Cefaleas en la persona mayor: características de una serie de 262 pacientes

Ruíz, Magdalena; Pedraza, M.I.; Cruz, C. de la; Barón, Johanna; Muñoz, Irene; Rodríguez, Cristina; Celorrio, María Victoria Justo; Mulero, Patricia; Herrero, Sonia; Peral, Á.L. Guerrero

doi:10.1016/j.nrl.2013.07.007

Cited by 33 publications

(17 citation statements)

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“…The importance of migraine with aura in geriatric patients is still a topic of debate (16). Migraine is closely related to ischemic and hemorrhagic stroke risk, hearth diseases, retinal vasculopathies, and high mortality (17).…”

Section: Discussionmentioning

confidence: 99%

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Changing Clinical Characteristics of Pulmonary Thromboembolism in the Elderly

Özyurt¹

2018

tjgeri

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Introduction:The aim of this study was to screen patients aged ≥65 years admitted to the Başkent University Hospital Neurology Polyclinic between 2011 and 2013 and classify them according to the International Classification of Headache Disorders, 3rd edition.Materials and Method: In total, 175 patients (126 females and 49 males) were screened. First, they were separated into primary and secondary headache groups, and the subgroup headache types were then defined within these groups according to the International Classification of Headache Disorders, 3rd edition; then, the concurrence of accompanying chronic diseases were examined.Results: In the primary headache group, 21.1% of the patients had migraine, 39.4% had tension-type headache, and 51% had trigeminal neuralgia; in the secondary headache group, 24.2% of the patients had headache attributed to hypertension, 18.2% had headache attributed to temporal arteritis, 18.2% had headache attributed to cervical pathology, and 12.1% had headache attributed to intracranial mass.Conclusion: This study was conducted to detect the most commonly seen headache types in geriatric population, and the results of this study are important in terms of increasing awareness of the evaluation of both primary and secondary headaches in geriatric patients. Because the study was conducted with a less patient population, it is important in terms of more accurately demonstrating the factors constituting the etiology of headache in this patient group.Keywords: Headache; Migraine; Tension-type headache; Trigeminal neuralgia Giriş: 2011-2013 yılları arasında Başkent Üniversitesi Hastanesi Nöroloji polikliniğine başvuran 65 yaş üstü hasta grubunun taranarak 3. Uluslarası Baş ağrısı Sınıflandırma ölçeğine göre sınıflandırılması amaçlanmıştır.Gereç ve Yöntem: Araştırmada 126'sı kadın, 49'u erkek toplam 175 hasta tarandı. Önce primer ve sekonder baş ağrısı gruplarına ayrılarak, 3. Uluslararası Baş ağrısı sınıflandırma Ölçeği'ne göre kendi içlerinde alt grup baş ağrısı çeşitleri tanımlandı ve eşlik eden kronik hastalıkların birlikteliği incelendi.Bulgular: Primer baş ağrısı grubunda hastaların %21.1'i migren, %39.4'ü gerilim tipi baş ağrısı, %51'i trigeminal nevralji olarak tanımlanırken, sekonder baş ağrısı grubunda %24.2'si hipertansiyon ilişkili, %18.2'si temporal arterite bağlı, %18.2 servikal patolojiye bağlı, %12.1 intrakraniyal kitleye bağlı başağrısı olarak tanımlanmıştır.Sonuç: Bu çalışma geriatrik popülasyonda en sık görülen başağrısı tiplerinin saptanması için yapılmış olup, çalışmanın sonuçları, yaşlılarda hem primer hem sekonder baş ağrılarını değerlendirmede farkındalığı artırmak açısından önem taşımaktadır. Çalışmanın daha geniş hasta popülasyonu ile yapılması; bu grupta baş ağrısı etyolojisini oluşturan etkenlerin daha doğru bir oranda ortaya konulması açısından önemlidir.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, chronic use and over use of analgesics including NSAIDs can trigger headaches (17). The prevalence in geriatric population is between 1%-1.7% (6).…”

Section: Discussionmentioning

confidence: 99%

Changing Clinical Characteristics of Pulmonary Thromboembolism in the Elderly

Özyurt¹

2018

tjgeri

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“…Another study estimates the prevalence of TTH in developed countries to be 66.7 % in males and over 80 % in females [ 17 ]. While Zhao et al report that the peak incidence of TTH occurs between the ages of 30 and 39 in men and women in China [ 18 ], this form of primary headache is still the most common type among the elderly [ 19 , 20 ]. Additional research regarding TTH among the elderly supports this wide variability in prevalence, as studies have found 1-year prevalence rates among individuals older than 50 years of age to be between 16 and 44 % [ 8 , 21 – 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…We also investigated the prevalence of headaches that could not be classified based on the study participants’ responses. According to previously available data, the prevalence of UNC in older individuals is higher than rates for TTH and MIG [ 20 ]. In our research, 3.63 % of participants reported symptoms of UNC.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of primary headache disorders in a population aged 60 years and older in a rural area of Northern China

et al. 2016

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BackgroundPrimary headache disorders are among the most common neurological complaints worldwide, and are significant causes of disability. Data are limited on the prevalence of primary headaches among individuals aged 60 years and older in China. The purpose of our study was to investigate the prevalence and characteristics of primary headaches among people aged 60 years and older in a rural area of northern China.MethodsA door-to-door survey was conducted in Ji County of Tianjin Province. A total of 5248 residents aged 60 years and older were visited from 2014 to 2015, unannounced, and basic sociodemographic and headache diagnostic information was collected via a questionnaire. Primary headache was classified tension-type headaches, migraines, chronic headache, and unclassified headache.ResultsThe 1-year prevalence for primary headaches in Ji county is 10.30 %. The 1-year prevalence of tension-type headaches, migraines, chronic headache, and unclassified headache is 2.02 %, 0.85 %, 3.79 %, and 3.63 %. The 1-year prevalence of primary headache was higher in women than in men. The 1-year prevalence of primary headache was decreased with increasing age. The 1-year prevalence of tension-type headaches and chronic headache were decreased with higher education. Headache in the elderly was mild to moderate and not serious.ConclusionsIn a population older than 60 years of age in rural, northern China, we found the 1-year prevalence of primary headache was 10.30 %, of tension-type headaches was 2.02 %, of migraines was 0.85 %, of chronic headache was 3.79 %, and of unclassified headache was 3.63 %. The prevalence of all of these was much lower than those observed in previous studies examining prevalence rates in the general population. The results of our study also indicated that women are more likely to have primary headache than men. We also found that chronic headache was frequent among the elderly. Participants with higher education levels were more predisposed than healthy participants to tension-type headaches. We also found that respondents who did not participate in social activities had a decreased predisposition for primary headache in general, as well as for unclassified headache. Lastly, we found that participants who had heart disease were more likely than healthy participants to experience primary headache, tension-type headache, chronic headache, and unclassified headache.

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“…Therefore the data presented deserve to be confirmed on data from multicenter cohorts. Nevertheless, in consideration of the close relationship between GCA and PMR, WH of recent onset – even if not associated with raised inflammatory markers in PMR patient – should be considered as a possible manifestation of overlapping GCA and specific diagnostic investigations implemented [17, 18]. …”

Section: Discussionmentioning

confidence: 99%

Widespread headache as the first clinical manifestation of giant cell arteritis in patients affected by polymyalgia rheumatica

Manzo¹

2016

Reumatologia

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IntroductionIn giant cell arteritis (GCA) headache of new onset due to inflammatory involvement of the temporal artery (TA) represents a diagnostic criterion. A widespread headache (WH) with scalp tenderness due to cranial arteritis can represent another manifestation of GCA.Material and methodsIn 225 elderly patients with polymyalgia rheumatica (PMR) followed in our rheumatologic outpatient clinic from 2004 until June 2016, the frequency of WH as the first clinical manifestation of GCA was evaluated.ResultsAmong 26 patients with GCA+PMR (11.6% of total), 5 (23.07%) had WH as first clinical manifestation of GCA without TA. In all these patients TA colour duplex sonography (CDS) and 18-fluorodeoxyglucose positron emission tomography (FDG-PET) with total body contrast-enhanced CT was consistent with the diagnosis of arteritis. TA biopsy was not performed. High doses of prednisone (1 mg/kg/day) led to the immediate and total disappearance of the headache.ConclusionsThe widespread headache should be considered as the first symptom GCA and in cases of suspicion of vasculitis patients should have a full diagnostics examination. Colour duplex sonography and FDG-PET with total body contrast-enhanced CT are useful tools for non-invasive diagnosis of GCA.

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Cefaleas en la persona mayor: características de una serie de 262 pacientes

Abstract: Elderly patients were frequently treated in our outpatient headache unit. Tension-type headache was the most common diagnosis in this population. Geriatric headache syndromes such as hypnic headache or occipital neuralgia were also represented in our series.

Cited by 33 publications

References 34 publications

Changing Clinical Characteristics of Pulmonary Thromboembolism in the Elderly

Changing Clinical Characteristics of Pulmonary Thromboembolism in the Elderly

Prevalence of primary headache disorders in a population aged 60 years and older in a rural area of Northern China

Widespread headache as the first clinical manifestation of giant cell arteritis in patients affected by polymyalgia rheumatica

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