Headache triggers in primary headache disorders: A subgroup analysis of the Head-MENAA study

Genç H., Vurallı D., Uludüz D., Kocasoy Orhan E., Kıssanı N., Luvsannorov O., ...Daha Fazla

Global Migraine & Pain Summit, 6th MENA Meeting & 4rd Turkish African Meeting Of Headache And Pain Management 2022, Antalya, Türkiye, 2 - 05 Kasım 2022, ss.51

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.51
  • Gazi Üniversitesi Adresli: Evet

Özet

Background and Aim At least one headache trigger was reported by the majority of primary headache sufferers. These headache triggers may guide physicians in the proper management of headaches. However, the details of headache triggers were rarely investigated in all subtypes of primary headache disorders in large patient groups. We aimed to demonstrate triggers in all types of primary headache disorders. Method The study was designed as a cross-sectional multicenter international study. Sixty-nine headache specialists from 13 countries (Azerbaijan, Chad, Cyprus, Egypt, Ethiopia, Iran, Ivory Coast, Mongolia, Morocco, Senégal, Sudan, Tatarstan, and Turkey) evaluated headache patients who applied to neurology clinics. Researchers recruited patients on different weekdays selected by the research randomizer program for five consecutive weeks in April and May 2022. Researchers used the Head-MENAA study questionnaire and ICHD-3 criteria when they evaluated patients. After their consent, three thousand four hundred fifty-four patients were included in the study. Results Primary headaches were diagnosed in 79.8% (2972) of patients; 74.3% were women; the mean age was 42.8±14.8 years. Migraine was the most prevalent (65.2% ), followed by tension-type headache (TTH) (%38.2), trigeminal-autonomic cephalalgia (TACs) 4%, and other primary headache disorders (3.3%). Triggering factors identified for all primary headaches were stress (63.6 %), sleep deprivation/oversleeping (47.4%), tiredness, excessive physical activity, and hunger, followed by others, as seen in Figure 1. Conclusion The distinguishing features of our study are that headache triggers were investigated in different ethnic origins and geographic regions, in a larger patient group, and in all types of primary headaches. Stress, sleep pattern change, and physical activity leading to tiredness and hunger were identified as triggering factors for migraines and other primary headaches.