Other primary headache disorders: Data from the HEAD-MENA-A study in Africa, Asia, and the Middle East

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dc.contributor.authorAtalar, A.Ç.
dc.contributor.authorGenç, H.
dc.contributor.authorUr, Özçelik, E.
dc.contributor.authorBolay, H.
dc.contributor.authorUluduz, D.
dc.contributor.authorUnal-Cevik
dc.date.accessioned2024-07-12T21:40:22Z
dc.date.available2024-07-12T21:40:22Z
dc.date.issued2024en_US
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: Other primary headache disorders (OPHD) are under-investigated compared to frequent primary headache types like migraine, tension-type headache, and trigeminal autonomic cephalalgias. Knowledge of the distribution and characteristics of OPHD subtypes is crucial for their recognition. We aimed to determine the prevalence at the hospital and headache clinics and clinical characteristics of OPHDs in patients from 13 countries. Methods: We analyzed a large dataset from the cross-sectional study Head-MENA-A (Middle East, North Africa, Asia). Consecutive patients over 10 years of age presenting with headaches were included from outpatient, inpatient, and emergency settings. A structured questionnaire addressing demographics, headache characteristics, accompanying symptoms, and triggers was administered. Headache subtypes were diagnosed according to the ICHD-3 criteria. Results: Among patients complaining of headaches (n = 3722), 106 (2.9%) were diagnosed with OPHD. Fifty-two patients (1.4% of all headache patients) had only OPHD, while 54 (1.5%) had both OPHD and a co-existing primary headache (mostly migraine). All OPHDs were more common in females. The most frequent subtypes were new daily persistent headache and primary stabbing headache (0.2% each among all admitted patients). Photophobia and phonophobia were the most frequent accompanying symptoms, while physical activity (28.8%), stress (15.4%), and the Valsalva maneuver (15.4%) were the most common triggering factors. The majority of triggering factors were more pronounced in patients with both migraine and OPHD. Conclusions: Other primary headaches are rare and heterogeneous. Their high co-existence with migraine suggests shared predisposing factors, hinting at a “headache continuum” concept for primary headaches. © 2024 Elsevier B.V.en_US
dc.description.sponsorshipUniversity of Delhi, DUen_US
dc.description.sponsorshipWe thank the Global Migraine and Pain Society for network support, and financial support. The authors, who are members of the Global COVID-19 Neuro Research Coalition (AO, BB, and DU) thank other coalition members for their kind support and fruitful discussions for the project. Not applicable. All data and materials generated in this study are available upon request.en_US
dc.identifier.doi10.1016/j.clineuro.2023.108112
dc.identifier.issn0303-8467
dc.identifier.pmid38232607en_US
dc.identifier.scopus2-s2.0-85182652730en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.clineuro.2023.108112
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7264
dc.identifier.volume236en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier B.V.en_US
dc.relation.ispartofClinical Neurology and Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY05220
dc.subjectHeadache Continuumen_US
dc.subjectHeadache Prevalenceen_US
dc.subjectHeadache Triggeren_US
dc.subjectMigraineen_US
dc.subjectNew Daily Persistent Headacheen_US
dc.subjectOther Primary Headache Disordersen_US
dc.subjectPrimary Stabbing Headacheen_US
dc.titleOther primary headache disorders: Data from the HEAD-MENA-A study in Africa, Asia, and the Middle Easten_US
dc.typeArticle
dspace.entity.typePublication

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