Precipitating and relieving factors of migraine versus tension type headache

Badrul Haque, Kazi Mohibur Rahman, Azharul Hoque, A T M Hasibul Hasan, Rajib Nayan Chowdhury, Sharif Uddin Khan, Mondal Badrul Alam, Mansur Habib, Quazi Deen Mohammad, Badrul Haque, Kazi Mohibur Rahman, Azharul Hoque, A T M Hasibul Hasan, Rajib Nayan Chowdhury, Sharif Uddin Khan, Mondal Badrul Alam, Mansur Habib, Quazi Deen Mohammad

Abstract

Background: To determine the differences of precipitating and relieving factors between migraine and tension type headache.

Methods: This is a cross sectional study. We retrospectively reviewed the records of 250 migraine patients and 250 patients diagnosed as tension type headache from the specialized headache clinic in Dept. of Neurology, Dhaka Medical College Hospital. Data were collected through a predesigned questionnaire containing information on age, sex, social status and a predetermined list of precipitating and relieving factors.

Results: In this study, the female patients predominated (67%). Most of the patients were within 21-30 years age group (58.6%). About 58% of them belonged to middle class families. The common precipitating factors like stress, anxiety, activity, journey, reading, cold and warm were well distributed among both the migraine and tension type headache (TTH) patients. But significant difference was demonstrated for fatigue (p < 0.05), sleep deprivation (p < 0.05), sunlight (p < 0.01) and food (p < 0.05), which were common among migraineurs. In consideration of relieving factors of pain, different maneuvers were commonly tried by migraineurs and significant difference were observed for both analgesic drug and massage (p < 0.05), which relieved migraine headache. But maneuvers like sleep, rest and posture were used by both groups.

Conclusion: The most frequent precipitating factors for headache appear to be identical for both migraine and TTH patients. Even though some factors like fatigue, sleep deprivation, sunlight and food significantly precipitate migraine and drug, massage are effective maneuver for relieving pain among migrianeurs.

References

    1. WHO report on South East Asia. .
    1. Martin PR. Psychological management of chronic headaches. Guilford, New York; 1993.
    1. Scopp AL. Headache triggers: Theory, research and clinical application — Part I. Headache Quarterly. 1992;3:32–38.
    1. Henry P, Michel P, Dartigues JF, the GRIM. Epidemiology of migraine in France [in French]. In: La Migraine en France. John Libbey Eurotext, Paris; 1993. pp. 27–48.
    1. Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain. 1993;53:65–72. doi: 10.1016/0304-3959(93)90057-V.
    1. Robbins L. Precipitating factors in migraine: a retrospective review of 494 patients. Headache. 1994;34:214–216. doi: 10.1111/j.1526-4610.1994.hed3404214.x.
    1. Peatfield RC. Relationships between food, wine, and beer-precipitated migrainous headaches. Heuduche. 1995;35:355–357. doi: 10.1111/j.1526-4610.1995.hed3506355.x.
    1. Larmande P, Hubert B, Sorabella A. et al.Influence of changes in climate and the calendar on the onset of a migraine crisis [in French] Rev Neural. 1996;152:38–43.
    1. Martin PR, Milech D, Nathan PR. Towards a functional model of chronic headaches. Headache. 1993;33:461–470. doi: 10.1111/j.1526-4610.1993.hed3309461.x.
    1. Schulman EA, Silberstein SD. Symptomatic and prophylactic treatment of migraine and tension-type headache. Neurology. 1992;42(Suppl. 2):16–21.
    1. Skaer TL. Clinical presentation and treatment of migraine. Clin Ther. 1996;18:229–245. doi: 10.1016/S0149-2918(96)80004-X.
    1. Peatfield RC, Olesen J. Precipitating factors. In: Oiesen J, Tfelt-Hansen P Welch KMA, eds. The Headaches. Raven Press, Ltd, New York; 1993. pp. 241–245.
    1. Pearce JM. In: Migraine: Clinical, Therapeutic, Conceptual and Research Aspects. Blau JN, editor. Chapman and Hall, London; 1987. Neural aspects of migraine; pp. 247–263.
    1. Zivadinov R, Willheim K, Sepic-Grahovac D. et al.Migraine and tension-type headache in Croatia: a population-based survey of precipitating factors. Cephalalgia. 2003 Jun;23(5):336–43. doi: 10.1046/j.1468-2982.2003.00544.x.
    1. Spierings ELH, Ranke AH, Honkoop PC. Precipitating and aggravating factors of migraine versus tension type headache. Headache. 2001;41:554–558. doi: 10.1046/j.1526-4610.2001.041006554.x.
    1. Chabriat H, Danchot J, Michel P. et al.Precipitating Factors of Headache. A Prospective Study in a National Control-Matched Survey in Migraineurs and Nonmigraineurs. Headache. 1999;39:335–338.
    1. Martins IP, Parreira E. Tricks to relieve migraine attacks. Headache Q. 2000;11:113–7.
    1. Martins IP, Parreira E. Behavioral response to headache: a comparison between migraine and tension-type headache. Headache. 2001;41:546–53. doi: 10.1046/j.1526-4610.2001.041006546.x.
    1. Bag B, Karabulut N. Pain relieving factors in migraine and tension type headache. Int J Clin Pract. 2005;59(7):760–763. doi: 10.1111/j.1368-5031.2005.00535.x.

Source: PubMed

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