TITLE: STUDY OF CLINICAL PROFILE OF PATIENTS WITH CHRONIC HEADACHE IN A TERTIARY CARE HOSPITAL
INTRODUCTION: Headache is the most common complaint encountered by a physician in his day to day practice. According to different population based studies more than 70% of people throughout the world experience one headache per year during their lifetime.This study is done in a tertiary health care centre with a rural surrounding to know the clinical and demographic profile of patients with chronic headache.
METHODOLOGY: 100 patients of chronic headache attending the Neurology out-patient department were included in the study after applying inclusion and exclusion criteria. A detailed history and detailed examination of each patient was undertaken. All patients were sent for psychiatric evaluation and investigated with CT scanning of the brain to rule out secondary causes for chronic headache.
RESULTS: Females outnumbered males accounting for 73% of the total study population. Majority of the chronic headache patients were in the age group of 37.31years with a SD of ±11.94 years. In the study population 91 were married. 20 of them had chronic headache of more than 5 years duration. When patients were asked about the intensity of headache 37 had severe headache and 34 had moderate degree of headache. After the psychiatric evaluation of all the patients, 7 patients were diagnosed to have depression and 18 patients have anxiety. 14 patients had abnormal CT findings.
CONCLUSION: From our study on chronic headache we conclude that the most common type of chronic headache is chronic migraine followed by chronic tension type of headache. Chronic headache are more common in middle aged married women. Psychosocial factors need to be given importance while evaluating chronic headache.
Key words: chronic headache, chronic migraine, chronic tension type headache, married females, psychiatric evaluation,