Other primary headache disorders: Data from the HEAD-MENA-A study in Africa, Asia, and the Middle East

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dc.authorid0000-0001-6933-6950
dc.contributor.authorAtalar, Arife Çimen
dc.contributor.authorGenç, H.
dc.contributor.authorUr Özçelik, Emel
dc.contributor.authorBolay, Hayrunnisa
dc.contributor.authorUludüz, Derya
dc.contributor.authorÜnal Çevik, Işın
dc.contributor.authorKissani, Najib
dc.date.accessioned2024-02-08T09:27:30Z
dc.date.available2024-02-08T09:27:30Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractObjective: Other primary headache disorders (OPHD) are under-investigated compared to frequent primary headache types like migraine, tension-type headache, and trigeminal autonomic cephalalgias. Knowledge of the distribution and characteristics of OPHD subtypes is crucial for their recognition. We aimed to determine the prevalence at the hospital and headache clinics and clinical characteristics of OPHDs in patients from 13 countries. Methods: We analyzed a large dataset from the cross-sectional study Head-MENA-A (Middle East, North Africa, Asia). Consecutive patients over 10 years of age presenting with headaches were included from outpatient, inpatient, and emergency settings. A structured questionnaire addressing demographics, headache characteristics, accompanying symptoms, and triggers was administered. Headache subtypes were diagnosed according to the ICHD-3 criteria. Results: Among patients complaining of headaches (n = 3722), 106 (2.9%) were diagnosed with OPHD. Fifty-two patients (1.4% of all headache patients) had only OPHD, while 54 (1.5%) had both OPHD and a co-existing primary headache (mostly migraine). All OPHDs were more common in females. The most frequent subtypes were new daily persistent headache and primary stabbing headache (0.2% each among all admitted patients). Photophobia and phonophobia were the most frequent accompanying symptoms, while physical activity (28.8%), stress (15.4%), and the Valsalva maneuver (15.4%) were the most common triggering factors. The majority of triggering factors were more pronounced in patients with both migraine and OPHD. Conclusions: Other primary headaches are rare and heterogeneous. Their high co-existence with migraine suggests shared predisposing factors, hinting at a “headache continuum” concept for primary headaches.
dc.description.sponsorshipUniversity of Delhien_US
dc.identifier.citationAtalar, A. Ç., Genç, H., Ur Özçelik, E., Bolay, H., Uludüz, D., Ünal Çevik, I. ... Kissani, N. (2024). Other primary headache disorders: Data from the HEAD-MENA-A study in Africa, Asia, and the Middle East. Clinical Neurology and Neurosurgery, 236. https://dx.doi.org/10.1016/j.clineuro.2023.108112
dc.identifier.doi10.1016/j.clineuro.2023.108112
dc.identifier.issn0303-8467
dc.identifier.issn1872-6968
dc.identifier.pmid3038467
dc.identifier.scopus2-s2.0-85182652730
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1016/j.clineuro.2023.108112
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12252
dc.identifier.volume236
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPolat, Burcu
dc.institutionauthorErmiş, Abdulkadir
dc.institutionauthorKhanmammadov, Elmir
dc.language.isoen
dc.publisherElsevier B.V.
dc.relation.ispartofClinical Neurology and Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHeadache Continuum
dc.subjectHeadache Prevalence
dc.subjectHeadache Trigger
dc.subjectMigraine
dc.subjectNew Daily Persistent Headache
dc.subjectOther Primary Headache Disorders
dc.subjectPrimary Stabbing Headache
dc.titleOther primary headache disorders: Data from the HEAD-MENA-A study in Africa, Asia, and the Middle East
dc.typeArticle

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