Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector57610.25692/ACEN.2019.1.4Original articlesОригинальные статьиUnknownCurrent situation of diagnostics and management of patients with primary headaches in the Republic of ArmeniaК проблеме диагностики и ведения пациентов с первичной головной болью в Республике АрменияVekilyanHasmik R.ВекилянАсмик Рафаеловна
Armenia
hvekilyan@yahoo.comSahakyanAnahit E.СаакянАнаит Ервандовна
Armenia
hvekilyan@yahoo.comManvelyanHovhannes M.МанвелянОваннес Морисович
Armenia
hvekilyan@yahoo.comYerevan State Medical University after Mkhitar HeratsiЕреванский государственный медицинский университет им. Мхитара Гераци15032019131313517032019Copyright ©; 2019, Vekilyan H.R., Sahakyan A.E., Manvelyan H.M.Copyright ©; 2019, Vekilyan H.R., Sahakyan A.E., Manvelyan H.M.2019Vekilyan H.R., Sahakyan A.E., Manvelyan H.M.Vekilyan H.R., Sahakyan A.E., Manvelyan H.M.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/576

Introduction. Headache is one of the most common complaints of patients seeking for medical care. Headaches affect people of all ages, races, income levels, and geographical areas. They form a substantial burden on personal and social lives of patients, diminish their quality of life, and cause financial losses. The problem of headaches (primary ones, in particular) has not been previously studied in Armenia. We aimed to focus on several types of primary headaches (tension-type headache, migraine, trigeminal autonomic cephalalgias (particularly, cluster headaches). The prevalence of headaches in the adult population is 47%, however, many people do not receive proper treatment.

Objective of the study was to investigate the prevalence of different types of primary headaches (tension type, migraine, trigeminal autonomic cephalalgias), and assess quality of life of patients with headaches who sought for medical care.

Materials and methods. According to study inclusion and exclusion criteria, 150 patients with headache, who visited the Neurology Department of YSMU during the past 4 years, were selected for further analysis. All patients were asked to complete three questionnaires: (1) A questionnaire which was compiled by us based on diagnostic criteria of International Headache Society (2-nd edition and 3-rd edition beta versions), (2) Headache Impact Test, and (3) SF-36. All studied patients were examined by a neurologist.

Results. In the analyzed population, tension-type headache was found in 31% of patients, migraine — in 60% of patients, and trigeminal autonomic cephalalgias — in 9% of participants. More than the half of the analyzed patients have seen physicians before (75% of them were examined by a neurologist), and in 37% of cases there were multiple referrals to a physician.

Conclusion. Data analysis showed significant underestimation (both by patients and physicians) and misdiagnosis of primary headaches in our region, especially in respect to cluster headache. That leads to chronification of headaches, ineffective treatment, and development of medication-overuse headaches. It is necessary to increase public awareness about the possibilities of headache treatment, as well as to increase the competence of the medical specialists.

Введение. Головные боли (ГБ) являются одним из наиболее распространенных болевых синдромов, частой причиной обращения за медицинской помощью. Распространенность ГБ среди взрослого населения составляет 47%, тем не менее многие люди не получают эффективного лечения.

Целью исследования является изучение распространенности различных форм первичных ГБ (мигрени, ГБ напряжения, тригеминальных вегетативных цефалгий) и качества жизни пациентов, обратившихся к неврологу.

Материалы и методы. Обследовано 150 пациентов (113 женщин, 37 мужчин), в возрасте 18–62 лет с диагностированной первичной ГБ, согласно критериям Международной классификации головных болей.

Результаты. По результатам нашей выборки, распространенность ГБ напряжения составляет 31%, мигрени — 60%, тригеминальных вегетативных цефалгий — 9%, что больше, чем данные литературы. Более половины (61%) пациентов ранее обращались к врачам, из них 75% — к неврологам, причем в 37% случаев обращение к врачам было многократным.

Заключение. В Республике Армения имеется серьезная недооценность первичных ГБ, причем как со стороны населения, так и со стороны врачей. Это приводит к хронизации ГБ, неэффективному лечению, развитию абузусных форм ГБ. Необходимо увеличить информированность населения о возможностях лечения ГБ, повысить компетентность специалистов.

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