doctor.
" To Study Etiological & Demographic Profile of Headache in Tertiary Neurocare Centre Of Mp "
Background: Headache is one of the most common maladies which affect humans. However, headache has not been sufficiently studied as a cause of morbidity in the developing world. The present study was conducted to study the demographical, etiological and clinical profile of headache patients using guidelines of International Classification of Headache Disorders , in a tertiary neurocare centre. Methods: The study included 500 patients with complaints of headache attending the Patients underwent thorough clinical examination and psychiatric evaluation and clinical investigations were done as and when required. Results: Among the 500 patients with headache, primary headache (87.8%) was the most common type, with migraine found in 45.6 % of cases, and tension-type headache (TTH) in 36.4%. Among the secondary types, the most common was headache caused post sinusitis (48%) followed by ICSOL (36 %). Both types of headaches were significantly more common in women and younger age groups. Conclusions: Since more than 85% of headaches seen in practice are primary headaches, it is to be realised that matters have come a long way in the last decade and these is now enough evidence to prove that primary headaches are a genuine potentially treatable biological problem. This study would help in identifying the significant gaps in headache care and in strengthening existing health systems so that they better recognize headache disorders.
Cephalalgia, 2009
We investigated the 1-year prevalence, clinical features and mode of treatment of headache in medical students of the University of Lagos, Nigeria, using a self-administered headache questionnaire. Headache prevalence was 46.0% and was significantly higher in women than in men (62.8% vs. 34.1%). Prevalence of tension-type headache was higher than that of migraine (18.1% vs. 6.4%). Although tension-type headache had a similar prevalence in both sexes (male 17.3%, female 19.2%), migraine was three times more common in women (10.9% vs. 3.2%). A family history of headache was present in 22.0%. Only 4.6% sought medical assistance, whereas 68.2% took non-prescription drugs, mainly simple analgesics. Specific drugs for migraine and tension-type headache were rarely used. In conclusion, 1-year headache prevalence is high among medical students at this university. The low consultation rate and the rarity of usage of specific anti-headache drugs probably reflect inadequacies in the management...
BioMed Research International, 2014
Background. Primary headaches are underdiagnosed and undertreated, with a significant impact on social activities and work.Aim.To determine the last-year prevalence and health care utilization pattern of primary headaches at a tertiary centre.Methods.A cross-sectional study was carried out amongst staff of the Lagos State University Teaching Hospital in Lagos, Nigeria. 402 staff members were selected by simple random sampling and administered a detailed structured headache assessment questionnaire. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004).Results.The participants comprised 168 males and 234 females. The mean age was36.9±7.9years. The overall headache prevalence was 39.3% with female predominance (P<0.0001). Tension-type headache was the most prevalent at 72.8% and migraine at 18.9%. Unclassifiable headache constituted 8.2%. Migraine headache showed female preponderance (P=0.000). 80.4% of participants...
Nigerian Journal of Clinical Practice, 2017
Objective: Headache is a common chronic neurologic disorder with huge economic and psychosocial impact. In comparison with other neurological disorders, there is limited data on primary headache, especially from sub-Saharan Africa. This study was done to fill in the gap and provide recent information on headache among Nigerian undergraduate students. Methodology: Quota sampling was used to select students from three tertiary educational institutions within Ilorin, the capital of Kwara state. Two-stage self-administered questionnaires developed from the guideline of the International Society of Headache were used to harvest information. Results: A total of 1500 students participated in the study. The mean age of the students was 20.9 ± 3.1 years, with male:female ratio of 1.6:1. A total of 356 students have frequent headache within previous 1 year, given the headache frequency of 23.7%. Fifty-three students (3.5%) had headaches on almost daily basis, 84 (5.6%) had ≥4 attacks/week, 145 (9.7%) had ≤2-3 attacks/month, and 123 (8.2%) had 1-3 attacks every 3 months. Close to 75% indicated that it limits their daily activity frequently. One hundred and eighty-seven (12.5%) students fulfilled the criteria for tension-type headache, 36 (2.4%) for migraine headache, and 133 (8.9%) had nonclassified headaches. The most frequent headache-associated symptoms are photophia-100 students (6.7%), phonophobia-159 students (10.6%), while 62 students (4.1%) had nausea and vomiting. None of the students had seen a physician for proper headache diagnosis. Majority (90.2%) used none prescription over-the-counter analgesia (acetaminophen) for symptomatic treatment of their aches. Conclusion: Headache is a common complaint among Nigerian undergraduate students and it limits the daily activity of majority of the sufferers. Students need proper education regarding treatment to alleviate their suffering and forestall complication, especially those associated with analgesic overuse.
Neurology, 2013
Background. Primary headaches are underdiagnosed and undertreated, with a significant impact on social activities and work. Aim. To determine the last-year prevalence and health care utilization pattern of primary headaches at a tertiary centre. Methods. A cross-sectional study was carried out amongst staff of the Lagos State University Teaching Hospital in Lagos, Nigeria. 402 staff members were selected by simple random sampling and administered a detailed structured headache assessment questionnaire. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004). Results. The participants comprised 168 males and 234 females. The mean age was 36.9 ± 7.9 years. The overall headache prevalence was 39.3% with female predominance (< 0.0001). Tension-type headache was the most prevalent at 72.8% and migraine at 18.9%. Unclassifiable headache constituted 8.2%. Migraine headache showed female preponderance (= 0.000). 80.4% of participants did not seek medical consultation compared with 19.6% who did (= 0.000). Of the latter, 83.9% consulted the general practitioner (GP), whilst 16.1% consulted the neurologist. Conclusions. Primary headache prevalence is high in our population. It is not recognised as that requiring care by most of the staff of this tertiary health facility; thus education is required to increase health care utilization.
ABSTRACT Background: Headache is major common neurological disease. Headache is a worldwide health problem, and is one of most common reasons for patients to sek health advice. The aim of this to determine prevalence of recurent headache, asociated risk factors and cause of headache among students at faculty of medical technology in Derna city, Libya. Methods: This is a cros-sectional survey in faculty of medical technology, Derna, Libya using a self-administration questionaire from March to May 2013 on sample of 150 students in the faculty of medical technology. A questionaire was given to the students who were selected by systematic random sampling. Results: 150 questionaires were distributed to undergraduate student in the faculty of medical technology, of which 95 were returned, giving a participation rate of 63.3%, mean age=21.2± 2.2 years. There were 40 (42.1%) males and 53 (5.8%) females. The prevalence of recurent headache was estimated to be 72.6%(69/95). The higher prevalence of headache was in females. Headache was significantly common in females than in males (X2=17.9; P <0.01). Conclusion: The study shows high prevalence of recurent headache among the students, which wil afect the academic performance, and the life activites of the students. Provide entertainments services in the schol are very important to reduce prevalence of headache among the students special during the exam period. KEYWORDS: Prevalence, recurent, headache, students, Libya, Derna.