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

Khalid Obaid Mohsin

Volume : VII, Issue : XI, November - 2018

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

Khalid Obaid Mohsin

Abstract :

Background:

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.

Objectives: 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.

Patients and methods: Out-patients based cohort prospective study , was conducted in Misan province over nine years from January 2010 to July 2018. 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.

Results : 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). 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 (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.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.

Conclusions: Migraine is a common cause of primary headache that is responsible for frequent episodes of temporary disability .In this study a confirms an increase in risk of stroke among women with migraine who use estrogen containing contraceptives. The acute migraine attacks varying in their frequency ,duration of attacks . non-specific prodromal symptoms ,triggering factors between patients attacks in the same individual.