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Other Primary Headache Disorders: Data From the Head-Mena-A Study in Africa, Asia, and the Middle East Publisher Pubmed



Atalar AC1 ; Genc H2, 13 ; Ur Ozcelik E1 ; Bolay H3 ; Uluduz D4 ; Kissani N6 ; Luvsannorov O7 ; Togha M8 ; Ozge A9 ; Baykan B10, 11 ; Cakan M5 ; Ak AK12 ; Celik F12 ; Orun MO2, 13 Show All Authors
Authors
  1. Atalar AC1
  2. Genc H2, 13
  3. Ur Ozcelik E1
  4. Bolay H3
  5. Uluduz D4
  6. Kissani N6
  7. Luvsannorov O7
  8. Togha M8
  9. Ozge A9
  10. Baykan B10, 11
  11. Cakan M5
  12. Ak AK12
  13. Celik F12
  14. Orun MO2, 13
  15. Seker D14
  16. Kucuk A15
  17. Ozkan S2, 13
  18. Kiraz M2, 13
  19. Sirin TC16
  20. Ocal R17
  21. Hakyemez HA14
  22. Yener MO18
  23. Serim VA14
  24. Cinar N19
  25. Unal ED20
  26. Domac FM21
  27. Ates MF19
  28. Turkoglu BG22
  29. Gursoy G23
  30. Cekic S24
  31. Aslan SK19
  32. Agircan D25
  33. Oktar AC26
  34. Demirel EA27
  35. Gelener P28
  36. Ibrahim EAAE29
  37. Evlice A30
  38. Gorken G2, 13
  39. Sanli ZS31
  40. Bayir BRH32
  41. Tepe N33
  42. Okluoglu T34
  43. Demir TG25
  44. Badr MY35
  45. Vuralli D3
  46. Jafari E8
  47. Polat B36
  48. Ermis A36
  49. Khanmammadov E36
  50. Yolcu O9
  51. Kul B37
  52. Sakadi F38
  53. Ulutas S39
  54. Akturk T39
  55. Ketema TM40
  56. Lala S41
  57. Cedric APSA42
  58. Velioglu SK43
  59. Kirbasoglu O43
  60. Moustafa RR44
  61. Nowar AG44
  62. Kabay SC45
  63. Gumanovna VK46
  64. Yifru YM40
  65. Nasergivehchi S8
  66. Azizova I47
  67. Kizek O10
  68. Ekizoglu E10
  69. Orhan EK10
  70. Melka D40
  71. Alemayehu B40

Source: Clinical Neurology and Neurosurgery Published:2024


Abstract

Objective: 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. © 2024 Elsevier B.V.
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