EHMTI-0030. Migraine pain location in adult: the bangladeshi experience

Abstract

Location of established headaches In 47.0% of the patients, with unilateral ocular or temporal onset, pain remained at the same site. Pain became hemicranial in 38.4%. In most patients, unilateral frontal onset pain (56.5%) became bilateral or holocranial. Most bilateral ocular (70.2%) and temporal onset (68.4%) pains remained at the same location. However, most bifrontal (57.8%) and vertex onset (57.8%) pains subsequently became holocranial. Most occipital pains at onset became holocranial (46.3%), but cervical pains subsequently became either hemicranial (40.2%) or holocranial (35.2%). Conclusions This study documents location of pain at the onset and during established headaches in migraine patients largely from Dhaka, Bangladesh. Migraine with aura appears to be rare among Bangladeshi. More than half had onset pain bilaterally/centrally and in the cervico-occipital regions. Only 40.5% experienced only unilateral pain. Cervico-occipital migraine pain appears to be common in Bangladeshi. No conflict of interest.