Chronic daily headache in Chinese elderly

Abstract

A total of 3.9% of this elderly population had CDH, with CTTH being the most common subtype. Almost two-thirds of those with CDH had persistent frequent headaches at follow-up. Analgesic overuse was a significant predictor of a poor outcome.

Headache in the elderly: a clinical study

“…Drug overuse, according to Silberstein et al's criteria [32], was found in two-thirds of the cases of transformed migraine and in almost one-third of the cases of chronic tension-type headache. Similar data have been reported in other studies conducted in European and North American populations [18,32], whereas in China drug abuse was found in less than 25% of the patients affected by chronic headache, probably in relation to sociocultural and environmental factors [19]. The most frequent secondary headaches were headache associated with cervical spine disorder and trigeminal neuralgia, as also found in the few studies conducted in geriatric patients [23,34].…”

“…In our study, patients over 65 years of age accounted for 6.4% of the whole adult headache population which was studied. Primary headaches (81.6% of the cases) were more frequent than secondary headaches (14.9%), consistent with the data reported in the literature [18][19][20][21][22][23][24][26][27][28][29][30]. Among primary headaches, migraine without aura, transformed migraine and chronic tension-type headache, which accounted for 79.6% of the cases, were the most frequent disorders, with similar prevalences.…”

“…Despite this trend, after the age of 65 years, more than 13% of women and 7% of men continue to complain of headache [18]. Chronic tension-type headache, instead, does not seem to decrease with increasing age [18,19]. The etiology of headache is also age-dependent.…”

Patient satisfaction with a neurological specialist consultation for headache

“…In a Chinese study, overuse of analgesic drugs was a signicant risk factor for developing chronic daily headache in a community-based population of elderly individuals (18). Investigating the use of analgesics is important if we are to understand and correctly treat patients with chronic daily headache.…”

Терапевтична Тактика При Хронічному Головному Болі У дітей

“…Головний біль напру-ження -одна з найбільш частих форм первинного головного болю у дітей, що зустрічається, за даними різних авторів, з частотою від 18 до 72 % [6, 14, 16]. Приблизно 13 % хворих відчувають перший напад головного болю до настання 10-річного віку [18,20].Патогенетичні механізми, що беруть участь у розвитку первинних головних болів, залишають-ся дискутабельними. Найбільш визнаними теорі-ями розвитку головного болю напруження в даний час вважаються судинна, нейрогенна, психогенна, біохімічна та міофасціальна [8].…”