A study of migraine cases in a tertiary care hospital neurology outpatient department: demography, sub classification and clinical features

Authors

  • Selvaraj C. Department of Neurology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
  • Sivakumar S. Department of Neurology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20184672

Keywords:

Classification, Clinical profile, Demography, Migraine

Abstract

Background: Recurrent headache disorders impose a substantial burden on headache sufferers, family and society. In India, 15 to 20% of people suffer from migraine with an adult female: male ratio of 2:1. This study has been done with an aim at documenting the different types of migraine, their clinical presentations among patients presented to the Headache clinic, Neurology outpatient Department, Government Rajaji Hospital, Madurai during a one year period.

Methods: The patients registered at Headache clinic, Neurology outpatient Department, Government Rajaji Hospital, Madurai during one year period between the March 2009 and February 2010 with the diagnosis of migraine as per International Headache Society 2004 criteria were taken for this study. The clinical material was collected from the records and by patient interviews with a detailed pre-prepared proforma. The various parameters of the patients were compared, classified and analysed with specific reference to national and international studies.

Results: Migraine is the commonest type of headache comprising of about 76% of total cases of headache. Migraine without aura (48%) was more common than migraine with aura (32%). Female preponderance was noticed in all subtypes of migraine, age of onset being in 2nd and 3rd decade for majority of the subgroups of migraine, with positive family history in 45% of cases, with predominant unilateral in presentation and temporal in location, lasting for 12 to 24 hours in majority of cases.

Conclusions: Migraine is the commonest type of headache in patients observed in this study. Among subtypes migraine without aura is the commonest. Second and third decade is the commonest age group of onsets.

References

William EW, Series in Clinical Epidemiology - Headache, Croom & Helm. 2nd ed, Littleton; 1978:1-3.

Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population-a prevalence study. J Clin Epidemiol. 1991 Jan 1;44(11):1147-57.

Lipton RB, Scher AI, Kolodner K, Liberman J, Steiner TJ, Stewart WF. Migraine in the United States epidemiology and patterns of health care use. Neurol. 2002 Mar 26;58(6):885-94.

Lance JW, Curran DA: Treatment of chronic tension headache, Lancet 1:1236,1964 as reported by Allan H Ropper and Robert H Brown (Allan H Ropper, Robert H Brown, Adams and Victor’s In: Principles of Neurology, 8th ed, McGraw-Hill, 2005:157-8.

Allan H Ropper, Robert H Brown, Adams and Victor’s In: Principles of Neurology, 8th ed, McGraw-Hill, 2005:147-8.

The International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004; 24 suppl 1: 1-160) - Subsequent 1st revision May 2005 (Cephalalgia 2005; 25: 460-465).

Stewart WF, Linet MS, Celentano DD, Natta MV, Ziegler D. Age-and sex-specific incidence rates of migraine with and without visual aura. American J Epidemiol. 1991 Nov 15;134(10):1111-20.

Abu-Arefeh I, Russell G. Prevalence of headache and migraine in school children. BMJ 1994;309(6957):765-9.

Russell MB, Olesen J. Increased familial risk and evidence of genetic factor in migraine. BMJ. 1995 Aug 26;311(7004):541-4.

Christopher J Boes et al. Headache and other craniofacial pain; Neurology in Clinical Practice, 5th ed, WG Bradley. 2008:2027-8.

Ravishankar K. ‘Hair wash’ or ‘head bath’ triggering migraine-observations in 94 Indian patients. Cephalalgia. 2006 Nov;26(11):1330-4.

Silberstein SD, Lipton RB. Chronic daily headache including transformed migraine, chronic tension tuep headche, and medication overuse. In: Wolffs’ Headache and other Headpain. Newyork: Oxford Univ Press; 2001:247-282.

Becker C, Brobert GP, Almqvist PM, Johansson S, Jick SS, Meier CR. Migraine and the risk of stroke, TIA, or death in the UK (CME). Headache: J Head Face Pain. 2007 Nov;47(10):1374-84.

Kurth T, Gaziano JM, Cook NR, Logroscino G, Diener HC, Buring JE. Migraine and risk of cardiovascular disease in women. JAMA. 2006 Jul 19;296(3):283-91.

Anderman F. Clinical features of migraine-epilepsy syndromes. In: Anderman F, Lugaresi E, eds. Migraine and epilepsy. Boston: Butterworths; 1987:3.

Young GB, Blume WT. Painful epileptic seizures. Brain. 1983 Sep 1;106(3):537-54.

Laplante P. Headache as epileptic manifestation. Neurol.1983;33:1493-95.

Beaumanoir A et al. Electrographic observations during attacks of classical migraine; Migraine and epilepsy. Butterworth, Boston; 1987:163-180.

Frishberg BM. The utility of neuroimaging in the evaluation of headache in patients with normal neurological examination. Neurol. 1994;44:1191-7.

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Published

2018-11-26

How to Cite

C., S., & S., S. (2018). A study of migraine cases in a tertiary care hospital neurology outpatient department: demography, sub classification and clinical features. International Journal of Research in Medical Sciences, 6(12), 3872–3878. https://doi.org/10.18203/2320-6012.ijrms20184672

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Original Research Articles