Characteristics of Elderly-Onset (≥65 years) Headache Diagnosed Using the International Classification of Headache Disorders, Third Edition Beta Version
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background and Purpose New-onset headache in elderly patients is generally suggestive of a high probability of secondary headache, and the subtypes of primary headache diagnoses are still unclear in the elderly. This study investigated the characteristics of headache with an older age at onset (≥65 years) and compared the characteristics between younger and older age groups. Methods We prospectively collected demographic and clinical data of 1,627 patients who first visited 11 tertiary hospitals in Korea due to headache between August 2014 and Febru¬ary 2015. Headache subtype was categorized according to the International Classification of Headache Disorders, Third Edition Beta Version. Results In total, 152 patients (9.3%, 106 women and 46 men) experienced headache that began from 65 years of age [elderly-onset group (EOG)], while the remaining 1,475 patients who first experienced headache before the age of 65 years were classified as the younger-age-at-onset group (YOG). Among the primary headache types, tension-type headache (55.6% vs. 28.8%) and other primary headache disorders (OPH, 31.0% vs. 17.3%) were more com¬mon in the EOG than in the YOG, while migraine was less frequent (13.5% vs. 52.2%) (p=0.001) in the EOG. Among OPH, primary stabbing headache (87.2%) was more frequent in the EOG than in the YOG (p=0.032). The pain was significantly less severe (p=0.026) and the frequency of medication overuse headache was higher in EOG than in YOG (23.5% vs. 7.6%, p=0.040). Conclusions Tension-type headache and OPH headaches, primarily stabbing headache, were more common in EOG patients than in YOG patients. The pain intensity, distribution of head¬ache diagnoses, and frequency of medication overuse differed according to the age at headache onset.
Abstract
Background and Purpose New-onset headache in elderly patients is generally suggestive of a high probability of secondary headache, and the subtypes of primary headache diagnoses are still unclear in the elderly. This study investigated the characteristics of headache with an older age at onset (≥65 years) and compared the characteristics between younger and older age groups. Methods We prospectively collected demographic and clinical data of 1,627 patients who first visited 11 tertiary hospitals in Korea due to headache between August 2014 and Febru¬ary 2015. Headache subtype was categorized according to the International Classification of Headache Disorders, Third Edition Beta Version. Results In total, 152 patients (9.3%, 106 women and 46 men) experienced headache that began from 65 years of age [elderly-onset group (EOG)], while the remaining 1,475 patients who first experienced headache before the age of 65 years were classified as the younger-age-at-onset group (YOG). Among the primary headache types, tension-type headache (55.6% vs. 28.8%) and other primary headache disorders (OPH, 31.0% vs. 17.3%) were more com¬mon in the EOG than in the YOG, while migraine was less frequent (13.5% vs. 52.2%) (p=0.001) in the EOG. Among OPH, primary stabbing headache (87.2%) was more frequent in the EOG than in the YOG (p=0.032). The pain was significantly less severe (p=0.026) and the frequency of medication overuse headache was higher in EOG than in YOG (23.5% vs. 7.6%, p=0.040). Conclusions Tension-type headache and OPH headaches, primarily stabbing headache, were more common in EOG patients than in YOG patients. The pain intensity, distribution of head¬ache diagnoses, and frequency of medication overuse differed according to the age at headache onset.
참고문헌 (35)
- Hale WE, "Symptom prevalence in the elderly. An evaluation of age, sex, disease, and medication use", J Am Geriatr Soc, 34, pp.333~340 (1986)
- Ruiz M, "Headache in the elderly: characteristics in a series of 262 patients", Neurologia, 29, pp.321~326 (2014)
- Fuh JL, "A 13-year longterm outcome study of elderly with chronic daily headache", Cephalalgia, 28, pp.1017~1022 (2008)
- Rasmussen BK, "Epidemiology of headache in a general population--a prevalence study", J Clin Epidemiol, 44, pp.1147~1157 (1991)
- Pryse-Phillips W, "A Canadian population survey on the clinical, epidemiologic and societal impact of migraine and tension-type headache", Can J Neurol Sci, 19, pp.333~339 (1992)
- Prencipe M, "Prevalence of headache in an elderly population: attack frequency, disability, and use of medication", J Neurol Neurosurg Psychiatry, 70, pp.377~381 (2001)
- Tai ML, "Primary headache in the elderly in South-East Asia", J Headache Pain, 13, pp.291~297 (2012)
- Bamford CC, "Unusual headaches in the elderly", Curr Pain Headache Rep, 15, pp.295~301 (2011)
- Headache Classification Committee of the International Headache Society (IHS), "The International Classification of Headache Disorders, 3rd edition (beta version)", Cephalalgia, 33, pp.629~808 (2013)
- Cho SJ, "Vestibular migraine in multicenter neurology clinics according to the appendix criteria in the third beta edition of the International Classification of Headache Disorders", Cephalalgia, 36, pp.454~462 (2016)
- 김병건, "Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version", Journal of Korean Medical Science, 31(1), pp.106~113 (2016), 대한의학회
- Manzoni GC, "Epidemiology of headache", Handb Clin Neurol, 97, pp.3~22 (2010)
- Kaniecki RG, "Tension-type headache in the elderly", Curr Treat Options Neurol, 9, pp.31~37 (2007)
- Schwaiger J, "Prevalence of primary headaches and cranial neuralgias in men and women aged 55-94 years (Bruneck Study)", Cephalalgia, 29, pp.179~187 (2009)
- Crystal SC, "Tension-type headache in the elderly", Curr Pain Headache Rep, 13, pp.474~478 (2009)
- Pérez-Martínez D, "Headache among oldest old (+75 years): findings from 736 consecutive subjects in outpatient neurological clinic", Neurologia, 23, pp.436~440 (2008)
- Edmeads J, "The cervical spine and headache", Neurology, 38, pp.1874~1878 (1988)
- Love S, "Trigeminal neuralgia: pathology and pathogenesis", Brain, 124(Pt 12), pp.2347~2360 (2001)
- Fuh JL, "Primary stabbing headache in a headache clinic", Cephalalgia, 27, pp.1005~1009 (2007)
- Camarda R, "Prevalence of primary headaches in Italian elderly: preliminary data from the Zabút Aging Project", Neurol Sci, 24(Suppl 2), pp.S122~S124 (2003)
- Bigal ME, "Age-dependent prevalence and clinical features of migraine", Neurology, 67, pp.246~251 (2006)
- Yoon MS, "Prevalence of primary headaches in Germany: results of the German Headache Consortium Study", J Headache Pain, 13, pp.215~223 (2012)
- Vongvaivanich K, "Late-life migraine accompaniments: a narrative review", Cephalalgia, 35, pp.894~911 (2015)
- Buse DC, "Chronic migraine prevalence, disability, and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study", Headache, 52, pp.1456~1470 (2012)
- 김병건, "Prevalence and Impact of Migraine and Tension-Type Headache in Korea", Journal of Clinical Neurology, 8(3), pp.204~211 (2012), 대한신경과학회[DOI]
- Martins KM, "Migraine in the elderly:a comparison with migraine in young adults", Headache, 46, pp.312~316 (2006)
- Cho SJ, "Risk factors of chronic daily headache or chronic migraine", Curr Pain Headache Rep, 19, pp.465~ (2015)
- 박정욱, "Chronic Daily Headache in Korea: Prevalence, Clinical Characteristics, Medical Consultation and Management", Journal of Clinical Neurology, 10(3), pp.236~243 (2014), 대한신경과학회[DOI]
- Mazzotta G, "Characteristics of migraine in an out-patient population over 60years of age", Cephalalgia, 23, pp.953~960 (2003)
- Lautenbacher S, "Age effects on pain thresholds, temporal summation and spatial summation of heat and pressure pain", Pain, 115, pp.410~418 (2005)
- Ripa P, "Migraine in menopausal women: a systematic review", Int J Womens Health, 7, pp.773~782 (2015)
- Sacco S, "Migraine in women: the role of hormones and their impact on vascular diseases", J Headache Pain, 13, pp.177~189 (2012)
- Somerville BW, "The role of estradiol withdrawal in the etiology of menstrual migraine", Neurology, 22, pp.355~365 (1972)
- te Velde ER, "The variability of female reproductive ageing", Hum Reprod Update, 8, pp.141~154 (2002)
- MacGregor EA, "Migraine headache in perimenopausal and menopausal women", Curr Pain Headache Rep, 13, pp.399~403 (2009)