Secondary Headache: Current Update

Born, Dawson W.; Dilli, Esma

doi:10.1111/head.13986

Cited by 8 publications

(12 citation statements)

References 103 publications

(201 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patients evaluated by imaging methods were coma, trauma patients, patients with epileptic seizures, patients with hemiparesis and patients with headache. Sudden onset of headache is among the warning criteria for secondary headaches (5,8,20). Diagnoses with high mortality, such as cerebrovascular disease, were observed more frequently in our patients with sudden onset headaches.…”

Section: Discussionmentioning

confidence: 57%

“…The rate of pathological findings in the CT of the cases was significantly higher in the group over 65 years of age (22,23). In our study, When the patients who applied to the emergency department with the complaint of headache were examined, 48% primary and 52% secondary headaches were observed (8,12). In our study, 38% of the patients with headache were evaluated as primary and 62% as secondary headache.…”

Section: Discussionmentioning

confidence: 69%

“…We found the main cause of headaches in our emergency department was cerebrovascular disease. headaches are referred because our hospital is a tertiary health care institution (1,8). Cerebrovascular disease was observed in 25% of our patients who applied with the complaint of headache, migraine in 23% and tension headache in 15%.…”

Section: Discussionmentioning

confidence: 90%

“…In our study, 38% of the patients with headache were evaluated as primary and 62% as secondary headache. The reason for the higher incidence of secondary headache may be that more patients with secondary headaches are referred because our hospital is a tertiary health care institution (1,8).…”

Section: Discussionmentioning

confidence: 99%

“…Every patient with headache at the emergency room should be examined carefully if it is a secondary headache or not. Because, some causes of secondary headaches imitate like primary headaches, and increase the hospitalization time and collateral damages (8,9).…”

Section: Introduction and Purposementioning

confidence: 99%

See 4 more Smart Citations

Meaning of Headache at the Emergency Department

İncealtın

2021

International Bulletin of Otorhinolaryngology

View full text Add to dashboard Cite

We investigated the meaning of headache in the emergency room, as a precursor symptom of structural or systemic disorders, especially life-threatening neurological disorders, or as one of the other headaches unrelated to structural disorders in patients who applied to the emergency department with headache complaints. The causes of primary and secondary headaches should be carefully differentiated from each other at the emergency situations. METHODS: Patients aged 18 years and older, who applied to the Emergency Department of the Faculty of Medicine of 19 Mayis University, with a complaint of headache were included in the study. Primary headaches were divided into subtypes according to the IHS (International Headache Society) classification. Secondary headaches were divided into two subgroups as neurological and nonneurological. RESULTS: 200 patients, 112 women and 88 men, who applied to the emergency department with the complaint of headache, were included in the study. Migraine was found in 48 patients, tension-type headache in 29 patients, cerebrovascular disease in 52 patients, CNS infection in 4 patients, intracranial mass in 11 patients, traumatic bleeding in 6 patients, psychiatric disorders in 8 patients, sinusitis in 9 patients, and metabolic disease in 22 patients. Cranial CT was normal in 10 patients with primary headache, cerebral hemorrhage in one patient and cerebral edema was found in one patient. Cranial CT was normal in 18 patients with secondary headache, SAH in 40 patients, intracerebral hemorrhage in 4 patients, intracranial mass in 10 patients, subdural hematoma in 4 patients, cerebral edema and ischemia in 6 patients, and epidural hematoma were found in 1 patient. CONCLUSION:The causes of patients presenting to the emergency department with headache were cerebrovascular disease, migraine, and tension-type headache. In our study, the most common cause was cerebrovascular disease. The prevalence of migraine varies between 3.4-6.1% in men and 12.9-17.7% in women. In our study, the incidence of migraine was 23%, and it was seen 3 times more in women than in men.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introduction and Purposementioning

confidence: 99%

See 3 more Smart Citations

Meaning of Headache at the Emergency Department

İncealtın

2021

International Bulletin of Otorhinolaryngology

View full text Add to dashboard Cite

show abstract

Pediatric Headache Attributed to Infection

Walter

Laderman

Polk

2021

Seminars in Pediatric Neurology

View full text Add to dashboard Cite

The relationship between myodural bridge, atrophy and hyperplasia of the suboccipital musculature, and cerebrospinal fluid dynamics

Yang,

Wei,

Gong

et al. 2023

Sci Rep

View full text Add to dashboard Cite

The Myodural Bridge (MDB) is a physiological structure that is highly conserved in mammals and many of other tetrapods. It connects the suboccipital muscles to the cervical spinal dura mater (SDM) and transmits the tensile forces generated by the suboccipital muscles to the SDM. Consequently, the MDB has broader physiological potentials than just fixing the SDM. It has been proposed that MDB significantly contributes to the dynamics of cerebrospinal fluid (CSF) movements. Animal models of suboccipital muscle atrophy and hyperplasia were established utilizing local injection of BTX-A and ACE-031. In contrast, animal models with surgical severance of suboccipital muscles, and without any surgical operation were set as two types of negative control groups. CSF secretion and reabsorption rates were then measured for subsequent analysis. Our findings demonstrated a significant increase in CSF secretion rate in rats with the hyperplasia model, while there was a significant decrease in rats with the atrophy and severance groups. We observed an increase in CSF reabsorption rate in both the atrophy and hyperplasia groups, but no significant change was observed in the severance group. Additionally, our immunohistochemistry results revealed no significant change in the protein level of six selected choroid plexus-CSF-related proteins among all these groups. Therefore, it was indicated that alteration of MDB-transmitted tensile force resulted in changes of CSF secretion and reabsorption rates, suggesting the potential role that MDB may play during CSF circulation. This provides a unique research insight into CSF dynamics.

show abstract

Secondary Headache: Current Update

Cited by 8 publications

References 103 publications

Meaning of Headache at the Emergency Department

Meaning of Headache at the Emergency Department

Pediatric Headache Attributed to Infection

The relationship between myodural bridge, atrophy and hyperplasia of the suboccipital musculature, and cerebrospinal fluid dynamics

Contact Info

Product

Resources

About