Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh

Objective: To determine the pattern of headache and its associated symptoms in school going children.Methods: The data of all the school going children attending the Headache Clinic in the Dept. of Neurology, Dhaka Medical College Hospital were retrospectively reviewed. A total of 1021 patients from...

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Main Authors: Md Azharul Hoque, Kazi Mohibur Rahman, Badrul Haque, Rajib Nayan Chowdhury, Sharif Uddin Khan, ATM Hasibul Hasan, Md Badrul Alam Mondol, Monsur Habib, Quazi Deen Mohammad
Format: Article
Language:English
Published: Oman Medical Specialty Board 2012-09-01
Series:Oman Medical Journal
Subjects:
Online Access:http://www.omjournal.org/fultext_PDF.aspx?DetailsID=287&type=fultext
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author Md Azharul Hoque
Kazi Mohibur Rahman
Badrul Haque
Rajib Nayan Chowdhury
Sharif Uddin Khan,
ATM Hasibul Hasan
Md Badrul Alam Mondol
Monsur Habib
Quazi Deen Mohammad
author_facet Md Azharul Hoque
Kazi Mohibur Rahman
Badrul Haque
Rajib Nayan Chowdhury
Sharif Uddin Khan,
ATM Hasibul Hasan
Md Badrul Alam Mondol
Monsur Habib
Quazi Deen Mohammad
author_sort Md Azharul Hoque
collection DOAJ
description Objective: To determine the pattern of headache and its associated symptoms in school going children.Methods: The data of all the school going children attending the Headache Clinic in the Dept. of Neurology, Dhaka Medical College Hospital were retrospectively reviewed. A total of 1021 patients from October 1996 to September 2011 were selected. Data were collected through a predesigned questionnaire containing information on age, sex, social status, clinical features, opthalmoscopic findings, management, and in selected cases imaging results.Result: The mean age of headache in school children was 12.6±1.08 years with relatively older age of presentation among girls. The sex ratio was 1.64:1 in favor of girls at older age. Tension type headache (71.1%) was the most common form of headache, followed by migraine (18.4%) and mixed headache (6.7%). Though the girls had more frequent headache of both tension type (59.4%) and migraine (68.1%) variety, the latter was significantly associated in girls (p<0.001). Headache was of moderate severity in 53.3%, whereas severe headache was experienced by 19.9% of the children. The children commonly had nausea and/or vomiting (47.2%), as well as photophobia (24.7%) with headache. Mentalstress (34%) and sunlight (30.9%) were common triggering factors whereas a sound sleep relieved headache in the majority (59.4%). Paracetamol (83.3%) and nor tryptyline (62.8%) were the most commonly prescribed drug taken by them.Conclusion: Headache is a major health problem in school children, apart from other common health issues at this age. With increasing age, the girls more commonly suffer not only from migraine but also with other chronic headache. The direct causal association is yet to be determined.
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spelling doaj.art-f8d4cc0b270b4cf89704bfef40855dd12022-12-22T00:29:43ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042012-09-01275383387Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in BangladeshMd Azharul HoqueKazi Mohibur RahmanBadrul HaqueRajib Nayan ChowdhurySharif Uddin Khan,ATM Hasibul HasanMd Badrul Alam MondolMonsur HabibQuazi Deen MohammadObjective: To determine the pattern of headache and its associated symptoms in school going children.Methods: The data of all the school going children attending the Headache Clinic in the Dept. of Neurology, Dhaka Medical College Hospital were retrospectively reviewed. A total of 1021 patients from October 1996 to September 2011 were selected. Data were collected through a predesigned questionnaire containing information on age, sex, social status, clinical features, opthalmoscopic findings, management, and in selected cases imaging results.Result: The mean age of headache in school children was 12.6±1.08 years with relatively older age of presentation among girls. The sex ratio was 1.64:1 in favor of girls at older age. Tension type headache (71.1%) was the most common form of headache, followed by migraine (18.4%) and mixed headache (6.7%). Though the girls had more frequent headache of both tension type (59.4%) and migraine (68.1%) variety, the latter was significantly associated in girls (p<0.001). Headache was of moderate severity in 53.3%, whereas severe headache was experienced by 19.9% of the children. The children commonly had nausea and/or vomiting (47.2%), as well as photophobia (24.7%) with headache. Mentalstress (34%) and sunlight (30.9%) were common triggering factors whereas a sound sleep relieved headache in the majority (59.4%). Paracetamol (83.3%) and nor tryptyline (62.8%) were the most commonly prescribed drug taken by them.Conclusion: Headache is a major health problem in school children, apart from other common health issues at this age. With increasing age, the girls more commonly suffer not only from migraine but also with other chronic headache. The direct causal association is yet to be determined.http://www.omjournal.org/fultext_PDF.aspx?DetailsID=287&type=fultextHeadacheTension type headache (TTH)migraine.
spellingShingle Md Azharul Hoque
Kazi Mohibur Rahman
Badrul Haque
Rajib Nayan Chowdhury
Sharif Uddin Khan,
ATM Hasibul Hasan
Md Badrul Alam Mondol
Monsur Habib
Quazi Deen Mohammad
Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
Oman Medical Journal
Headache
Tension type headache (TTH)
migraine.
title Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
title_full Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
title_fullStr Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
title_full_unstemmed Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
title_short Pattern of Headache in School Going Children Attending Specialized Clinic in aTertiary Care Hospital in Bangladesh
title_sort pattern of headache in school going children attending specialized clinic in atertiary care hospital in bangladesh
topic Headache
Tension type headache (TTH)
migraine.
url http://www.omjournal.org/fultext_PDF.aspx?DetailsID=287&type=fultext
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