Headache Medicine最新文献

{"title":"Differences in the electrical activity and the clinical performance of superficial neck flexors and extensors during the CCFT in women with migraine","authors":"Luana Maria Ramos Mendes, Amanda Rodrigues, M. M. Bragatto, L. Florêncio, F. Dach, C. Fernández‐de‐las‐Peñas, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.11","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.11","url":null,"abstract":"IntroductionMusculoskeletal disorders in the cervical spine have been increasingly investigated and observed in patients with migraine. One of them is a poorer cervical muscle performance as assessed by the cranio-cervical flexion test (CCFT). In addition, patients with migraine have alterations in the recruitment of muscle motor units observed by surface electromyography during CCFT.\u0000ObjectiveThe aim was to verify if there are differences in the electrical activity and the clinical performance of superficial neck flexors and extensors during the CCFT in women with migraine considering the presence or absence of concomitant neck pain symptoms.\u0000MethodsA total of 100 women were assessed: 25 with migraine without neck pain, 25 with migraine and neck pain, 25 with mechanical neck pain and 25 pain-free control. Clinical and demographic data were collected, The CCFT was performed in all groups. The test assessed the deep flexors muscle by a pressure unit biofeedback placed in the posterior region of the neck and initially inflated to 20 mmHg composed by 5 stages, with increase pressure by 2 mmHg at each stage, reaching 30 mmHg, keeping the pressure for 10 seconds without resorting to compensation. Electromyography data were collected with TrignoTM Wireless System wireless surface sensors. The sensors were firmly attached bilaterally on: sternocleidomastoid (SCM); splenius capitis, anterior scalene and upper trapezius. Electromyographic activity evaluated during the CCFT was normalized by the average the root mean square (RMS) calculated for the reference voluntary contraction and expressed as a percentage. Groups comparisons were performed with non-parametric tests adopting a level of significance of 0.05. To analyze the between-groups differences on the proportion of clinical targeted performance stages reached by each participant within the CCFT, the chi-square (X2) test was calculated, and the data were submitted to a post-hoc proportion test. (To see the complete abstract, please, check out the PDF). \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82755083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of migraine in cognition","authors":"Karina Hikari Sakamoto, Rafael Guimaraes da Silva, Aline Vitali da Silva, V. A. Bello","doi":"10.48208/headachemed.2022.supplement.16","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.16","url":null,"abstract":"BackgroundMigraine is among the 3 most burdensome neurological disorders in the US in terms of absolute number of disability-adjusted life years (DALYs) from 1990 to 2017, behind just stroke and Alzheimer disease and other dementias. Migraine is characterized as a type of unilateral primary headache marked by a series of neurological and vascular alterations, which can occur episodically or chronically and course with intermittent attacks of intense or moderate headache. Moreover, cognitive dysfunctions are interim and disabling components of this disorder and may be related to the brain processes underlying the pathophysiology.\u0000ObjectiveExamine the effects of migraine in the cognitive functions, such as language function, visuospatial function, attention, executive function and memory, of adults between 19 and 45 years old.\u0000MethodThis study consists in a narrative review of articles published in the last 5 years on MEDLINE database searched through PubMed. The articles were found using the following MESHs: Migraine and Cognition.\u0000ResultsWe utilized 3 studies that approached cognitive impairment in migraine attacks and interictally. In a clinical trial, 144 pacients with chronic migraine (CM) and 44 age-matched patients with episodic migraine (EM) (a maximum of 4 headache days per month) were compared by cognitive assesments. In the Montreal Cognitive Assessment (MoCA), CM patients demonstrated the most striking impairment in memory/delayed recall (65.3%), attention (46.5%), abstraction (30.6%), and language (27.1%).  (To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83001023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiation between Call Fleming syndrome and nervous system vasculitis","authors":"Fernanda Cristina Poscai Ribeiro, Everton Lopes Rodrigues","doi":"10.48208/headachemed.2022.supplement.3","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.3","url":null,"abstract":"IntroductionCall Fleming syndrome is a reversible cerebral vasoconstriction syndrome of idiopathic etiology that causes thunderclap headache. It is a condition with a good prognosis, but clinically and radiologically similar to other diseases, such as nervous system vasculitis.\u0000Objectives To bring clinical, radiological and laboratorial aspects of Call Fleming Syndrome and nervous system vasculitis and provide the differentiation of both.\u0000MethodologyThe research is an integrative review, carried out in June 2022, using the SciElo and Pubmed databases. From the keywords: Call-Fleming syndrome) AND (Diagnosis), (Case report), (Radiology), the clinical, laboratorial and radiological profile of the Call-Fleming Syndrome was traced while the keywords (Nervous System) AND (Vasculitis) AND (Diagnosis), (Case report), (Radiology) were used to CNS vasculitis. Then, from case reports, radiology articles and laboratory analyses, the diseases in question were compared in terms of similarities and differences.\u0000ResultsBoth pathologies are similar from a clinical point of view: they are frequent causes of thunderclap headache, a sudden and severe headache that reaches its maximum intensity within 1 minute. Some patients with Call-Fleming Syndrome may present several neurological deficits, the more frequents in case reports are hemiparesis, hemianopia, and loss of balance. The disease has a limited course that lasts from 1 to 3 months, however, its main complications are hemorrhages and cerebral infarction. The age group affected in the reported cases ranges from 10 to 76 years and there is a slight predominance of cases in women. (To see the complete abstract, please, check out the pdf).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84055216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous bleeding of an arachnoid cyst: a rare cause of thunderclap headache","authors":"R. Domingues, Saulo Ribeiro, Ana Lúcia Parizi Mello, C. Miranda, E. Pacheco, J. Carvalho","doi":"10.48208/headachemed.2022.supplement.36","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.36","url":null,"abstract":"Introduction\u0000A thunderclap headache is a severe headache that starts suddenly and may be a sign of a condition that can be life threatening.\u0000Objective\u0000To present a case of a rare cause of thunderclap headache. \u0000Case presentation\u0000A 37-year-old female patient was admitted in the neurological emergence service of a private hospital in the city of São Paulo. She had sudden, explosive, and pulsatile headache, with photophobia and phonophobia. The neurological examination had no focal signs. She had deep vein thrombosis in 2014 in the past and since then she has been irregularly using Warfarin.\u0000She underwent CT and MRI of the skull that showed enlargement of the bilateral retrovermian and retrocerebellar cerebrospinal fluid space, with thin membranes/septations inside, and heterogeneous content, with deposition of hemoglobin degradation products. Such findings are consistent with a retrovermian arachnoid cyst with hemorrhagic content. The INR was 1.\u0000Conservative and symptomatic treatment was started, and control CT was performed on the second day of hospitalization, demonstrating almost complete reabsorption of hematic material.\u0000The patient was discharged after 2 days of hospitalization with complete headache improvement.\u0000Conclusion\u0000Arachnoid cysts are collections of fluid located between the meningeal membranes. They are congenital and are formed due to a valve defect in the arachnoid membranes leading to a collection of cerebrospinal fluid (CSF) in its interior.\u0000Most arachnoid cysts are an incidental finding. About 1 to 2% of the population has an arachnoid cyst and symptoms appear when the cyst increases in size or bleeds. \u0000Our patient had a are complication of and arachnoid cyst not related with the use of anticoagulant. \u0000Keywords: \u0000Thunderclap headache, Arachnoid Cyst Bleeding, Arachnoid Cyst.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84511795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between sensitization and range of motion in children and adolescents with migraine","authors":"Michelle Aparecida Anjos Santos, J. Pradela, Nathiely Viana Silva, F. Dach, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.5","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.5","url":null,"abstract":"IntroductionMigraine affects 7.7% of children and adolescents and presents with short duration, bilateral and generally frontotemporal localization, however, the relationship of pain and sensitivity symptoms and their correlations with physical tests as well as range of motion are not well understood in these groups.\u0000ObjectiveCorrelate sensitization including allodynia and pressure pain threshold (PPT) of cervical muscles with neck mobility in children and adolescents with migraine.\u0000MethodsFifty children (CH) and adolescents (AD) diagnosed with migraine by ICHD-III were screened, of both sexes, aged between 6 and 17 years at the tertiary headache outpatient clinic. Allodynia was assessed by the adapted allodynia questionnaire based on the ICHD-III and the sensitivity of the cervical muscles sternocleidomastoid, elevator, suboccipital, trapezius and scalene by the pressure pain threshold (PPT) using a digital algometer DDK-20 Kratos®. The active mobility of the cervical spine (ROM) was evaluated in the movements of flexion, extension, lateral flexion, and rotation by the Flexion Rotation Test (FRT), using the CROM®.\u0000ResultsThe mean age of patients was 11.7 years (SD=3.0), most of them female (n=31/62%), adolescents (n= 28/56%) with a diagnosis of episodic migraine (n=32/64%), of low intensity (2.4; SD=0.6), pulsatile quality, duration in hours (18.0; SD=22.7) and more than half of the sample had no aura (n=32/64%). More than 70% of the sample had some comorbidity associated with the diagnosis of migraine, and neurological diseases, such as epilepsy, were more prevalent in both children (25.2%) and adolescents (26.3%), followed by respiratory diseases in children (20.1%) and psychological conditions in adolescents (19.8%). (To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87433754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensory organization test and motor control test in patients with migraine and vestibular migraine","authors":"Vitória Carolina Leonel, Gabriella de Almeida Tolentino, Carina Ferreira Pinheiro de Araújo, G. Carvalho, J. Pradela, F. Dach, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.8","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.8","url":null,"abstract":"IntroductionIndividuals with migraine have a high prevalence of vestibular symptoms, such as dizziness and balance deficits. The presence of aura and high frequency of attacks are associated with an increased risk of these symptoms. Vestibular migraine is a subtype of migraine described in the appendix of the International Classification of Headache Disorders (ICHD-III) along with the Committee for Classification of Vestibular Disorders of the Bárány Society. However, evidence is still lacking regarding how the balance of individuals with vestibular migraine is affected when compared to individuals with non-vestibular migraine.\u0000ObjectiveTo evaluate balance through Dynamic Computerized Posturography, with the Sensory Organization Test (SOT) and the Motor Control Test (MCT) in migraine subgroups: migraine and vestibular migraine.\u0000MethodsNinety women aged between 18 and 55 years were evaluated, divided by ICHD diagnostic criteria, into two groups: (1) migraine (GM); (2) vestibular migraine (GMV). The Dynamic Computerized Posturography exam was performed with the EquiTest - NeuroCom® software equipment, using the variables SOT and MCT. Clinical characteristics of migraine, presence of vestibular symptoms and number of falls in the last year were also evaluated. For the statistical analysis, mean and standard deviation were used in the comparison between groups, considering a significance of α = 0.05. The migraine and vestibular migraine groups were compared on the SOT for final score and on the MCT for latency during each of the test conditions using multivariate analysis of variance (MANOVA).\u0000ResultsThe GM had the highest composite score on the SOT (M=74.0±9.7; MV=68.1±8.8; p=0.004), the highest score on the visual SOT (M=79.5±17, 9; MV=70.8±16.5); p=0.01] and in vestibular SOT (M=64.4±14.1; MV=54.4±14.4; p=0.02) than the GMV. In addition, all patients in the GMV reported vestibular symptoms, while in the GM, only 48.7% (p<0.001). (To see the complete abstract, please, check out the PDF).\u0000 \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"256 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78229110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the influence of migraine on the prognosis of ischemic stroke: a prospective cohort study","authors":"F. A. A. Oliveira, Mario Genuíno Dourado Filho, P. Rocha-Filho","doi":"10.48208/headachemed.2022.supplement.24","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.24","url":null,"abstract":"Abstract \u0000Introduction \u0000There is controversy as to whether migraine implies a poorer prognosis after the stroke.  \u0000Objectives \u0000To assess whether migraine implies a poorer prognosis after the stroke. \u0000  \u0000Methods \u0000This was a prospective cohort study carried out in a hospital in the city of Recife, Pernambuco, Brazil. We included consecutively hospitalized patients with ischemic stroke within 72 hours of symptom onset. A diagnosis of ischemic stroke was made by the presence of a diffusion restriction pattern on the MRI within a compatible clinical context. Patients were assessed by a neurologist who conducted an interview using a semi-structured questionnaire containing questions regarding sociodemographic data, the presence and characteristics of headaches in their lives and the related clinical condition to ischemic stroke. The headaches presented were classified according to the diagnostic criteria of the third edition of the International Classification of Headache Disorders. The National Institute of Health Stroke Scale and the modified Rankin scale were used. Patients underwent MRI of the brain with diffusion and with perfusion. Patients were assessed by telephone 3 months after the stroke to determine the prognosis. \u0000Results \u0000A total of 221 patients were included, 59.3% of whom were male, and a mean age of 68.2 ± 13.8 years. One hundred and seventy-eight patients (178/221; 81%) were assessed 3 months after the ischemic stroke. Migraine was not associated with the stroke prognosis (logistic regression). \u0000Conclusion \u0000Migraine is not associated with the prognosis of ischemic stroke. \u0000Key-Words: Cerebrovascular Disease, Ischemic Stroke, Migraine, Stroke outcome.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78860868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Release of CGRP in vivo from rat dura mater: Influence of capsaicin and topiramate","authors":"R. F. Costa, E. P. Rosas, D. A. D. Oliveira, M. Valença","doi":"10.48208/headachemed.2022.supplement.30","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.30","url":null,"abstract":"Introduction\u0000Migraine is a disease that stands out for its high prevalence with changes in the nervous system, abnormal levels of neurotransmitters, neuromodulators, and neuropeptides. The main mechanisms of action of capsaicin are chemical induction through the activation of TRPV1 channels, allowing calcium influx into neurons in the trigeminal ganglion of the dura mater, activating mast cell degranulation, releasing pro-inflammatory (e.g., histamine, oxide nitric) and vasoactive (e.g., CGRP and substance P) substances. For treatment, classes of drugs are used to act on blood vessels and to prevent vasodilation, as well as depolarization of sensory fibers of the dura mater.\u0000Objectives\u0000To better understand sterile inflammation after exposing the dura mater bilaterally, we created an experimental model to study mechanisms of action of topiramate and capsaicin in mast cell degranulation and release of CGRP in a rat skull preparation in vivo using anesthetized animals.\u0000Methods\u0000Thirty-five Wistar rats were used, divided into two groups of chronic topiramate (GTC) treated with 20mg/kg/day, gavage/10 days, and acute topiramate (GTA) in situ in the dura mater (10-3M). The animals were anesthetized and cranial windows between the coronal and lambda sutures in the hemicraniums were performed with a drill to expose the dura mater bilaterally. 10-3M capsaicin was placed on the right side and synthetic interstitial fluid on the left side and exposed to contact for 10 minutes to a small cotton ball soaked with the respective solutions so that there is no leakage of the treatment, and posteriorly kept in the freezer (-20°C) for later quantification of CGRP. The percentage of degranulated mast cells was quantified after removal of the dura mater by staining it with toluidine blue. A commercial enzyme immunoassay quantified the release of CGRP from the cranial dura mater...\u0000(Too see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84705435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rocky Mountain spotted fever, an underdiagnosed cause of headache","authors":"Fernanda Cristina Poscai Ribeiro","doi":"10.48208/headachemed.2022.supplement.4","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.4","url":null,"abstract":"IntroductionRocky Mountain spotted fever is a tick-borne rickettsiosis. The main clinical signs and symptoms are fever, severe headache, rashes and myalgia. Endothelium tropism can lead to vasculitis, thrombosis, and hemorrhage. In addition, the disease can generate neurological impairment through meningoencephalitis, characterized by holocranial headache. It is considered difficult to diagnose and underreported because nonspecific signs and it is commonly confused with dengue.\u0000Objectives To analyze the epidemiology of spotted fever in São Paulo (state) between 2010 and 2020.\u0000MethodologyThe work is a descriptive cross-sectional study that statistically analyzes the cases of spotted fever in São Paulo between 2010 and 2020 through data obtained by the Information System of Notifiable Diseases (SINAN). The proportions of spotted fever cases were calculated according to: sex, age group, race/color, infection environment, confirmation criteria and evolution. The correlation coefficient between human development index (HDI) and that of the reporting city and mortality was estimated. The number of inhabitants and HDI were from the latest IBGE (Brazilian Institute of Geography and Statistics) census in 2010.\u0000ResultsThere are 869 cases were confirmed (representing 44% of the country's cases), of which 324 are from the metropolitan region of Campinas. The correlation coefficient between HDI and deaths is 0.06 and the average HDI of the cities is 0.79. (To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89549462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics of children and adolescents with primary and secondary headaches attended at the tertiary service in Brazil","authors":"Nathiely Viana Silva, Michelle Aparecida Anjos Santos, J. Pradela, F. Dach, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.9","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.9","url":null,"abstract":"IntroductionChildhood headache is one of the most common neurological symptoms that affects about 60% of children (CR) and adolescents (AD) and its prevalence increases with age. Primary and secondary childhood headache have different characteristics and prevalence, but also have similarities, such as the diagnostic and treatment method. However, the data available in the literature do not take into account the level of complexity at healthy service where these children and adolescents are treated.\u0000ObjectivesTo analyze the clinical characteristics of children (CH) and adolescents (AD) with primary and secondary headaches of tertiary-level headache outpatient clinic.\u0000MethodsRetrospective study, based on review of medical records of CH and AD with primary or secondary headaches between the years 2016 and 2021. Sociodemographic data, medical history, clinical history, and daily routine of the child were obtained. The proportion of primary and secondary headaches in the CH and AD groups was also calculated. For continuous variables and categorical data, the chi-square test was used, considering p<0.05.\u0000ResultsA total of 386 medical records were included, of which 206 were CH (n=112; 54.8% girls) and 178 AD (n=118; 66.8% girls). Headaches were episodic in CH (57.3%) and chronic in AD (49.7%), [X2(2)=10.001; p=0.007], of mild intensity in CH (64.1%), strong in AD (48.5%), [X2(3)=25.802; p=0.000]. In CH, the mostprevalent type of headache was in pressure (64.3%) and pulsatile in AD (52.8%), [X2(5)=14.595; p=0.012]. (To see the complete abstract, please, check out the PDF).\u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77601334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}