Online ISSN: 2515-8260

Keywords : Migraine

Prevalence and Trigger Factors of Common Migraine among Patients with Chronic Headache

Dhanya Rajan, Manoj G, Shaiju A

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 881-888

Background: Headache is the most ancient reported pain in humans. It has significant detrimental effect on the quality of life of the sufferers.Migraine is ranked as the eighth most burdensome disease and the seventh highest cause of disability in the world. India appears to have a very high prevalence of migraine, and of other headache disorders in line with global averages. The prevalence of common migraine among chronic headache patients attending ENT OPD in a tertiary care Centre, Kollam, Southern Kerala and to assess the trigger factors of common migraine was studied.
Material and Methods: It was a Prospective observational study conducted at Department of ENT, Government medical college, Kollam for One year. All patients with chronic headache fulfilling the inclusion and exclusion criteria, belonging to either sex between age group of 12 to 50 years coming to ENT opd were studied.The validated structured questionnaire enquired into several aspects of burden. Written informed consent from the patient was taken. Study was approved by Institutional Ethical Committee.
The age-standardised 1-year prevalence of migraine was 25.2 %,  well above the global average of 14.7 %.1The mean age of study participants was found to be 31.10±10 years. The most common position of headache was of one side of forehead seen in 50.6% patients followed by both sides forehead (10.4%). The most common type of headache in migraine was pricking in 58.5% patients followed by pulsatile type in 20.9% and Throbbing in 19.9% patients. But this was not significant (p>0.05). most of the patients had headache for 12-24 hours (87%). common causes were found to be travel (88.3%), smoking (98.3%), anger (88.9%), noise (77.5%), sleepless (65.5%), smell especially soap (75.9%), travel (88.3%) in hot climate.
Conclusion: In our study, the prevalence of migraine was high among patients which were in agreement with the findings of other studies. This may be due to their stress, duties and workload. Solutions should be considered since headaches reduce the quality of their work and have detrimental effects on their health.

Prevalence and impact of Migraine headache among physicians in PHC centers in Makkah City, Saudi Arabia, 2021

Essra Abdulwahab A Tayeb, Asrar Mohammed Abdulhameed Attar, Sameer Saeed Alhazmi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 3243-3259

Migraine is a chronic unilateral headache associated with nausea and vomiting. According to the World Health Organization, it is listed as the 19th disabling disease. Multiple studies found an inverse relationship between the frequency of the attacks and the low quality of life score. Roughly, one-third of migraine attacks occur during workdays, with a higher incidence of reduced productivity and missed days among chronic patients (>15 headache days per month).   Migraine is a common neurological disorder with significant impact on quality of life, affecting 12% Saudi population. migraines impose significant health and financial burdens, headache is a common neurological disorder, which is associated with a significant disease burden,  headache affects work, social and leisure activities and has a tremendous impact on a person’s life also the migraine is one of the most critical concerns among healthcare providers and other relevant stakeholders in the health sector. Aim of the study: To assess the prevalence and impact of Migraine headache among physicians in PHC centers in Makkah City, Saudi Arabia, 2021. Method : Across-sectional study among physicians who works in primary health care center in Makkah Al-Mukarramah 2021, the study has been conducted physicians who works in PHC centers in Makkah city KSA. Was conducted using an online questionnaire designed during August 2021. The questionnaire collected the socio-demographic factors, a migraine screen questionnaire (MS-Q) Migraine Disability Assessment questionnaire (MIDAS), our total participants were (200). Result shows that most of the participants (59%) were in the age group(25-50) years  follow by the (21.0%)were in the age (<25) years, the majority of them females was higher compared to male(66.0 and 34.0%) , regarding  the Nationality  most of participants non-Saudi were were(63.0%), regarding  the marital status most of participants married were(56.0%), regarding level of education the majority of participant are specialist were(54.0%) while general practitioner were(23.0%) Conclusion: For migraines, our study found a high prevalence of the migraine in among physicians who works in primary health care center. The physicians’ awareness of the disease was very low with one-fourth of the physicians resorting to self-medication.

The Role of Pulsed Radiofrequency for Greater and Lesser Occipital Nerves in the Treatment for Migraine

Rida Alkaabi; Haider Shafi Hussein

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 104-109

Background: Migraine pain is a primary headache disorder characterized by recurrent headaches that are moderate to severe. Objective: To evaluate the effect of noninvasive pulsed radio frequency (pulsed RF) in Migraine. Methods: In a prospective study of the intervention performed in adult population with Migraine (Diagnosed by specialists) carried on (30) patients undergone pulsed RF for greater and lesser occipital nerves to control recurrent migraine not responding to conventional treatment (resistant) in a period from Jan. 2017 to Jan 2019 in Al Safeer Hospital for surgical specialties and Alkafeel Hospital for surgical specialties both in Karbala / Iraq. The patients got in prone position under local anesthesia with goal positions with the target sites obvious out using anatomical breakthroughs and the position of greatest ache. Pulsed RF by RF needle to the affected side to reach greater and lesser occipital nerves then got 3 sessions (each for 3 minutes, temperature 42 C, voltage 42 V, resistance with 100 Ohms, Current with 230 mA) Patients monitored post-operatively for 2 hours then discharged. Follow up at intervals of 30 days, 6 months and 1 year by phone call or direct interview to assess the post procedure pain scale. Result: Significant pain relieve by means of no or little pain medication and actual life pattern change and performance in 1-year post procedure. Conclusion: A single trial of pulsed RF is effective for pain reliever.