Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: headaches are the leading cause of neurological consultations. From all types of both primary and secondary, 90 % of patients with this disorder showed migraine and / or tension headache. Many patients with primary headache complained about pain in the cervical region. The objective of this study is to determine the epidemiology of primary headache in patients seen at the San Francisco of Quito Hospital and assess the prevalence of neck pain in this group of patients and the relationship of this symptom with rectifcation of physiological lordosis. Materials and methods: an observational study was performed, where medical records of 356 patients with tension headache or migraine according to the criteria of the International Society Headache seen at the outpatient Neurology between march 1 and december 31, 2013 was conducted. Results: it was observed that 71 % and 29% of patients suffer from tension headache and migraine respectively, with a predominance of women in relation to men in both cases. Migraine is more prevalent than tension headache at puberty and affects mainly the group aged between 25 and 40 years. Tension headache has peak prevalence between 35 and 59 years old. 269 patients equivalent to 76% of cases had neck pain along with tension headache without fnding a signifcant difference between the presence of this symptom and tension headaches or migraine. Most of the patients, who had a cervical pain from moderate to severe measured by visual analog scale had also a correction of cervical lordosis assessed by the method of Gore. Conclusions: the prevalence of neck pain in patients with primary headache in the present study is around 76%. There is no statistically signifcant difference in relation to the presence of neck pain among people with tension headache or migraine. This study allows us to know the epidemiology of primary headache disorders in a sample of Ecuadorian population and it is a starting point for future studies to demonstrate a connection between cervical pain and primary headaches.
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