3-Year follow-up of secondary chronic headaches: The Akershus study of chronic headache

被引:14
作者
Aaseth, Kjersti [1 ,2 ]
Grande, Ragnhild Berling [1 ,3 ]
Benth, Jurate Saltyte [2 ,4 ]
Lundqvist, Christofer [1 ,4 ,5 ]
Russell, Michael Bjorn [1 ,2 ]
机构
[1] Akershus Univ Hosp, Res Ctr, Head & Neck Res Grp, N-1478 Lorenskog, Norway
[2] Univ Oslo, Akershus Univ Hosp, Fac Div, N-1474 Nordbyhagen, Norway
[3] Univ Oslo, Ulleval Univ Hosp, Fac Div, N-0318 Oslo, Norway
[4] Akershus Univ Hosp, Helse Ost Hlth Serv Res Ctr, N-1478 Lorenskog, Norway
[5] Ullevaal Univ Hosp, Dept Neurol, N-0407 Oslo, Norway
关键词
Secondary chronic headache; Posttraumatic headache; Cervicogenic headache; Rhinosinusitis; Population based; POPULATION-BASED SAMPLE; TENSION-TYPE HEADACHE; PROPHYLACTIC TREATMENT; CERVICOGENIC HEADACHE; CHRONIC MIGRAINE; PREVALENCE; DIAGNOSIS; CRITERIA; TRIALS; SEX;
D O I
10.1016/j.ejpain.2010.06.005
中图分类号
R614 [麻醉学];
学科分类号
100217 [麻醉学];
摘要
The objective was to investigate the 3-year course of secondary chronic headaches (>= 15 days per month for at least 3 months) in the general population. An age and gender stratified random sample of 30,000 persons aged 30-44 years from the general population received a mailed questionnaire. All with self-reported chronic headache, 517 in total, were interviewed by neurological residents. The questionnaire response rate was 71%. The rate of participation in the initial and follow-up interview was 74% (633/852) and 87% (83/95) respectively. The International Classification of Headache Disorders was used, and then in the next step the Cervicogenic Headache International Study Group and American Academy of Otolaryngology criteria were used in relation to cervicogenic headache (CEH) and headache attributed to chronic rhinosinusitis (HACRS). Of those followed-up, 40 had headache attributed to head and/or neck trauma (chronic posttraumatic headache), 0 had CEH and 0 had HACRS according to the ICHD-II criteria, while 18 had CEH according to the Cervicogenic Headache International Study Group's criteria, and 37 had HACRS according to the criteria of the American Academy of Otolaryngology. The headache index (frequency x intensity x duration) was significantly reduced from baseline to follow-up in chronic posttraumatic headache and HACRS, but not in CEH. We conclude that secondary chronic headaches seem to have various course dependent of subtype. Recognizing the different types of secondary chronic headaches is of importance because it might have management implications. (C) 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:186 / 192
页数:7
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