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Presentation of chronic daily headache: a clinical study
E L Spierings1, M Schroevers, P C Honkoop
1Department of Neurology, Brigham & Women's Hospital, Boston, Mass., USA.
Headache
|May 1, 1998
Summary
This study on chronic daily headache (CDH) found most patients experienced onset before 30. CDH significantly impacts daily life, often worsening in the afternoon/evening and associated with severe headache episodes.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Chronic daily headache (CDH) affects a significant patient population.
- Understanding the clinical presentation of CDH is crucial for effective management.
Purpose of the Study:
- To describe the clinical characteristics and presentation of chronic daily headache in a private practice setting.
- To identify common demographic features, timing, associated symptoms, and triggers of CDH.
Main Methods:
- Retrospective analysis of 258 patients diagnosed with chronic daily headache.
- Data collected on headache onset, timing, severity, associated symptoms, aggravating factors, and medication intake.
Main Results:
- Most patients (77%) experienced headache onset before age 30.
- Headaches were often present in the morning (79%) or worsened in the afternoon/evening (53%).
- Associated symptoms included nausea (35%) and vomiting (9%); 94% also experienced severe headache episodes.
Conclusions:
- Chronic daily headache often begins early in life and has a significant impact on daily activities.
- Aggravating factors like light, noise, and stress are common.
- High daily analgesic intake suggests potential medication overuse in CDH patients.
