Epidemiology of chronic daily headache

被引：108

作者：

Pascual J. ^{[1
]}

Colás R. ^{[1
]}

Castillo J. ^{[1
]}

机构：

[1] Service of Neurology, University Hospital Marqués de Valdecilla, Santander

来源：

Current Pain and Headache Reports | 2001年 / 5卷 / 6期

关键词：

Chronic Daily Headache; International Headache Society; Medication Overuse; Migraine; Paroxysmal Hemicrania;

D O I：

10.1007/s11916-001-0070-6

中图分类号：

学科分类号：

摘要：

Daily or near-daily headache is a widespread problem in clinical practice. The general term of chronic daily headache (CDH) encompasses those primary headaches presenting more than 15 days per month and lasting more than 4 hours per day. CDH includes transformed migraine (TM), chronic tension-type headache (CTTH), new daily persistent headache (NDPH), and hemicrania continua (HC). Around 40% of patients attending a specialized headache clinic meet CDH diagnostic criteria, of which 80% are women. In these clinics about 60% of patients suffer from TM, 20% from CTTH, and 20% meet NDPH criteria. Most, some 80%, overuse symptomatic medications. One should be very cautious on extrapolating these numbers to the general population. CDH prevalence in the general population seems to be around 4% to 5% (up to 8% to 9% for women). Regarding the prevalence of CDH subtypes, NDPH is rare (0.1%), whereas the prevalence of TM (1.5% to 2%) and CTTH (2.5% to 3%) is clearly higher. In contrast to data from specialized clinics, only around a quarter of CDH subjects in the general population overuse analgesics; the prevalence of CDH subjects with analgesic overuse being 1.1% to 1.9% of the general population. Most of these patients with analgesic overuse are TM patients. © 2001, Current Science Inc.

引用

页码：529 / 536

页数：7

共 26 条

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