Dr. Sushil Kumar, Dr. Pramod Kumar Sinha


Background: Headache is among most common reason to seek medical attention on global basis being responsible for more disability than any
other neurological problem. In developing world headache was not sufficiently studied previously as a cause of morbidity. In this study clinical and
etiological analysis of patients with chronic headache using the third edition of International Classification of Headache Disorder (I.C.D.H-3) in
Tertiary care referral centre (A.N.M.M.C, Gaya)
Methods: In this study 100 patients included who came with complaints of headache more than 3 months in the outpatient department of Medicine
Anugrah Narayan Magadh Medical College Gaya Bihar. Clinical and psychiatric evaluation of patients have done and if needed clinical
investigations also done.
Results: Out of 100 patients of chronic headache, chronic primary headache (82%) was the most common type, with migraine found in 49% of
cases, and tension type headache (23%) were more common primary headache. Other common primary headachesa are New persistent headache,
Chronic cluster headache and mixed type (tension +migrain). Chronic headache is more common in females and adolescents.
Conclusions: Since chronic primary headache is most common type headache in which Migraine and Tension type headache are common type.
Therefore, headache needs proper clinical evaluation and specific treatment for proper management of headache. This study helps in identifying
the significant gap in headache care and provide better information for management of headache.


Chronic headache, Primary headache, Migraine, Tension type headache

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Murtaza M, Kisat M, Daniel H, Sonawalla AB. Classification and clinical features of

headache disorders in Pakistan: a retrospective review of clinical data. PLos. 2009;4


Longe AC. Profile of Chronic headache patients in the ASIR region, Annals of Saudi

Medicine.1998;18(6):562 -4.

Adelman JU. Headache and other facial pains. In: Greenberg JO, editor. Neuroimaging:

a companion to Adam’s and Victor’s principles of Neurology, Newyork: McGraw Hill.


Stovner L, Hagen K, Jensen R, Katsavara Z, Lipton R, Scher A, et al. The global burden

of headache: a documentation of headache prevalence and disability worldwide.

Cephalagia. 2007;27:193-210.

Mateen FJ, Dua T, Steiner T, Saxena S. Headache disorders in developing countries:

research over the past decade. Cephalagia. 2008.

Ravishankar K. Pitfalls in the diagnosis of primary headaches; Annals of Indian

academy of Neurology. 2002;5:13-9.

Chakravarthy A. Chronic daily headache- a reappraisal, Annals of Indian Academy of

Neurology. 2004;7:421-31.

Mack KJ, Hershey AD. Chronic daily headache in adolescence, a continuing problem;

Neurology. 2009;73:412-3.

Wang SJ, Fuh JL, Lu SR Juang KD. Chronic daily headache in adolescents: prevalence,

impact and medication overuse. Neurology. 2006;66:193-7.

Silva Jr AA, Tavares RM, Lara RP, Faleiros BE, Gomez RS, Teixeira AL. Frequency of

types of headache in the tertiary care center of the Hospital, Brazil. Rev Assoc Med Bras.


Jain AP, Chauhan B, Bhat AD. Sociodemographic and clinical profile of headache, a rural

hospital based study. Journal, Indian Academy of Clinical Medicine. 2007;8(1):26-8.

Chakravarthy A. Chronic daily headaches: Clinical Profile in Indian patients.

Cephalagia. 2003;23:34853.

Ravi G, Bhatia MS, Vishal C. Chronic daily headache: medication overuse and

psychiatric morbidity. J Pak Psych Society. 2007;4:19-24.

Robbins L. Precipitating factors in migraine. A Retrospective Review of 494 patients.

Headache. 1994;34(4):214-6.

Scharff L, Turk DC, Marcus DA. Trigger of headache episodes and coping responses of

headache diagnostic groups. Headache. 1995;35(7):397-403..


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