Frequency of diagnoses in a specialized headache clinic in Buenos Aires

Nagel, Vanessa; Cavanagh, Sol; Olivier, Marina; Larripa, Natalia; Gutierrez, Maria T; Grandinetti, Mariela; Calvo, D.; Salvat, Fernando; Bonamico, Lucas; Goicochea, María Teresa

doi:10.5935/2178-7468.20190002

Cited by 1 publication

(2 citation statements)

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“…5 Further studies 6,16 find similar data, where 80% of the patients had migraine as their primary headache. To Nagen et al 15 , migraine was also the most frequent primary headache. These data should be interpreted depending on where the studies were conducted.…”

Section: Discussionmentioning

confidence: 94%

“…Prevalence rates are similar in most populations studied, with a preponderance of female sex, average age ranging between fourth and fifth decades of life, married, low educational level when compared to the general population, and most often without paid occupation. 8,9,14,15 Looking only at sex, the guideline of the European Academy of Neurology published a recent study where the majority of patients with MOH are female, 93%. 6 In the present study it was no different, most of the patients followed were female, 92.2%, and belonging to the fourth and fifth decade of life, totaling 55 patients, 53.4%.…”

Section: Discussionmentioning

confidence: 99%

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Analgesic abuse headache: risk factors and causes of poor adherence in the detox process

Freitas

Alcantara

2021

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BackgroundMedication overuse headache (MOH) is characterized by a pre-existing primary or secondary headache associated with medication overuse.AimsTo identify the clinical, epidemiological, and therapeutic profiles associated with MOH and poor adherence to treatment.MethodsA cross-sectional, comparative, descriptive, analytical study was carried out to assess the characteristics of patients with MOH treated at the Hospital Geral de Fortaleza (HGF).Results103 patients participated, 95 (92.2%) women and 8 (7.8%) men. Of these, 55 (53.4%) patients answered that had already been instructed about the MOH, however they continue to abuse medication for many reasons i.e.: difficulty in bearing pain, and fear of worsening the pain. When asked about what could be done to improve adherence to treatment, in a general way, 28 (27.2%) were unable to inform, 37 (35.9%) answered that most frequent consultations could help. Furthermore, 19 (18.4%) believe that psychological counseling wound bring benefits.ConclusionThe lack of guidance or interest in the guidelines provided are real and important obstacles to treat MOH. Changes in the care model that include effective communication, more frequent return, family and psychotherapy support and close monitoring by the physician or nurses are factors that should be considered in headache clinics.

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