STUDY OF CLINICAL CHARACTERISTICS AND SOME RISK FACTORS OF MIGRAINE HEADACHE AT CAN THO CENTRAL GENERAL HOSPITAL IN 2022-2023

Quoc Y Ly1, Bich Loan Dang1, Minh Thai Duong1, To Tran Pham1, Van Minh Le1,
1 Can Tho University of Medicine and Pharmacy

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Abstract

Background: Migraine is a common disorder; however, it is still not perfectly diagnosed and treated due to many difficulties in recognizing symptoms or accompanying risk factors. Understanding migraine headaches through surveying standard samples can guide clinicians in the appropriate way of diagnosis and treatment. Objectives: The study aimed to describe the clinical characteristics of migraine and to investigate some risk factors related to migraine headaches among patients examined at Can Tho Central General Hospital during 2022-2023. Materials and methods: A cross-sectional descriptive study was conducted on 46 patients diagnosed with migraine headaches at Can Tho Central General Hospital in 2022-2023. Results: We recorded that most of the patients experienced headaches lasting from 24 to 72 hours, unilateral (left or right side) fixed headaches, pulsatile headaches and severe intensity headaches with the proportions being 39.14%, 73.9%, 80.4%, and 63.1% respectively.  The symptoms accompanying the headache included nausea (67.4%), photophobia (52.2%), dizziness (34.8%), vomiting (32.6%), and absence of aura symptoms (unilateral fixed headache, nausea or/and vomiting, photophobia or/and phonophobia) accounting for 95.7%. Factors exacerbating headaches are stimulant use (21,7%), weather (19,6%), menstrual conditions aggravating headaches in 16.7% of female patients, and physical activity (13.0%). Factors alleviating headaches include using analgesics (60,9%), resting (39.1%), and avoiding exposure to light and photophobia (4.3%). Influencing factors include female (65.2%), insomnia (58.7%), anxiety disorder (52.2%), and family history of having a parent with migraine disease (4.3%). Conclusion: The highest rates were observed among patients experiencing unilateral (left or right side) fixed pain (73.9%) and pulsatile headache (80.4%). The most common accompanying symptom is nausea (67.4%). The proportion of migraineurs without aura symptoms accounts for 95.7%. Stimulant use (21.7%) is the factors that exacerbate headaches the most. On the other hand, avoiding exposure to light and noise reduces headaches in most cases (accounting for 60.9%).  

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