Volume : 7, Issue : 11, November - 2018

Clinical Characteristics Of Migraine Headache, Eight years' Experience In Misan Province From 2010 to 2018

Khalid Obaid Mohsin

Abstract :

<span style="font-size:14.0pt;
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mso-bidi-language:AR-IQ">Background:<span style="font-size:14.0pt;
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color:#4BACC6;mso-themecolor:accent5;mso-font-width:110%"><o:p></o:p> Migraine is a common primary headache  intermittently debilitating neurovascular disorder that affects younger adults, especially women. The diagnosis is generally made based on clinical criteria, with neuroimaging used in some cases to exclude secondary causes of headache.<span lang="AR-SA" dir="RTL" style="font-size:14.0pt;line-height:115%;font-family:"Times New Roman","serif";
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major-bidi;color:#4BACC6;mso-themecolor:accent5;mso-font-width:110%"><o:p></o:p> <span style="font-size:14.0pt;
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mso-bidi-language:AR-IQ">Objectives:<span style="font-size:12.0pt;
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mso-bidi-language:AR-IQ"> This study conducted to highlights the followings clinical  observations about migraine in out-patients sample  in Misan province , Iraq .The types and subtypes of migraine , prevalence  duration and frequency of acute attacks  ,and severity ,disability –quality of life affection and complications.  <span lang="AR-IQ" dir="RTL" style="font-size:14.0pt;line-height:115%;font-family:"Times New Roman","serif";
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major-bidi;mso-bidi-language:AR-IQ"><o:p></o:p> <span style="font-size:14.0pt;
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mso-bidi-language:AR-IQ">Patients and methods: <span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
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mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi">Out-patients based cohort prospective study , was conducted  in Misan province  over nine years from January 2010 to July 2018.<span style="font-size:12.0pt;
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mso-bidi-theme-font:major-bidi"> The  total number of the sample was 1412 patients .aged  12 to < 50 years old,  both gender .with a diagnosis of  migraine headache  according to the criteria of  International Classification of Headache Disorders (ICHD-III b version)  . Slandered  descriptive statistics analysis had been used.<o:p></o:p> <span style="font-size:14.0pt;
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color:#252525;letter-spacing:-.05pt">Results : <span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
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major-bidi;color:#252525;letter-spacing:-.05pt">Total number of sample was 1412 patient with migraine head ache , female were 1100, [77.9%], male were 312 [22.1%], female/male ratio 3.5:1 (CI 95% p=0.05).<span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
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major-bidi;letter-spacing:-.05pt;mso-bidi-language:AR-IQ"> Median  age ±SD Years ( 21±5.42) years .range (12-45 )years .and ,Mean age / years  at which the first attack was ( 17±4.91) year .  The  prevalence rate   percentage [%]  Migraine without aura was the commonest [68 %],the second most common was migraine with aura [9 %].while chronic migraine with continuous pain is the third most common type of migraine,[6.4%].The mean frequency of attacks is (<span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
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major-bidi;letter-spacing:-.05pt;mso-bidi-language:AR-IQ">2±4.63) day/month. About [48%] of patients experience non-specific prodrome 1-1.5 hours before attacks Collectively about [27%]of patient in this study experienced  aura during the period of stud.<span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:
major-bidi;color:#252525;letter-spacing:-.05pt">Severity of migraine headache it  depends on ( frequency , duration of attacks ) ,we added in this study disabling symptoms , systemic hypotension and changes in level of consciousness by Glasgow coma scale . In general the acute attacks were moderate to severe , with mean duration of 24 hours (60%) p < 0.01. with mean frequency days /month about 2 to 4 / month in ( 94%) p <0.05 ,but very few patient (0.5%) the frequency may reach 14 to 16 /month especially in chronic migraine. <span style="font-size:14.0pt;line-height:115%;
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letter-spacing:-.05pt"><o:p></o:p> <span style="font-size:14.0pt;
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color:#252525;letter-spacing:-.05pt">Conclusions:<span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:
major-bidi;color:#252525;letter-spacing:-.05pt"> Migraine is  a common  cause of primary headache <span style="font-size:12.0pt;
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mso-bidi-theme-font:major-bidi;color:#231F20">that is responsible for frequent episodes of temporary disability <span style="font-size:12.0pt;
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color:#252525;letter-spacing:-.05pt"> .<span style="font-size:12.0pt;line-height:115%;font-family:"Times New Roman","serif";
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mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;color:#222222">In this study a confirms an increase in risk of stroke among women with migraine who use estrogen containing contraceptives<span style="font-size:12.0pt;
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color:#252525;letter-spacing:-.05pt">. The acute migraine attacks varying in their frequency ,duration of attacks . non-specific prodromal symptoms ,triggering factors between patients attacks   in the same individual.  <span style="font-size:14.0pt;line-height:115%;font-family:"Times New Roman","serif";
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Keywords :

Headache Primary headache Migraine Misan

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

Clinical Characteristics Of Migraine Headache, Eight years' Experience In Misan Province From 2010 to 2018 , Khalid Obaid Mohsin , GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-11 | November-2018