New Daily–Persistent Headache Versus Tension-type Headache

Robbins, Matthew S.; Crystal, Sara C.

doi:10.1007/s11916-010-0145-3

Cited by 9 publications

(10 citation statements)

References 29 publications

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“…The proportion of medication overuse in patients with NDPH was noted from 8.6% to 45.1% . In the present study, 6 (15.8%) patients overused analgesics.…”

Section: Discussionsupporting

confidence: 38%

“…This was in line with our study: patients with good outcomes had a shorter duration of illness (25.8 ± 48.5 months) as compared with duration of 116.4 ± 120.9 months for patients with bad outcomes. Robbins and Crystal further divided NDPH into 3 prognostic subgroups: persisting, remitting, and relapsing‐remitting . In this study, 1 woman could be classified as the relapsing‐remitting subtype, who experienced analogous headaches 3 times.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Features of New Daily Persistent Headache in a Tertiary Outpatient Population

Wang

Huang

et al. 2012

Headache

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Objective To analyze the clinical features of new daily persistent headache (NDPH) in the neurological outpatient clinic of a tertiary hospital in China. Methods A cross‐sectional survey was conducted between July and December 2011 in the First Affiliated Hospital of Chongqing Medical University. All consecutive patients who cited headache as their chief complaint were asked to participate in a face‐to‐face interview by a qualified headache specialist through a detailed headache questionnaire, and the diagnosis of NDPH was according to the modified version criteria of the International Classification of Headache Disorders. Results A total of 38 were diagnosed as NDPH among 1219 patients with headache, including 20 women and 18 men. The mean age was 42.1 years. The duration of headache ranged from 3 months to 30 years. Headache location was bilateral in 84.2% of the patients. The intensity of pain was mainly described as mild and moderate. Nausea occurred in 21.1% of the patients, vomiting in 5.3%, photophobia in 15.8%, phonophobia in 10.5%, and vertigo in 18.4%. Seventy‐nine percent of the patients were able to pinpoint the exact month when their headache started. Trigger factors were noted in 47.4% of the patients, which consisted of stressful life events, flu‐like illnesses, surgeries, and some other reasons. Twenty‐six patients were able to be followed up by telephone, and 16 had good outcomes. Conclusions NDPH is underrecognized in China. This study outlines the clinical features of patients with NDPH in a tertiary outpatient population. Better education among physicians is needed urgently so as to improve the diagnosis and treatment of NDPH.

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“…The proportion of medication overuse in patients with NDPH was noted from 8.6% to 45.1% . In the present study, 6 (15.8%) patients overused analgesics.…”

Section: Discussionsupporting

confidence: 38%

Section: Discussionmentioning

confidence: 99%

Clinical Features of New Daily Persistent Headache in a Tertiary Outpatient Population

Wang

Huang

et al. 2012

Headache

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“…A study by Robbins reported bipolar spectrum patients with chronic tension-type headache as 4.5%. [31][32][33] TTH with GAD Desai SD reported among the patients with TTH 17.9% suffered from GAD. An Italian study reported that 53.4% TTH participants had anxiety and another clinical based study in America showed 17% had anxiety in chronic TTH.…”

Section: Tth With Depressionmentioning

confidence: 99%

A study on prevalence and co-morbidity of bipolar and anxiety disorders in chronic headache patients

et al. 2017

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INTRODUCTIONHeadache occurs with number of psychiatric disorders, including depressive disorders, anxiety disorders, posttraumatic and stress-related disorder. There is always a common causative factors and reciprocal influence between headache and psychiatric disorders. Psychological and psychopathological analysis discloses the genesis of the headache mostly the psychological, social and occupational stressors which play an important role for the transformation of migraine into chronic one. Most recent studies also report that stress-related disorders and post-traumatic stress disorders are closely associated with migraine . One theory strongly suggest that migraine and psychiatric comorbidity share the common genetic factors, serotonergic processing and oestrogen response. In women, the prevalence of migraine and mood disorders are more common when compared to men. According to B Lee, Peter line study hypothesis states that oestrogen plays a role in the pathophysiology of migraine and mood disorders. Limbic system and HPA axis are inter linked in human beings and the estrogen modulates and exerts agonistic action on serotonergic system. ABSTRACTBackground: Co morbidity between headache and psychiatric disorders is more prevalent in chronic headache patients. The bipolar disorders and anxiety disorders are predominant in migraine and TTH respectively. This co morbidities have a poor reflection and impact on quality and outcome of chronic headache patients and results in worst prognosis and poor response to medical treatment. Methods: The chronic headache patients especially migraine and tension type of headache were analyzed with following materials such as the structured psychiatric clinical interview with ICD-10 mental and behavioural disorder, DSM-5 criteria. HAM-A, HAM-D, BDI-2, BPRS, young mania rating scale, Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and panic disorder scale. Results: Various subsets of bipolar disorder and anxiety disorder were found as follows: 74% of migraineurs are associated with psychiatric disorders in which bipolar affective disorder 6%, depressive episode 48%, dysthymia 30%, GAD 10% and Panic disorder 6%. 52% of TTH are associated with psychiatric disorders as follows: major depressive episode 52%, GAD 30%, separation anxiety disorder 6%, PTSD 7%, OCD 3% and panic disorder 2%. Conclusions: From previous and future studies the headache can be identified according to subsets of headache with psychiatric disorders make easier to provide appropriate pharmacological and psychological treatment which may reduce the chronicity and intractability of headache.

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“…Medication overuse also must be addressed because it may develop in up to half of all adult patients with NDPH. [4] Medication overuse is much less common in adolescents with NDPH. [19]…”

Section: Other Primary Headache Syndromesmentioning

confidence: 99%

New daily persistent headache

Tyagi

2012

Ann Indian Acad Neurol

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New daily persistent headache (NDPH) is a chronic headache developing in a person who does not have a past history of headaches. The headache begins acutely and reaches its peak within 3 days. It is important to exclude secondary causes, particularly headaches due to alterations in cerebrospinal fluid (CSF) pressure and volume. A significant proportion of NDPH sufferers may have intractable headaches that are refractory to treatment. The condition is best viewed as a syndrome rather than a diagnosis. The headache can mimic chronic migraine and chronic tension-type headache, and it is also important to exclude secondary causes, particularly headaches due to alterations in CSF pressure and volume. A large proportion of NDPH sufferers have migrainous features to their headache and should be managed with treatments used for treating migraine. A small group of NDPH sufferers may have intractable headaches that are refractory to treatment.

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New Daily–Persistent Headache Versus Tension-type Headache

Cited by 9 publications

References 29 publications

Clinical Features of New Daily Persistent Headache in a Tertiary Outpatient Population

Clinical Features of New Daily Persistent Headache in a Tertiary Outpatient Population

A study on prevalence and co-morbidity of bipolar and anxiety disorders in chronic headache patients

New daily persistent headache

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