Epidemiology of cephalalgia in population of central part of India

Abstract

Introduction: Headache is a major and common neurological problem in worldwide and is a main reason of morbidity, incapacity, absenteeism at work place, interrupted social interaction mood and behavioral disturbances. Yet they are under-recognized, under-diagnosed and under-treated worldwide, only minorities of people with headache disorders are professionally diagnosed. Aim: Given the population load, and the fact that most headaches seen in practice are under diagnosed and undertreated, the burden of headache is significant. The present study was aimed to assess the Epidemiology of chronic headache in population of south eastern Rajasthan India. Materials and Methods: This study was conducted in department of neurosurgery Jhalawar medical college Jhalawar Rajasthan from 15th January 2015 to 15 july2016. Clinical and radiological details of Two thousand Patients of south east Rajasthan and west part of Madhya Pradesh were noted. The data obtained was statistically analyzed using SPSS version 22 and descriptive statistics was used to compare the results obtained. Results: Out of two thousand patients 900(45%) patients were male and 1100(55%) were female. 1760(88%) patients were between 16-60 year age group, there were 1320(66%) patients residing in rural areas and 880(44%) patients were residing in urban areas. Socioeconomic status occupation / income were low in 680(34%) patient’s medium in 1200(60%) patients. Tension type headache occur in1200 (60%), migraine in 400 (20%), cluster headache in 60 (3%), medication overuse headache present in100 (5%) patients. Other cause of headache noted in 240 (12%) as sinusitis, stroke, decrease vision, atypical pain like trigeminal neuralgia brain tumor and abscess. Conclusion: Headache prevalence in central part of India is more in female, adult between 16-60 years age groups, and rural areas with low socioeconomic status / income. Most common cause of headache is tension type headache. Keywords: Cephalalgia, headache, Tens