Secondary headaches - red and green flags and their significance for diagnostics

Wijeratne, Tissa; Wijeratne, Chanith; Korajkic, Nadja; Bird, Stefanie; Sales, Carmela; Riederer, Franz

doi:10.1016/j.ensci.2023.100473

Cited by 7 publications

(9 citation statements)

References 96 publications

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“…Su topo grafía está mayormente asociada a tumores de fosa posterior y de rápido crecimiento. Para el diagnósti co diferencial con u otras cefaleas deberá tenerse en cuenta la presencia de otros signos neu rológicos focales, como convulsiones o trastornos neuropsicológicos [14].…”

Section: Patología Intracranealunclassified

“…La literatura menciona que del 6 al 44% de los ca sos de Ataque Isquémico Transitorio o de Ictus is quémico pueden asociarse a cefalea aguda. Algunos de los factores de riesgo incluyen sexo fe menino, antecedentes de cefaleas previas, lesiones mesencefálicas parenquimatosas o de circulación posterior [14]. El manejo de las cefaleas crónicas post ictiales deberá ser multidisciplinario, una vez que cursan con fatiga, depresión, ansiedad y co morbilidades.…”

Section: Enfermedad Cerebro Vascularunclassified

“…Estas cefaleas generalmente son bilaterales y pulsátiles, se han descrito también occipitales, em peorando con la actividad física o la noche. Las ce faleas asociadas a hipertensión también pueden estar asociadas a historia de migraña o de cefaleas tensionales [14,16].…”

Section: Cefalea Atribuida a Hipertensión Arterialunclassified

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Aproximación diagnóstica a las Cefaleas después de los 65 años

Cornejo A

2023

Rev Med Panama

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Con el objetivo de facilitar el diagnóstico diferencial de la queja de cefalea después de los 65 años de edad, se llevó a cabo una revisión de la literatura con respecto a las cefaleas primarias y secundarias de acuerdo a la Clasificación de la Sociedad Internacional de Cefaleas, seleccionándose las variedades más frecuentes en las personas mayores, describiéndose su condición aguda o crónica, su frecuencia, características y particularidades, a manera de facilitar un diagnóstico presuntivo que oriente una intervención específica. Las cefaleas primarias más frecuentes en el adulto mayor son la cefalea tensional y la migraña. Entre las cefaleas secundarias más frecuentes se encuentran la cefalea cervicogénica, la cefalea por abuso de analgésicos, dolor craneal y las diferentes causas de cefaleas metabólicas. Se mencionan los estudios básicos y paraclínicos, así como los criterios para estudio por neuroimagen y las señales de alerta para cefaleas secundarias.

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Section: Patología Intracranealunclassified

Section: Enfermedad Cerebro Vascularunclassified

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Aproximación diagnóstica a las Cefaleas después de los 65 años

Cornejo A

2023

Rev Med Panama

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“…Tension-type headache (TTH) and migraine are the most common primary headaches, accounting for almost 80% of all headache disorders. The remaining 20% are classified as secondary headaches due to an underlying medical condition, mostly with infectious, inflammatory, vascular, traumatic or structural causes [ 1 ]. According to the latest estimates of the Global Burden of Disease Study (GBD) in 2019, primary headache disorders, including TTH, migraine, trigeminal autonomic cephalalgias and cluster headaches, frequently occur and account for 8% of the total years lived with a disability, corresponding to about 800 million incident cases and 2.6 billion prevalent cases [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of OnabotulinumtoxinA on Allodynia and Interictal Burden of Patients with Chronic Migraine

Argyriou,

Dermitzakis,

Rikos

et al. 2024

Toxins

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Background: We primarily aimed to ascertain whether treatment with ΟnabotulinumtoxinA (BoNTA) might influence the extent of the interictal burden and cutaneous allodynia in patients with chronic migraine (CM). Methods: Seventy CM patients, who received three consecutive cycles of BoNTA, were studied. The interictal burden was assessed with the Migraine Interictal Burden Scale (MIBS-4), while cutaneous allodynia was examined with the Allodynia Symptom Checklist (ASC-12) together with PI-NRS VAS to obtain hair brushing scores, and then these were compared from baseline (T0) to the last efficacy evaluation follow-up (T1). Efficacy outcomes, mostly mean headache days (MHD) and “Headache Impact Test” scores, were also assessed between T0 and T1. Results: BONTA improved the interictal burden, with a decrease in MIBS-4 scoring by an average of −7 at T1, compared to baseline (p < 0.001). The percentage of patients with a moderate/severe interictal burden was substantially decreased. Likewise, BoNTA reduced the extent of cutaneous allodynia, with a significant reduction in both the ASC-12 (1 vs. 6; p < 0.001) and PI-NRS VAS (1 vs. 5; p < 0.001) to hair brushing median scores at T1, compared to baseline. Reduced MHD rates were significantly associated with a smaller interictal burden at T1. The efficacy of BoNTA, with a significant reduction in MHD and HIT-6 scores at T1 compared to T0, was re-confirmed. Conclusions: BoNTA resulted in a statistically significant reduction in the interictal burden and also improved cutaneous allodynia. The reduction in ictal burden was associated with the down-scaling of the interictal burden. Hence, BoNTA improved the full spectrum of migraine impairment by diminishing the clinical expression of central sensitization.

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“…Because presence or absence of a visual aura and the underlying pathophysiology can be highly dependent on the non-migraine headache subtype, it is important to know how many of the non-migraine headache sufferers have infectious, inflammatory, vascular, traumatic, neoplastic, or structural causes. 2 …”

mentioning

confidence: 99%

Letter to the Editor: Frequency of Visual Aura in Non-Migraine Headache Strongly Depends on the Underlying Pathophysiology

Finsterer

2023

J Korean Med Sci

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Secondary headaches - red and green flags and their significance for diagnostics

Cited by 7 publications

References 96 publications

Aproximación diagnóstica a las Cefaleas después de los 65 años

Aproximación diagnóstica a las Cefaleas después de los 65 años

Effects of OnabotulinumtoxinA on Allodynia and Interictal Burden of Patients with Chronic Migraine

Letter to the Editor: Frequency of Visual Aura in Non-Migraine Headache Strongly Depends on the Underlying Pathophysiology

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