15 results on '"Cefalea de Tipo Tensional"'
Search Results
2. Cefalea por uso excesivo de medicamentos: implicaciones clínicas y terapéuticas
- Author
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Martha R. Alvarez S, Ronald G. García, and Federico Arturo Silva S
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Cefalea ,Medicamentos ,Cefalea de tipo tensional ,Trastornos migrañosos ,Cefaleas secundarias ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
La cefalea por uso excesivo de medicamentos (CUEM) se define como la presencia de cefalea diaria o casi diaria (15 días o más de evolución), que se produce en pacientes con antecedente de cefalea primaria que usan excesivamente medicamentos. Está entidad está asociada a coomorbilidad psiquiátrica, por lo que las características clínicas se hacen más complejas con el paso del tiempo. El manejo fundamental se basa en la suspensión del medicamento sobre el que se centra el abuso (analgésicos, ergotamina, triptanes y opioides). Sin embargo, es necesario tomar en consideración que la suspensión de estos medicamentos puede asociarse a otros problemas como “cefalea de rebote”, síndrome de abstinencia o convulsiones epilépticas; incrementando las tasas de recaída en estos pacientes.
- Published
- 2023
3. Manual therapy associated with topical heat reduces pain and self-medication in patients with tension-type headache.
- Author
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Soares Gui-Demase, Maisa, Cristina da Silva, Kelly, and dos Santos Teixeira, Gisely
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HEAT ,PAIN measurement ,CLINICAL trials ,CONFIDENCE intervals ,SELF-management (Psychology) ,ONE-way analysis of variance ,MYOFASCIAL pain syndromes ,T-test (Statistics) ,DIARY (Literary form) ,SLEEP ,TENSION headache ,MANIPULATION therapy ,QUESTIONNAIRES ,QUALITY of life ,DESCRIPTIVE statistics ,PAIN management - Abstract
Copyright of Fisioterapia e Pesquisa is the property of Universidade de Sao Paulo, Faculdade de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
4. Relación entre los trastornos temporomandibulares y las cefaleas: revisión bibliográfica.
- Author
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J., Estallo-Villuendas and M., Mendoza-Puente
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TEMPOROMANDIBULAR disorders , *CRANIOMANDIBULAR disorders , *HEADACHE , *HEAD diseases , *TEMPOROMANDIBULAR joint - Abstract
Introduction: the incidence of temporomandibular disorders (TMD) is up to 50 % in the adult population and headache can be extremely disabling in severe cases. In addition, both pathologies can appear simultaneously. Therefore, it is necessary to know the scientific evidence on the relationship of both pathologies in the adult population. Objective: the aim of this study is to review the scientific evidence regarding the relationship between temporomandibular disorders and headaches among the adult population. Material and method: a search for observational articles in English and Spanish was performed in the Medline Complete, Cinhal Complete and Academic Search Complete databases. Articles that analyzed in adults the relationship between TMD and headaches in adults from different variables were included. A critical reading of each article was made through the Newcastle-Ottawa Quality Assessment Scale. Results: eight articles met the eligibility criteria and were part of the present review. Six of them assessed how the presence of temporomandibular disorder could influence headaches, while 3 studies studied headache as a risk factor to verify its relationship with temporomandibular disorders. All studies fulfill STROBE criteria for observational studies. Conclusion: there is a relationship between TMD and headaches, both pathologies appearing simultaneously, despite the need for a muscular component in TMD to produce a headache.The greater the pain or the severity of the TMD, the more likely you are to have a headache. Migraine is the type of headache most closely related to TMDs. [ABSTRACT FROM AUTHOR]
- Published
- 2021
5. Associations between Fatty Acid Intake and Tension-Type Headache: A Cross-Sectional Study
- Author
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Diego Dominguez-Balmaseda, Ángel González de la Flor, José Ángel Del Blanco Muñiz, and Guillermo García Pérez de Sevilla
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Ácidos grasos monoinsaturados ,Efectos fisiológicos ,Cefalea de tipo tensional ,Nutrición ,Enfermedad cardiovascular ,General Medicine ,tension-type headache ,monounsaturated fatty acids (MUFAs) ,polyunsaturated fatty acids (PUFAs) ,Omega-3 (ω-3) ,Omega-6 (ω-6) - Abstract
Introduction: Patients with tension-type headache (TTH) are characterized by recurrent pain that can become disabling. Identifying the dietary triggers of headaches has led to defining dietary strategies to prevent this disease. In fact, excessive dietary intake of Omega-6 (ω-6) fatty acids, or an ω-6: ω3 ≥ 5 ratio, typical of Western diets, has been associated with a higher prevalence of headaches. The objectives of the present study were to compare dietary fatty acid intake between participants with and without chronic TTH and to investigate the association between dietary fatty acid intake, pain characteristics, and quality of life in patients with chronic TTH. Methods: An observational study was conducted, comparing healthy participants (n = 24) and participants diagnosed with chronic TTH for more than six months (n = 24). The variables analyzed were dietary fatty acid intake variables, the Headache Impact Test (HIT-6), and the characteristics of the headache episodes (intensity, frequency, and duration). Results: The TTH group reported a significantly higher intake of saturated fatty acids (SFAs) but similar intakes of monounsaturated fatty acids (MUFAs), polyunsaturated fatty acids (PUFAs), and ω-6: ω-3 ratio when compared to controls. Furthermore, in the TTH group, the Ω-6 fatty acid intake was associated with more intense headache episodes. In addition, the TTH group reported a significant impact of headaches on their activities of daily living according to the HIT-6. Conclusions: Higher intakes of SFAs and Ω-6 fatty acids were associated with more severe headache episodes in patients with TTH. Therefore, the characteristics of the diet, in particular the dietary fatty acid intake, should be considered when treating these patients. Sin financiación 4.964 JCR (2021) Q2, 55/172 Medicine, General & Internal 1.040 SJR (2021) Q1, 438/2489 Medicine (miscellaneous) No data IDR 2021 UEM
- Published
- 2022
6. Relationship between Self-Efficacy and Headache Impact, Anxiety, and Physical Activity Levels in Patients with Chronic Tension-Type Headache: An Observational Study
- Author
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Ángel González de la Flor, Guillermo García Pérez de Sevilla, Diego Domíngez Balmaseda, Daniel Martín Vera, María Montero Martínez, and Jose Ángel Del Blanco Muñiz
- Subjects
Article Subject ,Calidad de vida ,Tension-Type Headache ,Enfermedad cardiovascular ,Headache ,General Medicine ,Anxiety ,Self Efficacy ,Neuropsychology and Physiological Psychology ,Cefalea de tipo tensional ,Neurology ,Terapia por ejercicio ,Signos y síntomas ,Humans ,Neurology (clinical) ,Psicofisiología ,Exercise - Abstract
Background. Chronic tension-type headache is the primary headache with the highest prevalence. The present study is aimed at analyzing the associations between patient self-efficacy and headache impact with pain characteristics, kinesiophobia, anxiety sensitivity, and physical activity levels in subjects with chronic tension-type headache. Materials and Methods. An observational descriptive study was carried out. A total sample of 42 participants was recruited at university environment with diagnosis of tension-type headache. Headache characteristics (frequency, intensity, and duration), physical activity levels, pain related-self-efficacy, kinesiophobia, anxiety sensitivity, and headache impact were measured. Results. The HIT-6 ( 61.05 ± 6.38 ) score showed significant moderate positive correlations with the ASI-3 score ( 17.64 ± 16.22 ; r = 0.47 ) and moderate negative correlations with the self-efficacy in the domains of pain management ( 31.9 ± 10.28 ; r = − 0.43 ) and coping with symptoms ( 53.81 ± 14.19 ; r = − 0.47 ). ASI-3 score had a negative large correlation with self-efficacy in the domains of pain management ( r = − 0.59 ), physical function ( 53.36 ± 7.99 ; r = − 0.55 ), and coping with symptoms ( r = − 0.68 ). Physical activity levels showed positive moderate correlations with the self-efficacy in the domain of physical function ( r = 0.41 ). Linear regression models determined that the self-efficacy and anxiety sensitivity with showed a significant relationship with the HIT-6 score ( R 2 = 0.262 ; p = 0.008 ) and with the ASI-3 score ( R 2 = 0.565 ; p < 0.001 ). In addition, no correlations were found between pain intensity, duration or frecuency with psychosocial factors, or headache impact. Conclusions. The present study showed that patients with chronic tension-type headache had a great negative impact on daily tasks and physical activity levels, which were associated with higher anxiety levels and lower self-efficacy.
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- 2022
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7. Deep Cervical Muscles and Functionality in Patients with Chronic Tension-Type Headache: An Observational Study
- Author
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Guillermo García-Pérez-de-Sevilla, Ángel Gónzalez-de-la-Flor, Daniel Martín-Vera, Diego Domínguez-Balmaseda, and José Ángel del-Blanco-Muñiz
- Subjects
Músculos del cuello ,Cefalea de tipo tensional ,Neck Muscles ,tension-type headache ,deep cervical muscles ,muscle thickness ,pain vigilance ,Tension-Type Headache ,Cervical Vertebrae ,Headache ,Humans ,General Medicine ,Range of Motion, Articular ,Ciencias médicas ,Enfermedad - Abstract
Background and objectives: Chronic tension-type headache (TTH) is the type of headache with the highest prevalence. The involvement of musculoskeletal structures in TTH is supported by evidence in the scientific literature. Among these, deep cervical muscle strength appears to be related to the function of the cervical spine and the clinical characteristics of TTH. This study aimed to correlate anatomical, functional, and psychological variables in patients with TTH. Materials and methods: An observational descriptive study was carried out with 22 participants diagnosed with TTH for at least six months. The characteristics of headaches, including ultrasound-based deep neck flexor and extensor muscle thickness, range of motion (ROM), and pressure pain threshold (PPT), were recorded. We also conducted the Pain Vigilance and Awareness Questionnaire (PVAQ) and the Craniocervical Flexion Test (CCFT). Results: Moderate–large negative correlations were found between the PVAQ and the muscle thickness of right deep flexors contracted (r = −0.52; p = 0.01), left multifidus contracted (r = −0.44; p = 0.04), right multifidus at rest (r = −0.48; p = 0.02), and right multifidus contracted (r = −0.45; p = 0.04). Moderate–large positive correlations were found between the CCFT score and the left cervical rotation ROM (r = 0.53; p = 0.01), right cervical rotation ROM (r = 0.48; p = 0.03), muscle thickness of left multifidus contracted (r = 0.50; p = 0.02), and muscle thickness of right multifidus at rest (r = 0.51; p = 0.02). The muscle thickness of the contracted right deep cervical flexors showed a moderate negative correlation with headache intensity (r = −0.464; p = 0.03). No correlations were found between PPT and the rest of the variables analyzed. Conclusions: In patients with TTH, a higher thickness of deep cervical muscles was associated with higher ROM and higher scores in the CCFT. In turn, the thickness of deep cervical muscles showed negative correlations with pain hypervigilance and headache intensity. These results contribute to a better understanding of the physical and psychosocial factors contributing to the development of TTH, which is useful for implementing appropriate prevention and treatment measures. Sin financiación 2.948 JCR (2021) Q3, 87/172 Medicine, General & Internal 0.536 SJR (2021) Q2, 1154/2489 Medicine (miscellaneous) No data IDR 2020 UEM
- Published
- 2022
8. Cefalea en la infancia: experiencia clínica en la Unidad de Neuropediatría del Hospital Doctor Miguel Pérez Carreño, Caracas, Venezuela = Headache in children: clinical experience at the the Neuropediatric Unit, Hospital Doctor Miguel Pérez Carreño, Caracas, Venezuela
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Carolina Machuca, Josefa, Guevara Colón, Rosa Isabel, Cornejo Ochoa, José William, Cañizales Durán, Elizabeth, Jaimes, Victor Hugo, Palencia Gutiérrez, Cervia Margarita, and Carballo, Esther Alicia
- Subjects
Cefalea ,Cefalea de Tipo Tensional ,Dieta ,Migraña con Aura ,Migraña sin Aura ,Pediatría ,Diet ,Headache ,Migraine with Aura ,Migraine without Aura ,Pediatrics ,Tension-Type Headache ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introducción: la cefalea es común en la infancia y su frecuencia aumenta en la adolescencia; raras veces está relacionada con enfermedades graves, pero sí repercute negativamente en la calidad de vida.Objetivo: determinar las características clínicas y epidemiológicas de la cefalea en una cohorte de niños, clasificarla y evaluar la respuesta al tratamiento profiláctico.Métodos: estudio descriptivo, prospectivo y longitudinal en el que se analizaron las siguientes variables: edad, sexo, antecedentes perinatales y personales, historia familiar de cefalea, características de los episodios, tratamiento recibido y respuesta al mismo. Se clasificaron los casos de acuerdo con los criterios de la Sociedad Internacional de Cefalea y según su patrón temporal.Resultados: el grupo más afectado fueron los escolares y predominaron las niñas. El antecedente familiar de migraña estuvo presente en 64,7%. Predominó la migraña sin aura (63,9%). Recibieron tratamiento profiláctico 88,6% y hubo buena respuesta en 88,2%. Los estudios de neuroimágenes y el EEG hechos de rutina no tuvieron utilidad.Conclusiones: no existen criterios estandarizados para la clasificación de la cefalea en la infancia, pero debe hacerse un seguimiento adecuado de todos los síntomas para validar los criterios diagnósticos y reducir el impacto negativo sobre la calidad de vida.
- Published
- 2012
9. La terapia manual asociada con calor superficial redujo el dolor y la automedicación en pacientes con cefalea tensional
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Gisely dos Santos Teixeira, Maisa Soares Gui-Demase, and Kelly Cristina da Silva
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medicine.medical_specialty ,medicine.medical_treatment ,Pain ,RM1-950 ,Cefalea de Tipo Tensional ,Massagem ,Masaje ,medicine ,Dor ,Myofascial trigger point ,Massage ,Referred pain ,business.industry ,Cefaleia do Tipo Tensional ,Tension-Type Headache ,medicine.disease ,Heat therapy ,Temporomandibular joint ,Masticatory force ,medicine.anatomical_structure ,Muscle relaxation ,Physical therapy ,Therapeutics. Pharmacology ,Manual therapy ,Dolor ,business - Abstract
Tension-type headache (TTH) is a significant public health problem. The myofascial trigger points in the masticatory and cervical muscles are related to pain located in the temporomandibular joint, face, and cranium according to specific patterns. Thus, therapeutic procedures should be directed to myofascial trigger points rather than to the area of referred pain. For this purpose, the massage therapy combined with the topical heat can provide effective results due to the increase of the local microcirculation, improving tissue perfusion and promoting muscle relaxation. In this study we investigated the effects of manual therapy associated with topical heat therapy in TTH pain. This is a single-arm study composed of 13 participants with TTH (females), which were submitted to a three-month research protocol. In the first month , they filled out a pain diary and then they were evaluated. In the following month, the treatment protocol was applied (8 sessions of 45 minutes, twice a week, involving massage for skin desensitization, myofascial trigger point deactivation and stretching (friction massage) on masticatory and trapezius muscles after the topical heat). Then, in the third month (follow-up period), the participants were instructed to fill out the pain diary once again. We observed a significant decrease in pain intensity in TTH episodes, and medication intake after treatment and it keeps decreasing in follow-up. We conclude that the combination of manual therapy protocol and topical heat reduced pain and episodes related to TTH, and self-medication use in our sample. RESUMO A cefaleia do tipo tensional (CTT) é um relevante problema de saúde pública. Os pontos-gatilho miofasciais nos músculos mastigatórios e do pescoço referem-se a dor na articulação temporomandibular, face e crânio, de acordo com padrões específicos, e os procedimentos terapêuticos devem ser direcionados para essas áreas, ao invés de zonas de dor referida. Assim, a massagem terapêutica pode proporcionar resultados efetivos quando combinada ao calor superficial, aumentando a microcirculação local, melhorando a perfusão de tecido e promovendo o relaxamento muscular. Desse modo, investigamos os efeitos da terapia manual associada ao calor superficial na CTT. Este é um estudo de braço único, envolvendo 13 participantes com CTT do gênero feminino, as quais foram submetidas a um protocolo de pesquisa de três meses. No primeiro mês (efeito de controle), elas foram avaliadas e preencheram o diário da dor. No mês seguinte, o protocolo de tratamento foi aplicado (8 sessões de 45 minutos, duas vezes por semana, envolvendo massagem para dessensibilização da pele, alongamento e desativação do ponto de gatilho miofascial (massagem de fricção) nos músculos mastigatório e trapézio, após o calor superficial). No terceiro mês (período de seguimento), as participantes foram instruídas a preencher novamente o diário da dor. Observamos uma diminuição significativa da intensidade da dor, dos episódios de CTT e da ingestão medicamentosa após o tratamento, que persistiram no período de seguimento. Concluímos que a combinação do protocolo de terapia manual e do calor superficial reduziu a dor e crises relacionadas a CTT e a automedicação na amostra estudada. RESUMEN La cefalea de tipo tensional (CTT) es un relevante problema de salud pública. Los puntos gatillo miofasciales en los músculos masticatorios y del cuello se refieren al dolor en la articulación temporomandibular, la cara y el cráneo según los patrones específicos, y los procedimientos terapéuticos deben dirigirse más a estas áreas que a las que refieren el dolor. Ante esto, el masaje terapéutico asociado con el calor superficial puede ser eficaz, aumentando la microcirculación local, mejorando la perfusión tisular y promoviendo la relajación muscular. En este sentido, investigamos los efectos de la terapia manual asociada con el calor superficial en la CTT. Este es un estudio de un solo brazo, realizado con 13 participantes con CTT del género femenino, que se sometieron a un protocolo de investigación de tres meses. En el primer mes (efecto de control), las participantes se sometieron a evaluación y completaron el diario del dolor. En el mes siguiente se aplicó el protocolo de tratamiento (8 sesiones de 45 minutos, dos veces por semana, con masaje para desensibilización cutánea, estiramiento y desactivación del punto gatillo miofascial -masaje de fricción- en los músculos masticatorio y el trapecio, después del calor superficial). En el tercer mes (periodo de monitoreo), las participantes volvieran a completar el diario del dolor. Observamos una disminución significativa de la intensidad del dolor, los episodios de CTT y la ingesta de fármacos después del tratamiento, que persistió en el periodo de monitoreo. Concluimos que el protocolo de terapia manual asociado con calor superficial redujo el dolor y crisis relacionados con la CTT y la automedicación en la muestra estudiada.
- Published
- 2021
10. Sistema trigémino vascular y cefalea.
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ZARCO MONTERO, LUIS ALFONSO, PRETELT, FELIPE, MILLÁN, SONIA PATRICIA, and GIL, LAURA NATALIA
- Abstract
Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
11. Cefalea en la infancia: experiencia clínica en la Unidad de Neuropediatría del Hospital Doctor Miguel Pérez Carreño, Caracas, Venezuela.
- Author
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Gutiérrez, Cervia Margarita Palencia, Jaimes, Víctor Hugo, Durán, Elizabeth Cañizales, Ochoa, José William Cornejo, Machuca, Josefa Carolina, Colón, Rosa Isabel Guevara, and Carballo, Esther Alicia
- Subjects
HEADACHE in children ,CHILDREN'S health ,ADOLESCENT health ,QUALITY of life ,MIGRAINE - Abstract
Copyright of Iatreia is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
- Full Text
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12. Asociación de cefalea de tipo tensional con disfunción temporomandibular según el índice DC/TMD
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María del Carmen Huapaya Pardavé and Felipe Enrique Lozano Castro
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diagnosis ,dolor ,pain ,General Medicine ,Temporomandibular disorders ,cefalea de tipo tensional ,Trastornos de la articulación temporomandibular ,tension-type headache ,diagnóstico - Abstract
Objetivos: Este estudio evaluó la asociación entre cefalea de tipo tensional y disfunción temporomandibular en adultos jóvenes del servicio de Neurología y Estomatología del Centro Médico Naval Cirujano Mayor Santiago Távara "CMST" durante el periodo de setiembre a diciembre del 2015. Material y métodos: Los 154 pacientes adultos jóvenes (18 a 30 años) fueron divididos en dos grupos, el primer grupo de 77 pacientes con diagnóstico de cefalea de tipo tensional y un grupo control de 77 pacientes sin diagnóstico de cefalea de tipo tensional. Se ejecutó un estudio piloto considerando criterios de inclusión y exclusión, luego los pacientes desarrollaron el cuestionario de síntomas del DC/TMD para finalmente realizar el examen clínico del Eje I. Resultados: La presencia de disfunción temporomandibular en el grupo de cefalea de tipo tensional fue de 71,4% y para el grupo control de 11,7%. En los pacientes diagnosticados con disfunción temporomandibular, predominó la presencia de desórdenes intraarticulares con un 59,7% para el grupo de cefalea de tipo tensional y 7,8% para el grupo control respectivamente. Se encontró asociación significativa entre cefalea de tipo tensional y disfunción temporomandibular (X2= 56,57; p=0,000) y en cuanto a la presencia de los grados de disfunción temporomandibular se encontró diferencia estadísticamente significativa (U=1252,50; p=0,000). Conclusiones: Existe asociación entre cefalea de tipo tensional y disfunción temporomandibular. Los pacientes con cefalea de tipo tensional presentaron desórdenes intraarticulares. Objectives: This study evaluated the association between tension-type headache and temporomandibular dysfuntion according to the Index Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) in patients at the Neurology and Dentistry services of Navy Medical Center Major Surgeon Santiago Tavara "CMST" during the period from september to december of 2015. Material and methods: 154 young adult patients (18-30 years) divided into two groups, the first group of 77 patients with a diagnosis of Tension-type headache and a control group of 77 patients who did not suffer from Tension-type headache. A pilot study under certain inclusion and exclusion criteria was executed, then the patients solved a symptom questionnaire and subsequently underwent a clinical examination of the DC/TMD Axis I. Results: The presence of Temporomandibular Dysfunction in Tension-type headache group was 71.4% and in the control group 11.7%. Besides the degree of Temporomandibular Dysfunction predominant both in Tension-type headache group and the control group was the intraarticular disorders with 59.7% and 7.8% respectively. There is a significant association between Tension-type headache and temporomandibular dysfunction (X2 = 56.57; p = 0.000) and a statistically significant difference between the degrees of Temporomandibular Dysfunction (U = 1252.50; p = 0.000). Conclusions: There is association between Tension-type headache and temporomandibular dysfunction. Tension-type headache patients were diagnosed with intraarticular disorders.
- Published
- 2016
13. Cefalea en la infancia: experiencia clínica en la Unidad de Neuropediatría del Hospital Doctor Miguel Pérez Carreño, Caracas, Venezuela
- Author
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Palencia Gutiérrez, Cervia Margarita, Jaimes, Víctor Hugo, Cañizales Durán, Elizabeth, Cornejo Ochoa, José William, Machuca, Josefa Carolina, Guevara Colón, Rosa Isabel, and Carballo, Esther Alicia
- Subjects
Migraine without Aura ,Tension-Type Headache ,Migraña con Aura ,Migraine with Aura ,Pediatría ,Headache ,Dieta ,Migraña sin Aura ,Cefalea ,Cefalea de Tipo Tensional ,General Medicine ,Pediatrics ,Diet - Abstract
RESUMEN: Introducción: la cefalea es común en la infancia y su frecuencia aumenta en la adolescencia; raras veces está relacionada con enfermedades graves, pero sí repercute negativamente en la calidad de vida. Objetivo: determinar las características clínicas y epidemiológicas de la cefalea en una cohorte de niños, clasificarla y evaluar la respuesta al tratamiento profiláctico. Métodos: estudio descriptivo, prospectivo y longitudinal en el que se analizaron las siguientes variables: edad, sexo, antecedentes perinatales y personales, historia familiar de cefalea, características de los episodios, tratamiento recibido y respuesta al mismo. Se clasificaron los casos de acuerdo con los criterios de la Sociedad Internacional de Cefalea y según su patrón temporal. Resultados: el grupo más afectado fueron los escolares y predominaron las niñas. El antecedente familiar de migraña estuvo presente en 64,7%. Predominó la migraña sin aura (63,9%). Recibieron tratamiento profiláctico 88,6% y hubo buena respuesta en 88,2%. Los estudios de neuroimágenes y el EEG hechos de rutina no tuvieron utilidad. Conclusiones: no existen criterios estandarizados para la clasificación de la cefalea en la infancia, pero debe hacerse un seguimiento adecuado de todos los síntomas para validar los criterios diagnósticos y reducir el impacto negativo sobre la calidad de vida. ABSTRACT: Introduction: headache is common in children, and its frequency increases during adolescence; it is rarely related with severe diseases, but it does affect the quality of life. Objective: To determine the clinical and epidemiological characteristics of headache in a cohort of children, to classify the episodes, and to evaluate responses to prophylactic treatment. Methods: Prospective, descriptive, longitudinal study. The following variables were analyzed: age, sex, perinatal and personal history, family history of headache, characteristics of the episode, prophylactic treatment and response to it. Cases were classified according to the International Headache Society and the temporal pattern of episodes. Results: Schoolchildren and girls were more affected. Family history of migraine was present in 64.7%. Migraine without aura was predominant (63.9%). Prophylactic treatment was given to 88.6% and responses to it were good in 88.2%. Routinely done neuro-images studies and EEG were not useful. Conclusion: Although standardized criteria for the classification of headache in children are not available, an appropriate follow-up of symptoms must be done in order to validate the diagnostic criteria, and to reduce the negative impact on the quality of life.
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- 2012
- Full Text
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14. Características clínicas, epidemiológicas, terapéuticas de las cefaleas primarias en una población rural de Cajamarca, 2010
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Galán-Rodas, Edén, Nava Alarcón, Karina, Lozano Delgado, Felicia, Pérez Ocampo, Kenny, Matzunaga, David, Galán-Rodas, Edén, Nava Alarcón, Karina, Lozano Delgado, Felicia, Pérez Ocampo, Kenny, and Matzunaga, David
- Abstract
Objetive: To determine the prevalence and the clinical, epidemiological and therapeutic aspects of primary headache in rural population from Cajamarca, 2010. The study: descriptive, cross-sectional study, carried out in a rural population between 18 and 60 years from the Encañada district (Cajamarca, Peru). Criteria established by the International Headache Society were applied. The obtained sample was 409, selected by simple random sampling. Findings: 72.37% referred headaches in the last year, the prevalence of primary headaches was 44.51%, of secondary headaches was 14.18% and of unclassified headaches was 13.7%. Oppressive (62.2%), pulsatile (24.7%) holocraneal (51.0%) and hemicraneal (24.3%) located, and 84.1% of insidious beginning. Hastening factors found were stress (69.0%), lack of sleep (26.9%), alcohol intake (47.0%) and hormonal factors (11.8%). Moderated pain predominated, and 54.1% referred the pain interfered with their daily activities. Conclusions: There is a high prevalence of primary headaches., Objetivo: Determinar la prevalencia, características clínicas, epidemiológicas y terapéuticas de las cefaleas primarias en una población adulta rural de Cajamarca, 2010. El estudio: estudio descriptivo transversal, realizado en población rural adulta entre 18 y 60 años del distrito de la Encañada (Cajamarca-Perú). Empleándose criterios establecidos por la International Headache Society. La muestra obtenida fue 409, seleccionados por muestreo aleatorio simple. Hallazgos: 72,37% refirieron cefaleas en el último año, prevalencia de cefaleas primarias (44,51%), secundaria (14,18%), no clasificadas (13,7%). La cefalea de carácter opresivo (62,2%), pulsátil (24,7%), siendo las localizaciones holocraneal (51,0%) y hemicránea (24,3%) y 84,1 % de inicio insidioso. Lo factores precipitantes encontrados estrés (69,0%), falta de sueño (26,0%), ingestión de alcohol (20,9%) y los factores hormonales (11,8 %). El dolor moderado predominó (47%) y 54,1 % refirió interferencia del dolor en sus actividades diarias. Conclusiones: La prevalencia de cefaleas primarias es elevada.
- Published
- 2012
15. Sistema trigémino vascular y cefalea
- Author
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Pontificia Universidad Javeriana. Facultad de Medicina. Neurología, Zarco Montero, Luis Alfonso, Pretelt, Felipe, Millan, Sonia Patricia, Gil, Laura Natalia, Pontificia Universidad Javeriana. Facultad de Medicina. Neurología, Zarco Montero, Luis Alfonso, Pretelt, Felipe, Millan, Sonia Patricia, and Gil, Laura Natalia
- Abstract
La fisiopatología de las cefaleas primarias es compleja e incluye un sinnúmero de interacciones que regulan el proceso nociceptivo. Dentro de los principales responsables de generar el dolor se encuentra el sistema trigémino vascular, que es un conjunto de estructuras que integran vías tanto centrales corticosubcorticales como periféricas, que desempeñan un papel activo no solo en la génesis del dolor, sino en las manifestaciones autonómicas y visuales que acompañan la cefalea. Así mismo, este sistema es el responsable de los mecanismos de sensibilización central característicos del dolor. En el artículo se desarrollan brevemente las principales estructuras que participan en la génesis de las cefaleas primarias y sus interacciones en las diferentes partes del sistema nervioso.
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