Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.49
P. Sousa-Santos, P. Pozzobon, Ana Flavia Andrade Lemos, C. Vieigas, Gilberto Magioni Junior, T. Alvarenga, I. Teixeira, L. C. Lopes
{"title":"Spontaneous intracranial hypotension syndrome presented with sixth cranial nerve palsy: a case report","authors":"P. Sousa-Santos, P. Pozzobon, Ana Flavia Andrade Lemos, C. Vieigas, Gilberto Magioni Junior, T. Alvarenga, I. Teixeira, L. C. Lopes","doi":"10.48208/headachemed.2022.supplement.49","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.49","url":null,"abstract":"Introduction\u0000Spontaneous intracranial hypotension (SIH) is a secondary cause of headache often misdiagnosed and underdiagnosed disorder. The main presentation is orthostatic headache. An uncommon symptom is cranial nerve palsy. We described a case of SIH that presented to our service with sixth cranial nerve palsy.\u0000Case Report\u0000Female, 39 years old, no relevant medical past or history of trauma, awoke due intense holocranial headache, associated with vomiting and photophobia, worsening in orthostasis. In the general emergency department, she was release with prescription of analgesics and topiramate, without resolution. After a week, the patient reported diplopia and was referred to our service, a tertiary center. In admission, she kept an intense orthostatic headache and in neurologic examination she presented right sixth nerve palsy, no other deficits. Laboratorial tests were normal, including metabolic and infectious marks. Cerebrospinal fluid (CSF) opening pressure was low (50 mmH2O) and analysis showed elevated protein levels (158mg/dl). MRI showed diffuse pachymeningeal enhancement and venous sinus distension, mainly in superior sagittal venous sinus. CT myelogram detected a spinal CSF leak in transition C1-C2. Initially, performed hydration and bed rest, while patient with partial improvement of headache. An epidural blood patch was then performed using 15ml of autologous blood with compatible contrast and lidocaine. There was complete resolution of pain after the procedure and four weeks later complete resolution of right sixth nerve palsy.\u0000Discussion\u0000According to International Classification of Headaches Disorders, third edition (ICHD-3), the headache attributed to SIH is descripted as a headache has developed in temporal relation to low CSF pressure (<60mm H2O) and/or evidence of CSF leakage on imaging.\u0000 \u0000(To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73716499","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.15
Ana Clara Oliver Machado, Eloisa Cristine Lohse, Gabriele Rapanha Teodoro, Maria Eduarda Ajita, Aline Vitali da Silva, V. A. Bello, Regina Célia Poli Frederico
{"title":"Anxiety and depression associated with migraine features","authors":"Ana Clara Oliver Machado, Eloisa Cristine Lohse, Gabriele Rapanha Teodoro, Maria Eduarda Ajita, Aline Vitali da Silva, V. A. Bello, Regina Célia Poli Frederico","doi":"10.48208/headachemed.2022.supplement.15","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.15","url":null,"abstract":"IntroductionMigraine is the most common primary headache in medical care, being the cause of migraine in more than 10% of the population, directly impacting the quality of life and working capacity of those affected. Recently, studies have indicated a close association between migraine and anxious and depressive disorders mediated by mechanisms such as alterations in monoamines (serotonin and dopamine) and neurotransmitter peptides such as endorphins and enkephalins, immune dysfunction, and genetic factors, causing symptoms and common characteristics among patients.\u0000ObjectiveInvestigate the association between anxiety and depression with migraine features and accompanying symptoms.\u0000MethodsCross-sectional study based on 466 patients with migraine, which were submitted to a structured interview in which demographic, clinical, anthropometric data and data related to migraine and its characteristics were obtained. Besides that, patients answered validated forms regarding the impact of migraine (HIT-6), allodynia (ASC-12), depression (IDB – inventário de Beck), anxiety (STAI Y-1 and Y-2) and hyperacusis scale. Categorical variables were evaluated using the chi-square test and numerical variables were analyzed using the Mann Whitney test. Statistical difference was considered when p≤0.05.\u0000Results466 patients participated in the study, of which 86.1% were women, the median age was 33 years, 55.5% of the individuals had episodic migraine and 61.8% reported absence of aura. Regarding the patients with anxiety, 93.30% reported association of osmophobia with migraine attack (p=0.03) and 46.70%, association with diarrhea (p=0.001). Patients with anxiety scored higher on the impact of migraine questionnaire (p=0.046), allodynia (p=0.005) and the hyperacusis scale (p=0.029).\u0000(To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73814304","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.17
Bárbara Prevital dos Santos, Bruna Maschi, G. Campos, Giovanna Correa Rossi, Giulia Eloah de Pádua Ribeiro, Glória Maria Doroso Volpato, Júlia Vitturi, Lara Schiavão de Carvalho, Larissa Carolina Rosin, Leticia A. Coelho, Rubem Soter Neto, V. A. Bello, Aline Vitali da Silva, Regina Célia Poli Frederico
{"title":"Single nucleotide variants in the SCN1A gene and their relation to the development of type 3 familial hemiplegic migraine","authors":"Bárbara Prevital dos Santos, Bruna Maschi, G. Campos, Giovanna Correa Rossi, Giulia Eloah de Pádua Ribeiro, Glória Maria Doroso Volpato, Júlia Vitturi, Lara Schiavão de Carvalho, Larissa Carolina Rosin, Leticia A. Coelho, Rubem Soter Neto, V. A. Bello, Aline Vitali da Silva, Regina Célia Poli Frederico","doi":"10.48208/headachemed.2022.supplement.17","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.17","url":null,"abstract":"IntroductionMigraine is a complex brain disorder that is influenced by different pathophysiological aspects such as inflammation, structural changes, and dysfunctions in multisensory processing. Recent studies have showed that possible mutations in genes that interfere with the excitability of ion channels linked to nociception are one of the key mechanisms for the development of a migraine. In this sense, it is known that familial hemiplegic migraine type 3 (FHM3) undergoes specific missense mutational influences on the SCN1A gene that encodes the α1 subunit of NAV1.1, a voltage-gated sodium channel present in the brain that demonstrates that the deregulation of the excitatory- inhibitory balance of these channels in specific circuits may come to characterize the pathogenic mechanism of FHM3.\u0000ObjectivesInvestigate the relation of single nucleotide variants (SNVs) on the SCN1A gene encoder of the a1 subunit of the NAV1.1 channel with the development of FHM3.\u0000MethodsNarrative review performed by active search in the digital databases Virtual Health Library (BVS), PubMed, SciElo and Google Scholar.\u0000DevelopmentMigraine pathophysiology involves the distribution of ions between intracellular and extracellular compartments, which shows the role of the ion channels in the disease. In this regard, there is an activation of the trigeminal vascular meningeal system by the NaV1.1 channels, which are expressed in Aδ fibers. Therefore, it is believed that mutations on genes that encodes the ion channels act in the development of migraine, mainly by the meninges, as they are densely innervated by trigeminal nerve endings. (To see the complete abstract, please, check out the PDF).\u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85772344","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.2
Bruno Teixeira Gomes, A. L. Costa, M. Mazzali
{"title":"Dialysis-related headache: prevalence and clinical features in patients on hemodialysis and after kidney transplantation","authors":"Bruno Teixeira Gomes, A. L. Costa, M. Mazzali","doi":"10.48208/headachemed.2022.supplement.2","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.2","url":null,"abstract":"IntroductionHeadache is a common symptom among patients on hemodialysis, occurring in up to 70%. Dialysis headache is defined by the International Classification of Headache Disorders (ICHD-3) as a headache with no specific characteristics, occurring during and caused by hemodialysis, and which resolves spontaneously within 72 hours after the session has ended. There is no consensus on its pathophysiology or triggering factors.\u0000ObjectiveTo evaluate the prevalence, clinical features and factors associated with dialysis headache in patients with chronic kidney disease on renal replacement therapy.\u0000MethodsCross-sectional observational study with a quantitative approach. Participants were divided into two groups: (1) 25 patients on hemodialysis and (2) 25 patients on early post kidney transplantation. All participants were interviewed with a structured questionnaire, the Hospital Anxiety and Depression Scale, and the Epworth Sleepiness Scale. Blood pressure, weight, urea, glucose and electrolytes were evaluated before and after one hemodialysis session. Control groups were classified within the headache-free patients in each group. Numerical variables were expressed as mean and standard deviation and evaluated using Student's t test (two-tailed) or Mann-Whitney U test. Categorical variables were expressed as percentage and evaluated using Pearson's chi- squared test. The p value was considered statistically significant when lower than 0.05.\u0000ResultsIn group (1), 8 patients (32%) were diagnosed with dialysis headache, predominantly pulsatile (n=6, 75%), accompanied by photophobia (n=6, 75%), phonophobia (n=4, 50%) and nausea or vomiting (n=6, 75%), with a mean pain score of 7.75 ± 1.58. Individuals with headache had higher scores for anxiety (7.00 ± 3.93 vs. 3.82 ± 3.23, p=0.03) and sleepiness (9.13 ± 3.94 vs. 4.76 ± 3, 85, p=0.01). (To see the complete abstract, please, check out the pdf). \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88574114","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.33
C. Bordini, Hilton Mariano da Silva Júnior
{"title":"Cephalalgia heterotopica: a case series of extratrigeminal cluster headache","authors":"C. Bordini, Hilton Mariano da Silva Júnior","doi":"10.48208/headachemed.2022.supplement.33","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.33","url":null,"abstract":"Introduction\u0000Cluster headache is a very disabling neurological disorder that usually presents with unilateral severe headache associated with ipsilateral cranial autonomic symptoms. Even among the typical cases, there is a considerable diagnostic delay and most patients will have seen three general practitioners before being referred to neurology services, some having been to colleagues in dentistry or otorhinolaryngology. The extratrigeminal presentation of this condition poses a great obstacle to a proper diagnostic workup. \u0000Objective\u0000This consecutive case series study aimed to report clinical features, treatment, and outcome of 3 patients with extratrigeminal Cluster Headache. \u0000Materials and Methods\u0000Case series of our Headache Clinic. Data disclosure was authorized by the patients through an informed consent form. \u0000Results\u0000Two males and one female were evaluated. The ages were 53, 64, and 71 years. The mean age of symptoms onset was 50, 60, and 66 years, respectively. Two patients described excruciating shoulder pain and one presents severe pain in the malar area. All patients reported prominent autonomic ipsilateral symptoms such as lacrimation, conjunctival injection, nasal symptoms, and restlessness accompanying pain attacks. Preventive treatment with verapamil and occipital nerve block was useful. \u0000Conclusion\u0000Extratrigeminal cluster presentation is a diagnostic challenge. Proper recognition of these cases prevents unnecessary examination and treatment trials and directly benefits the patients since effective treatment is already available. \u0000A proper case definition of this rare clinical presentation may provide new insight into our understanding of the cluster headache mechanisms. \u0000Keywords: Cluster headache, Extratrigeminal headache, Shoulder pain. \u0000 ","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":"89490797","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.19
Maria Clara Lopes de Barros, A. Braz, Júlio César Cimino Pereira Filho, M. Ribeiro, Matheus Silva Sousa, Vinícius Henrique dos Santos, Danilo Jorge da Silva, M. Jurno
{"title":"Prevalence of compulsion in migraine patients and its association with analgesic abuse","authors":"Maria Clara Lopes de Barros, A. Braz, Júlio César Cimino Pereira Filho, M. Ribeiro, Matheus Silva Sousa, Vinícius Henrique dos Santos, Danilo Jorge da Silva, M. Jurno","doi":"10.48208/headachemed.2022.supplement.19","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.19","url":null,"abstract":"IntroductionMigraine, is one of the most prevalent types of headaches, affects around 15% of people worldwide, more common among women, and causes a great effect in the quality of life of the individual. The diagnosis criteria of this disease is due to its duration and other characteristics such as phonophobia, photophobia, unilateral, pulsatile and intense crisis, nausea and vomiting, which can be preceded by aura and premonitory symptoms. With the purpose to ease those symptoms, the patients have a drug overuse. The medication-overuse headache (MOH) is an emerging problem, due to the possibility of developing psychiatric disorders like obsessive compulsive disorder (OCD) and impulsivity. Impulsivity consists in actions where the individual does not reflect upon it and make decisions fast, without planning or analyzing the case in the long term. Compulsion is defined as repetitive actions with the intention to ease anxiety or an uncomfortable situation.\u0000ObjectiveDetermine a prevalence of OCD in migraine patients, evaluating different scopes of it, including the association or not with drug abuse.\u0000MethodsA cross-sectional study with 117 patients of both sexes, older than 18 years old. The group was made with migraine patients diagnosed by a neurologist according to the International Classification of Headache Disorders (ICHD) separated in two groups, one that has analgesics abuse and other that do not have. Three questionnaires were used: Barratt Impulsiveness Scale (BIS-11); Obsessive Compulsive Inventory-Revised (OCI-R) and the Migraine Disability Assessment (MIDAS). The data collected was placed in an electronic worksheet and processed in Software SPSS Statistics 22.0. There was an assumption of a p value of 0,05 to all cases with the intention to reject the null hypothesis. (To see the complete abstract, please, check out the PDF).\u0000 \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83425098","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.18
M. Juliani, Amanda Brant Rocha, G. Zendrini, Giovana Rodrigues Salomão, Giovanna Sguissardi de Lima, Ana Laura Tirintan, Aline Vitali da Silva, V. A. Bello, Regina Célia Poli Frederico
{"title":"Influence of sleep and physical exercise in migraine patients","authors":"M. Juliani, Amanda Brant Rocha, G. Zendrini, Giovana Rodrigues Salomão, Giovanna Sguissardi de Lima, Ana Laura Tirintan, Aline Vitali da Silva, V. A. Bello, Regina Célia Poli Frederico","doi":"10.48208/headachemed.2022.supplement.18","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.18","url":null,"abstract":"IntroductionThe prevalence of headache and sleep disorders is quite high in the general population. Both are chronic pathologies considered factors of daily disability which often coexists in migraine patients. A cause-and-effect relationship between migraine attacks and sleepless nights has not been confirmed yet, but it is already recognized that they have in common neuropeptides and functional anatomy in their pathogenesis. Because of this high prevalence, there are several studies on treatment options and prophylactic measures for migraine. The regular practice of physical exercises is identified as an important prevention factor for migraine attacks. However, daily intense physical activities are identified as triggers for these attacks.\u0000ObjectivesTo investigate the correlation between sleep time and frequency of physical activity with headache days per month, migraine disability, allodynia, hyperacusis, anxiety and depression.\u0000MethodsCross-sectional study composed of 466 individuals of both sexes diagnosed with migraine. Patient data such as age, sex, race, body mass index (BMI), waist circumference, presence of hypertension and diabetes were analyzed. It was obtained information about the type of migraine (episodic or chronic; with or without aura), age of symptoms onset, duration of illness, use of prophylactic medication and excessive use of analgesics, as well as hours of sleep per night and frequency of practice of physical activity. Patients answered questionnaires to evaluate disability (Migraine Disability Assessment - MIDAS) and the impact of migraine (HIT-6), as well as questionnaires for anxiety (STAI Y1 and STAI Y2), depression (Beck Depression Scale), allodynia (ASC-12) and hyperacusis. Spearman's correlation test was performed and a statistical difference was considered when p ≤ 0.05. (To see the complete abstract, please, check out the PDF).\u0000","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"3 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90475659","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.35
R. Domingues, Márcio Vega, Carlos Giafferi, Fernando Brunale, Carlos Senne
{"title":"Caliber and type of needle are associated with the risk of spontaneously reported post-dural punction headache","authors":"R. Domingues, Márcio Vega, Carlos Giafferi, Fernando Brunale, Carlos Senne","doi":"10.48208/headachemed.2022.supplement.35","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.35","url":null,"abstract":"Introduction \u0000Post-dural punction headache (PDH) is defined as an orthostatic headache that develops within the first few days after performing a spinal tap and it is related to extravasation of cerebrospinal fluid (CSF) into the epidural space, resulting in hypovolemia and CSF hypotension. The risk factors for PDH are not yet fully understood. \u0000Objective \u0000To evaluate the risk of spontaneously reported PDH according to the size and type of spinal tap needle. \u0000Methods \u0000A total of 4589 patients undergoing outpatient lumbar puncture were included. All CSF collections were performed at Senne Liquor Diagnostico, a laboratory specialized in CSF collection and analysis. Patients were instructed to report by telephone the onset of orthostatic headache during the first 7 days after the puncture to the medical team of the laboratory. Patients with previous headache were instructed to report any change in the headache pattern during the same period. \u0000Needle gauge was classified into two groups: 1) 25G or less and 2) greater than 25G. Two types of needles were used and compared: 1) Pencil point and 2) Quincke. \u0000Comparisons of the percentages of spontaneous reports of PDH were made using the chi-square test. \u0000Results \u0000141 patients (3.07%) reported PHD to the laboratory's medical team. Needles of 25G gauge or less were used in 31.8% of cases. The percentage of patients reporting PHD in the group of 25G or less needles was 1.9% versus 3.6% in the group of greater than 25G needles (P=0.003). Pencil point needles were used in 10.6% of cases. The percentage of PHD among pencil point group was 1.4% versus 3.2% in Quincke group (P=0.026). \u0000Conclusion \u000025G or finer gauge needles as well as pencil point type needles significantly reduced the risk of spontaneously reported PHD. \u0000Key-words: \u0000Post-dural punction headache, Spinal Tap, Spinal Tap Needle.","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":"87211113","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.1
J. Andrade, M. F. Peres, R. Silva-Néto, M. Valença
{"title":"Headache Medicine: updates and bibliometric analysis","authors":"J. Andrade, M. F. Peres, R. Silva-Néto, M. Valença","doi":"10.48208/headachemed.2022.supplement.1","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.1","url":null,"abstract":"Introduction \u0000Headache Medicine is the official scientific journal of the Brazilian Headache Society that has been publishing clinical and experimental, qualitative, and quantitative research on headaches and orofacial pain for 28 years, as well as aspects related to pain that may have implications for headaches. In constant updating, Headache Medicine demonstrates commitment and scientific ethics following the international criteria for publication in the medical field. \u0000Objective \u0000Describe updates made in 2020 to the management and editorial process and bibliometric data from Headache Medicine publications and accesses to demonstrate their impact on headache science. \u0000Methods \u0000Data on the quantity and location of accesses until September 2022 were obtained from Google Analytics. The most accessed and read articles (originals, reviews, or case reports) were identified through the statistical reports of the Open Journal Systems (OJS). The journal's H5 index and the citations of each published paper were consulted in Publish or Perish and Google Scholar, respectively. \u0000Results \u0000In 2020, Headache Medicine obtained ISSN online, migrated its management to OJS, registered a Digital Object Identifier (DOI) on all articles published, linked the authors' ORCiD to the publication, and updated the publication of the numbers of each issue. Google Analytics has been monitoring Headache Medicine for just 2 years and has already accounted for more than 38,000 accesses from 150 countries. Brazil (29,282 accesses), the United States (2,186 accesses), Portugal (1,434 accesses) and China (377 accesses) are the 4 countries with the most access. Headache Medicine has published 202 original articles, reviews or case reports since 2010. The three most accessed articles with abstract and full article are literature review: Topiramate and cognitive function: review (Santos et al., 2005) with 1,152 accesses, Pizotifen for the treatment of migraine. \u0000(To see the complet abstract, please, check out the PDF.)","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":"75614958","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}
Headache MedicinePub Date : 2022-10-27DOI: 10.48208/headachemed.2022.supplement.39
J. Andrade, Cláudia Cristina de Lira Santana, Bruno Felipe Novaes de Souza, Fernando Cruz, M. Valença
{"title":"Headache frequency among 71,267 admissions to an adult medical emergency in the city of Recife in 2021","authors":"J. Andrade, Cláudia Cristina de Lira Santana, Bruno Felipe Novaes de Souza, Fernando Cruz, M. Valença","doi":"10.48208/headachemed.2022.supplement.39","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.39","url":null,"abstract":"Introduction\u0000Pain is a warning sign that can mean great suffering and risk of death, and makes the patient seek a medical emergency for evaluation by specialists.\u0000Objective\u0000To verify the frequency of patients with headache disorders among those with pain admitted to the emergency department of a private hospital in Recife, Brazil, during the year 2021, using the international classification of diseases (ICD).\u0000Methods\u0000This is a retrospective study. The authors used the Business Intelligence (BI) tool to verify the number of admission by the ICD 10 recorded in 2021 in the emergency room of Hospital Unimed Recife III. The sample described in this study covers only the ICDs that had the word DOR (pain in Portuguese) or pain be the main symptom of the condition represented by the respective ICD. We selected only ICDs used in at least five admissions in 2021 (January to December), independent of readmission of the same patient.\u0000Results\u0000There were 71,267 consultations in 2021 using 2,296 different ICDs. Of these, the Headache (CEFALEIA) ICD was the 7th most frequent (n= 2,121) behind the following ICDs: Unspecified viral infection (n= 4,327); Influenza with other respiratory manifestations, due to unidentified virus (n= 3,335); Respiratory infection by the new coronavirus (Covid-19) (n= 2,927); Low back pain (n=2,759) and Diarrhea and gastroenteritis of presumptive infectious origin (n=2,739). In 27,853/71,267 (39.1%), the consultations were related to pain in any part of the body (with 258 ICDs). In the group of patients with pain of traumatological, orthopedic, or rheumatic origin, there were 10,148 consultations (142 ICDs); Abdominal or pelvic pain (5,675, with 23 DICs); Spinal pain (3,805, with 10 ICDs); and Chest pain, including coronary ischemia (1,786, with 10 ICDs)...\u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80664916","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}