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Epidemiology and clinical characteristics of chronic daily headache in a clinic-based cohort of Iranian population

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Abstract

Although CDH is a major health care problem encountered in headache clinics, our knowledge about the epidemiological features of CDH is limited in developing countries. The objective of this study was to survey the frequency and clinical features of chronic daily headache (CDH) and its subtypes among Iranian population presenting to a referral tertiary Headache clinic in a University Hospital. This cross-sectional survey was carried out between September 2011 and March 2012. Data of patients with CDH including their age, sex, educational level, and marital status were recorded using structured face-to-face interview. Subtypes of the CDH were determined by history, physical examination and appropriated laboratory or imaging findings. A total number of 177 cases (32.71 %) fulfilled the CDH criteria. The frequency of CDH was higher in 40–49 age groups (n = 54) and among women with a female to male ratio of 2.12/1. Chronic migraine was the most common subtype of CDH in 75 cases (44.4 %). Chronic tension-type headache and secondary causes were second and third frequent subtypes of CDH in 27.8 and 20.1 % of cases, respectively. Cervicogenic headaches (10.7 %) and medication overuse headache (4.1 %) were the most common causes of secondary headaches. The present study confirmed previous findings which showed a high prevalence of CDH and chronic migraine in clinic setting, with preponderance for women. In addition, we found the highest prevalence of cervicogenic headaches among secondary causes of CDH.

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Abbreviations

CDH:

Chronic daily headache

CM:

Chronic migraine

CTTH:

Chronic tension-type headache

HC:

Hemicrania continua

NDPH:

New daily persistent headache

MOH:

Medication overuse headache

CH:

Cervicogenic headaches

ICHD:

International Classification of Headache Disorders

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Acknowledgments

We are grateful to all the patients for their participation in the study. This work was financially supported by grants from the Guilan University of Medical Sciences.

Conflict of interest

The authors declare that there is no conflict of interest.

Author information

Authors and Affiliations

  1. Medical Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran

    Seyed Mohammad Seyed Saadat & Mahsa Hoseini

  2. Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, 41486-48476, Rasht, Iran

    Mozaffar Hosseininezhad & Babak Bakhshayesh

  3. Department of Social Medicine, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran

    Mohamadreza Naghipour

Authors
  1. Seyed Mohammad Seyed Saadat
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  2. Mozaffar Hosseininezhad
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  3. Babak Bakhshayesh
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  4. Mahsa Hoseini
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  5. Mohamadreza Naghipour
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Corresponding author

Correspondence to Babak Bakhshayesh.

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Seyed Saadat, S.M., Hosseininezhad, M., Bakhshayesh, B. et al. Epidemiology and clinical characteristics of chronic daily headache in a clinic-based cohort of Iranian population. Neurol Sci 35, 565–570 (2014). https://doi.org/10.1007/s10072-013-1550-2

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  • DOI: https://doi.org/10.1007/s10072-013-1550-2

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