Database : MEDLINE
Search on : Tension-Type and Headache [Words]
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[PMID]: 29520674
[Au] Autor:Calik M; Aktas MS; Cecen E; Piskin IE; Ayaydin H; Ornek Z; Karaca M; Solmaz A; Ay H
[Ad] Address:Department of Pediatric Neurology, Harran University School of Medicine, 63200, Sanliurfa, Turkey. m.calik80@hotmail.com.
[Ti] Title:The association between serum vitamin B deficiency and tension-type headache in Turkish children.
[So] Source:Neurol Sci;, 2018 Mar 08.
[Is] ISSN:1590-3478
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:This study aimed to determine the relationship between serum vitamin B level and tension-type headache. The study groups consisted of 75 patients (40 females, 35 males) with headache and a control group of 49 healthy children (25 females, 24 males). Serum vitamin B level < 200 pg/ml was defined as deficient, and < 160 pg/ml as severely deficient. The serum vitamin B level was measured by the electrochemiluminescence (ECLIA) method. The serum vitamin B levels in the headache and control groups were 273.01 ± 76.77 and 316.22 ± 74.53 pg/ml, with the difference determined as statistically significant (p = 0.003). In the case group, 18/75 patients (24%) had a serum vitamin B12 level below the normal of 200 pg/ml, and in the control group 4/49 (8%) patients were also below the normal range (p = 0.021). The serum vitamin B level in the children with tension-type headache was significantly lower than that in the control group. From the results of the study, it was concluded that there may be an association between vitamin B level and tension-type headache. However, further clinical studies are needed.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher
[do] DOI:10.1007/s10072-018-3286-5

  2 / 3099 MEDLINE  
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[PMID]: 29517305
[Au] Autor:Hagen K; Åsberg AN; Stovner L; Linde M; Zwart JA; Winsvold BS; Heuch I
[Ad] Address:1 Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
[Ti] Title:Lifestyle factors and risk of migraine and tension-type headache. Follow-up data from the Nord-Trøndelag Health Surveys 1995-1997 and 2006-2008.
[So] Source:Cephalalgia;:333102418764888, 2018 Jan 01.
[Is] ISSN:1468-2982
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Aims The aim of this population-based historical cohort study was to investigate the influence of lifestyle factors on the risk of developing migraine or tension-type headache (TTH). Methods Data from the Nord-Trøndelag Health Study performed in 1995-1997 and 2006-2008 was used. A total of 15,276 participants without headache at baseline were included. A Poisson regression was used to evaluate the associations between lifestyle factors and risk ratios (RRs) of migraine and TTH 11 years later. Precision of the estimates was assessed by 95% confidence interval (CIs). Results Increased risk of migraine (RR 1.30, 95% CI 1.11-1.52) was found in smokers (past or current) compared to those who had never smoked. Hard physical exercise 1-2 hours per week reduced the risk of migraine (OR 0.71, 95% CI 0.54-0.94) compared to inactivity, and the risk of migraine was also lower among those who consumed alcohol (RR 0.73, 95% CI 0.57-0.94) compared to abstainers. No association was found between smoking, physical activity, alcohol use and risk of TTH. Conclusions The main finding was that current and previous smoking was associated with increased risk of migraine, but not of TTH.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:Publisher
[do] DOI:10.1177/0333102418764888

  3 / 3099 MEDLINE  
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[PMID]: 29484508
[Au] Autor:Wöber C; Wöber-Bingöl Ç; Uluduz D; Aslan TS; Uygunoglu U; Tüfekçi A; Alp SI; Duman T; Sürgün F; Emir GK; Demir CF; Balgetir F; Özdemir YB; Auer T; Siva A; Steiner TJ
[Ad] Address:Department of Neurology, Medical University of Vienna, Vienna, Austria.
[Ti] Title:Undifferentiated headache: broadening the approach to headache in children and adolescents, with supporting evidence from a nationwide school-based cross-sectional survey in Turkey.
[So] Source:J Headache Pain;19(1):18, 2018 Feb 27.
[Is] ISSN:1129-2377
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:BACKGROUND: Headache is a leading disabler in adults worldwide. In children and adolescents, the same may be true but the evidence is much poorer. It is notable that published epidemiological studies of these age groups have largely ignored headaches not fulfilling any specific set of ICHD criteria, although such headaches appear to be common. A new approach to these is needed: here we introduce, and investigate, a diagnostic category termed "undifferentiated headache" (UdH), defined in young people as recurrent mild-intensity headache of < 1 h's duration. METHODS: We conducted a nationwide cross-sectional survey in 31 schools in six regions of Turkey selected by mixed convenience-based and purposive modified cluster-sampling. A validated, standardised self-completed structured questionnaire was administered by a physician-investigator to entire classes of pupils aged 6-17 years. RESULTS: Of the identified sample of 7889 pupils, 7088 (89.8%) participated. The 1-year prevalence of UdH was 29.2%, of migraine (definite and probable) 26.7%, and of tension-type headache (TTH) (definite and probable) 12.9%. UdH differed with respect to almost all headache features and associated symptoms from both migraine and TTH. Burden of headache and use of acute medication were lower in UdH than in migraine and TTH. Headache yesterday was less common in UdH than migraine (OR 0.32; 95% CI 0.28-0.37) and TTH (OR 0.64; 95% CI 0.56-0.77). Quality of life (QoL) was better in UdH (33.6 ± 5.2) than in migraine (30.3 ± 5.6; p < 0.001) and TTH (32.4 ± 5.3; p < 0.001), but worse than in pupils without headache (35.7 ± 4.7; p < 0.001). CONCLUSIONS: This large nationwide study in Turkey of pupils aged 6-17 years has shown that many children and adolescents have a headache type that does not conform to existing accepted diagnostic criteria. This new diagnostic category of presumably still-evolving headache (undifferentiated headache) is common. UdH differs in almost all measurable respects from both migraine and TTH. Although characterised by mild headaches lasting < 1 h, UdH is associated with significant adverse impact on QoL. Longitudinal cohort studies are needed to evaluate the prognosis of UdH but, meanwhile, recognition of UdH and its distinction from migraine and TTH has implications for epidemiological studies, public-health policy and routine clinical practice.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180302
[Lr] Last revision date:180302
[St] Status:In-Process
[do] DOI:10.1186/s10194-018-0847-1

  4 / 3099 MEDLINE  
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[PMID]: 29477753
[Au] Autor:Zheng N; Chi YY; Yang XH; Wang NX; Li YL; Ge YY; Zhang LX; Liu TY; Yuan XY; Yu SB; Sui HJ
[Ad] Address:Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China.
[Ti] Title:Orientation and property of fibers of the myodural bridge in human.
[So] Source:Spine J;, 2018 Feb 22.
[Is] ISSN:1878-1632
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND CONTEXT: Studies over the last 20 years have revealed that there are fibrous connective tissues between the suboccipital muscles, nuchal ligament and cervical spinal dura mater(SDM). This fibrous connection with the SDM is through the posterior atlanto-occipital and/or atlanto-axial interspaces and is called the Myodural Bridge(MDB). Researches have inferred that the MDB might have important functions. It was speculated that the function of MDB might be related to proprioception transmission, keeping the subarachnoid space and the cerebellomedullary cistern unobstructed, and affecting the dynamic circulation of the cerebrospinal fluid (CSF). In addition, clinicians have found that the pathologic change of the MDB might cause cervicogenic or chronic tension-type headache. Previous gross anatomical and histological studies only confirmed the existence of the MDB, but did not reveal the fibre properties of the MDB. This is important to further mechanical and functional research on the MDB. PURPOSE: Multiple histological staining methods were used in this study to reveal the various origin and fibre properties of the MDB. Muscles and ligaments participating in forming the MDB at the posterior atlanto-occipital and/or atlanto-axial interspaces were observed and the fibre properties of the MDB was confirmed in this study. This study provides a basis for speculating the tensile force values of the MDB on the SDM, and a morphology foundational work for exploring the physiological functions and clinical significances of the MDB. STUDY DESIGN: Anatomical and histological analyses of suboccipital structures that communicate with the SDM at the posterior atlanto-occipital and/or atlanto-axial interspaces were carried out. METHODS: Multiple histological staining methods were used to evaluate the histological properties and composition of the MDB at the posterior atlanto-occipital and/or atlanto-axial interspaces in five formalin-fixed head-neck human specimens. RESULTS: The results show that the MDB fibres transversing the atlanto-occipital interspace originated from the Rectus Capitis Posterior Minor(RCPmi). The MDB transversing the atlanto-axial interspace originate mainly from the RCPmi, Rectus Capitis Posterior Major(RCPma) and Obliques Capitis Inferior(OCI). These fibers form the Vertebral Dural Ligament(VDL) in the atlanto-axial interspace, and connect with SDM. The MDB is mainly formed by parallel running collagen I fibers thus, suboccipital muscle could pull SDM strongly through the effective force propagated by the MDB during head movement. CONCLUSIONS: MDB is mainly formed by parallel running collagen I fibers thus, it can transmit the strong pull from the diverse suboccipital muscles or ligaments during head movement. The results in this study will serve as a basis for further biomechanics and functional MDB research.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180225
[Lr] Last revision date:180225
[St] Status:Publisher

  5 / 3099 MEDLINE  
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[PMID]: 29408771
[Au] Autor:Finsterer J; Zarrouk-Mahjoub S
[Ad] Address:Krankenanstalt Rudolfstiftung, Vienna, Austria. Electronic address: fifigs1@yahoo.de.
[Ti] Title:Headache in mitochondrial disorders.
[So] Source:Clin Neurol Neurosurg;166:44-49, 2018 Mar.
[Is] ISSN:1872-6968
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:Headache is a prominent feature in mitochondrial disorders (MIDs) but no comprehensive overview is currently available. This review aims at summarising and discussing findings concerning type, frequency, pathogenesis, and treatment of headache in MIDs. The most frequent headache types in MIDs are migraine and migraine-like headache (MLH). MLH is classified as secondary headache. More rarely, tension-type headache, trigemino-autonomic headache, or different secondary headaches can be found. Migraine or MLH may manifest with or without aura. MLH is frequently associated with an ongoing or previous stroke-like episode (SLE) or a seizure but may also occur independently of other neurological features. MLH may be associated with prolonged aura or visual phenomena after headache. Except for MLH, treatment of headache in MIDs is not at variance from other causes of headache. Beyond the broadly accepted subtype-related headache treatment, diet, cofactors, vitamins, and antioxidants may provide a supplementary benefit. Midazolam, l-arginine, or l-citrulline may be beneficial for MLH. The pathogenesis of headache in MIDs largely remains unsolved. However, since migraine and MLH respond both to triptanes, a shared pathomechanism is likely. In conclusion, migraine and MLH are the prominent headache types in MIDs. MLH may or may not be associated with current or previous SLEs. MLH is pathophysiologically different from migraine and requires treatment at variance from that of migraine with aura.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180225
[Lr] Last revision date:180225
[St] Status:In-Data-Review

  6 / 3099 MEDLINE  
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[PMID]: 29322494
[Au] Autor:Sharma TL
[Ad] Address:Neurological Institute Cleveland Clinic, Cleveland, OH, USA.
[Ti] Title:Common Primary and Secondary Causes of Headache in the Elderly.
[So] Source:Headache;58(3):479-484, 2018 Mar.
[Is] ISSN:1526-4610
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE/BACKGROUND: Headache in the elderly, defined as individuals aged 65 and older, although less prevalent than younger individuals, can present as a diagnostic challenge, given the increase in potentially fatal diseases within this population. METHODS: These individuals require a complete history, neurological examination, and assessment of potential secondary causes of headaches. RESULTS: Secondary causes include temporal or giant cell arteritis, subdural hematomas, central nervous system (CNS) tumors, strokes, and CNS infections. Once secondary conditions are ruled out, then primary causes of headache are considered such as tension-type headache, migraine, cluster headache, or hypnic headache. CONCLUSION: This article reviews the distinguishing characteristics of the most common types of headache in patients over the age of 65 years old, along with potential diagnostic tests and treatment.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180226
[Lr] Last revision date:180226
[St] Status:In-Data-Review
[do] DOI:10.1111/head.13252

  7 / 3099 MEDLINE  
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[PMID]: 29460803
[Au] Autor:Donmez A; Orun E; Sonmez FM
[Ad] Address:Acibadem Hospital, Ankara, Turkey.
[Ti] Title:Vitamin D status in children with headache: A case-control study.
[So] Source:Clin Nutr ESPEN;23:222-227, 2018 Feb.
[Is] ISSN:2405-4577
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Vitamin D is a fat soluble vitamin with hormonal properties, plays crucial functions in bone and mineral metabolism and has important regulatory functions in brain development, cell differentiation and apoptosis. Some studies have shown a link between vitamin D deficiency and headache. MATERIAL AND METHODS: In this study, 147 patients with headache (migraine or either tension-type headache (TTH)) and 69 healthy controls, aged 5 to 16 years, were evaluated. Each group was also divided into two separate sub-groups based on presentation to the clinic in either high solar-exposure (HSE) and low solar-exposure (LSE).We retrospectively evaluated the levels of calcium, phosphorus, alkaline phosphatase, parathyroid hormone, and 25-OH vitamin-D . Levels below 20 ng/ml were described as vitamin D deficiency and levels of 2030 ng/ml as vitamin D insufficiency. RESULTS: The levels of 25-OH vitamin-D were statistically significantly lower when compared to the control group (17.1±9.4 vs. 25.8 ± 12.8 ng/mL, respectively; p < 0.001). This held true for both the HSE and LSE group compared to the control group (for the group 1; 24.6 ± 11.8 vs. 32.1 ± 10.6 ng/mL, respectively; p = 0.007, and for the group 2; 14.5 ± 6.8 vs. 19.6 ± 13.5 ng/mL, respectively; p = 0.003). Also in headache subgroups (migraine and TTH), vitamin D levels were significantly lower than the control group (17.3 ± 9.0, 16.9 ± 9.9 and 25.8 ± 12.8 ng/mL respectively; p < 0.001). CONCLUSION: There may be a relationship between vitamin D deficiency and headache, with particular significance in LSE. We suggest that this conclusion needs to be supported with randomised clinical studies containing a larger numbers of samples and controls.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180220
[Lr] Last revision date:180220
[St] Status:In-Data-Review

  8 / 3099 MEDLINE  
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[PMID]: 29446797
[Au] Autor:Victorio MC
[Ti] Title:Uncommon Pediatric Primary Headache Disorders.
[So] Source:Pediatr Ann;47(2):e69-e73, 2018 Feb 01.
[Is] ISSN:1938-2359
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Migraine and tension-type headaches are common primary headache disorders encountered among children and adolescents presenting to a pediatric clinic. At times, children present with a headache with unusual or peculiar features that can be alarming and perplexing. These can be in the form of a brief stabbing headache with lacrimation in one eye or a continuous headache locked to one side of the head or face. These headache syndromes tend to be more common among adults but, on occasion, are known to occur or have their onset during childhood. This review outlines some of the uncommon primary headache disorders in children and adolescents that may be encountered in a pediatric clinic. Knowledge of these interesting conditions may avert the need for immediate neurological consultation and prevent delays in initiating specific therapy. [Pediatr Ann. 2018;47(2):e69-e73.].
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180215
[Lr] Last revision date:180215
[St] Status:In-Process
[do] DOI:10.3928/19382359-20180129-03

  9 / 3099 MEDLINE  
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[PMID]: 29446796
[Au] Autor:Langdon R; Taraman S
[Ti] Title:Posttraumatic Headache.
[So] Source:Pediatr Ann;47(2):e61-e68, 2018 Feb 01.
[Is] ISSN:1938-2359
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:After sustaining a concussion or mild traumatic brain injury, headaches are one of the most common complaints. The pathophysiologic changes that occur in the setting of injury likely contribute to or cause posttraumatic headaches. Posttraumatic headaches often present as migraine or tension-type headaches. Unlike pain from other types of injuries, headaches following mild traumatic brain injury are more likely to persist. Preexisting conditions such as migraine and mood disorders may influence posttraumatic headache and complicate management. Patients are at high risk to overuse abortive medications and develop medication overuse headache. Headache hygiene and early education are essential for effective management. Abortive medications include nonsteroidal anti-inflammatory drugs and triptans. Preventive medications include tricyclic antidepressants and antiepileptics. Patients who fail outpatient therapies may benefit from referral for intravenous medications in the emergency department. Patients with persistent posttraumatic headache may benefit from multimodal treatments including physical rehabilitation and pain-focused cognitive-behavioral therapies. [Pediatr Ann. 2018;47(2):e61-e68.].
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180215
[Lr] Last revision date:180215
[St] Status:In-Process
[do] DOI:10.3928/19382359-20180131-01

  10 / 3099 MEDLINE  
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[PMID]: 29436849
[Au] Autor:Kong X; Chen J; Jiang H; Li Q; Lv Y; Huang Y; Wu J; Zhang L; Tang M; Jiang X; Chen L; Chen M; Zhou Z; Xiong L; Liu J; Zhou H; Wang R; Xue W; Lu G; Zhou J
[Ad] Address:1 Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
[Ti] Title:Testing of diagnosis criteria of tension-type headache: A multicenter clinical study.
[So] Source:Cephalalgia;:333102418759784, 2018 Jan 01.
[Is] ISSN:1468-2982
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Objective Tension-type headache is *These authors contributed equally to this work. usually manifested as head pain without associated symptoms, and the validation of diagnostic criteria presented are lacking and highly required in the International Classification of Headache Disorders. The aim of the present study was to explore the diagnosis criteria of tension-type headache in a multicenter-based sample from Chongqing, China. Methods Clinical characteristics and demographics were systematically and prospectively collected between March 2014 and December 2015 from 15 participating hospitals in Chongqing, using a semi-structured face-to-face interview. All patients were asked to complete a headache diary for at least 4 weeks. Results Out of 1832 patients with headache, 150 patients (97 female/53 male, 44.56 ± 11.9 years old) were diagnosed with tension-type headache based on the standard International Classification of Headache Disorders, 3rd edition beta version, and interestingly, 114 (76%) patients were diagnosed with tension-type headache based on the alternative criteria. One patient was excluded because only two of the four characteristics were fulfilled. Thirty-five (23.3%) patients did not meet the alternative criteria because of associated symptoms, including mild nausea (n = 6), photophobia (n = 1), and phonophobia (n = 28). All patients with TTH had mild or moderate headaches, 98.0% of patients suffered from non-pulsating headaches, 99.3% of patients said their headaches were not aggravated by routine physical activity, and 77.3% of patients had bilateral headache. Conclusions Non-pulsating headaches and headaches that are not aggravated by routine physical activity may represent core criteria for screening patients with tension-type headache. Nausea might not be an exclusion feature for diagnosis of TTH, but an important criterion for screening. Further studies are needed.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180213
[Lr] Last revision date:180213
[St] Status:Publisher
[do] DOI:10.1177/0333102418759784


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