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Modeling Neural Immune Signaling of Episodic and Chronic Migraine Using Spreading Depression In Vitro

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Published on: June 13, 2011

Post-infectious headache: a reactive headache?

Sanjay Prakash¹, Niyati Patel, Purva Golwala

¹Department of Neurology, Medical College, SSG Hospital, O-19, Doctor's Quarter, Jail Road, Baroda 390001, Gujarat, India. drprakashs@yahoo.co.in

The Journal of Headache and Pain

|May 6, 2011

Summary

This summary is machine-generated.

Post-infectious headache, a daily headache lasting 1-4 weeks, is often overlooked. Early treatment may prevent chronic symptoms, with steroids showing good response in some cases.

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Published on: July 29, 2021

Area of Science:

Neurology
Infectious Diseases
Headache Medicine

Background:

Post-infectious disease syndrome encompasses various neurological and non-neurological disorders.
Headache as an isolated or presenting complaint of post-infectious illness is underrecognized in medical literature.

Purpose of the Study:

To investigate clinical features and therapeutic responses in patients with daily headaches.
To compare patients with a history of recent febrile illness versus those without.

Main Methods:

Retrospective observational study.
Inclusion criteria: daily headache >1 week and <4 weeks duration.
Comparison of clinical features and drug responses between patients with and without preceding febrile illness.

Main Results:

No significant demographic differences between groups.
Increased prevalence of neck pain, nausea, photophobia, and meningeal signs in the post-infectious headache group.
Lower complete response rates to medications at 3 months in the post-infectious group.
Steroids showed good response in the post-infectious group.

Conclusions:

A subset of daily headaches may stem from post-infectious pathology.
Early intervention for post-infectious headaches could prevent chronicity.
Further large-scale prospective studies are needed to validate these findings.