Post-infectious headache: a reactive headache?

The Journal of Headache and Pain

Original

Purva Golwala¹  Rushad Patell¹  Niyati Patel¹  Sanjay Prakash² 

[1] Department of Medicine, Medical College, 390001, Baroda, Gujarat, India;Department of Neurology, Medical College, SSG Hospital, O-19, Doctor’s Quarter, Jail Road, 390001, Baroda, Gujarat, India;

关键词: Headache;    Chronic daily headache;    New daily persistent headache;    Secondary headache;    Post-infectious;    Infection;   

DOI  :  10.1007/s10194-011-0346-0

 received in 2011-03-21, accepted in 2011-04-14,  发布年份 2011

来源: Springer

【 摘 要 】

Post-infectious disease syndrome includes both neurological and non-neurological disorders. However, headache as an isolated or a presenting complaint of post-infectious illness has not been well acknowledged in the literature. In this retrospective observation, patients having daily headache of more than 1 week and <4 weeks duration were included. We divided this group into patients having headache with preceding history of febrile illness in the recent past and patients without such history of febrile illness. We compared clinical features and therapeutic responses of various drugs between the groups. There were no significant differences in demographic features in these groups. However, associated neck pain, nausea, photophobia and meningeal signs were more prevalent in patients having history of preceding infection. A relatively lower proportion of subjects showed complete response to drugs at 3 months in post-infectious group. Good responses were noted to steroids in post-infectious group. In conclusion, a subset of patients with daily headache may be because of post-infectious pathology and treatment in the early stage may prevent it from becoming chronic. Large prospective studies are required to confirm these observations.

【 授权许可】

CC BY   
© The Author(s) 2011