Prevalence and characteristics of headache attributed to ingestion or inhalation of a cold stimulus (HICS): A cross-sectional study
| Autor: | Stefan Watzke, Torsten Kraya, Malte Schulz-Ehlbeck, Philipp Burow, Stephan Zierz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male endocrine system Adolescent Trigeminal stimulation Cross-sectional study Stimulus (physiology) Cohort Studies Eating Young Adult 03 medical and health sciences 0302 clinical medicine Primary headache Surveys and Questionnaires Prevalence Humans Medicine Ingestion 030212 general & internal medicine Pain Measurement Inhalation business.industry Ice Cream Headache General Medicine Middle Aged medicine.disease Cold Temperature Cross-Sectional Studies Ice cream headache Anesthesia Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Cephalalgia. 40:299-306 |
| ISSN: | 1468-2982 0333-1024 |
| DOI: | 10.1177/0333102419884938 |
| Popis: | BackgroundHeadache attributed to ingestion or inhalation of a cold stimulus (HICS), colloquially called ice-cream headache, is a common form of a primary headache in adults and children. However, previous studies on adults are limited due to the small number of patients. Furthermore, most of the subjects in previous studies had a history of other primary headaches.MethodsBiographic data, clinical criteria of HICS and prevalence of primary headache were collected by a standardized questionnaire. A total of 1213 questionnaires were distributed; the return rate was 51.9% (n = 629); 618 questionnaires could be analyzed.ResultsIn a cohort of 618 people aged between 17–63 years (females: n = 426, 68.9%), the prevalence of HICS was 51.3% (317 out of 618). There was no difference between men and women (51.3% vs. 51.6%). The duration of HICS was shorter than 30 sec in 92.7%. In the HICS group, localization of the pain was occipital in 17%. Trigemino-autonomic symptoms occurred in 22%, and visual phenomena (e.g. flickering lights, spots or lines) were reported by 18% of the HICS group. The pain intensity, but not the prevalence of HICS, was higher when tension-type headache and migraine or both were present as co-morbid primary headaches (Numeric Rating Scale (NRS) 4.58 and 6.54, p = 0.006). There was no higher risk of participants with migraine getting HICS than for those who did not have migraine (odds ratio = 1.17, 95% confidence interval (CI) 0.75–1.83; p = 0.496).ConclusionThe results of this study modified the current criteria for HICS in the ICHD-3 regarding duration and localization. In addition, accompanying symptoms in about one fifth of the participants are not mentioned in the ICHD-3. Neither migraine nor tension-type headache seems to be a risk factor for HICS. However, accompanying symptoms in HICS are more frequent in subjects with another primary headache than in those without such a headache. |
| Databáze: | OpenAIRE |
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