The survey conducted at the Bouaké Teaching Hospital in Ivory Coast examined the epidemiological, clinical and therapeutic aspects of primary headache (migraine and tension-type headache). This prospective survey involved 66 adult patients, mainly women (75.76%), with an average age of 42 years. Patients consulted for chronic headaches, and many had received previous treatment, mainly analgesics and amitriptyline, for prophylaxis. A diagnostic discrepancy of 25.76% was found between the initial diagnoses made by junior neurologists and those established after re-evaluation according to ICHD-3 criteria. The majority of patients received treatment for attacks (mainly NSAIDs) and prophylaxis (mainly amitriptyline), but triptans, recommended for crisis treatment, were rarely prescribed. A high number of patients suffered from depressive symptoms (60%) and anxiety (67%) according to HAD scores, indicating a significant psychological impact of headaches. Three months after treatment, 71.21% of patients showed an improvement of more than 50% in terms of headache frequency and intensity. The study suggests a number of recommendations for improving headache management in Ivory Coast, including better training of doctors in diagnostic criteria and improved access to medication.
References
[1]
Stovner, L., Hagen, K., Jensen, R., Katsarava, Z., Lipton, R., Scher, A., et al. (2007) The Global Burden of Headache: A Documentation of Headache Prevalence and Disability Worldwide. Cephalalgia, 27, 193-210. https://doi.org/10.1111/j.1468-2982.2007.01288.x
[2]
Dent, W., Spiss, H., Helbok, R., Matuja, W., Scheunemann, S. and Schmutzhard, E. (2004) Prevalence of Migraine in a Rural Area in South Tanzania: A Door-to-Door Survey. Cephalalgia, 24, 960-966. https://doi.org/10.1111/j.1468-2982.2004.00775.x
[3]
Akani, A.F., Gnazegbo, A., Kouame-Assouan, A.E., Bony, K.E., Karidioula, H.A., Sylla, A. and Yapo, M.T. (2018) Prévalence des céphalées primaires au sein du personnel soignant du CHU de Bouake, en Côte d’Ivoire. Journal of Neurology, Neurosurgery, and Psychiatry, 17, 25-30.
[4]
Gnazegbo, A., Karidioula, H.A., Bony, K.E., Sylla, A., Koffi, Y.T., Konandri, E.D., Teti, L., Kouame-Assouan, A.E. and Akani, A.F. (2019) Prévalence et caractéristiques cliniques des céphalées primaires chez les étudiants en médecine de l’université de Bouaké en Côte d’Ivoire. Journal of Neurology, Neurosurgery, and Psychiatry, 19, 36-41.
[5]
Rasmussen, B. (2001) Epidemiology of Headache. Cephalalgia, 21, 774-777. https://doi.org/10.1046/j.1468-2982.2001.00248.x
[6]
World Health Organization (2011) Atlas of Headache Disorders and Resources in the World 2011.
[7]
Headache Classification Committee of the International Headache Society (2018) The International Classification of Headache Disorders, 3rd ed. Cephalalgia, 38, 1-211.
[8]
Lebedeva, E.R., Kobzeva, N.R., Gilev, D.V. and Olesen, J. (2017) La qualité du diagnostic et de la gestion de la migraine et des céphalées de tension dans trois groupes sociaux en Russie. Céphalalgia, 37, 225-235.
[9]
Zebenigus, M., Tekle-Haimanot, R., Worku, D.K., Thomas, H. and Steiner, T.J. (2016) The Prevalence of Primary Headache Disorders in Ethiopia. The Journal of Headache and Pain, 17, Article No. 110. https://doi.org/10.1186/s10194-016-0704-z
[10]
Mbewe, E., Zairemthiama, P., Yeh, H., Paul, R., Birbeck, G.L. and Steiner, T.J. (2015) The Epidemiology of Primary Headache Disorders in Zambia: A Population-Based Door-to-Door Survey. The Journal of Headache and Pain, 16, Article No. 30. https://doi.org/10.1186/s10194-015-0515-7
[11]
Ossou-Nguiet, P.M., Gnonlonfoun, D., Obondzo-Aloba, K.L., Assogba, K., Matali, E., Nguiegna, D., et al. (2019) Abus médicamenteux et céphalées chroniques à Brazzaville: Profil et parcours thérapeutique des patients. Pan African Medical Journal, 33, Article 203. https://doi.org/10.11604/pamj.2019.33.203.7309
[12]
Donnet, A., Fabre, N., Géraud, D., Lantéri-Minet, M. and Valade, D. (2022) Les céphalées, migraines et algies faciales en 30 leçons. Elsevier.
[13]
Anayo, N.K., Guinhouya, K.M., Agba, L., Noubadjou, R., Belo, M. and Balogou, A.K. (2018) Les céphalées dans une population de travailleurs à Lomé-Togo. Journal de la Recherche Scientifique de l’Université de Lomé, 20, 507-513.
[14]
Ducros, A., de Gaalon, S., Roos, C., Donnet, A., Giraud, P., Guégan-Massardier, E., et al. (2021) Revised Guidelines of the French Headache Society for the Diagnosis and Management of Migraine in Adults. Part 2: Pharmacological Treatment. Revue Neurologique, 177, 734-752. https://doi.org/10.1016/j.neurol.2021.07.006
[15]
Oshinaike, O., Ojo, O., Okubadejo, N., Ojelabi, O. and Dada, A. (2014) Primary Headache Disorders at a Tertiary Health Facility in Lagos, Nigeria: Prevalence and Consultation Patterns. BioMed Research International, 2014, Article 782915. https://doi.org/10.1155/2014/782915
[16]
El-Sherbiny, N.A., Masoud, M., Shalaby, N.M. and Shehata, H.S. (2015) Prevalence of Primary Headache Disorders in Fayoum Governorate, Egypt. The Journal of Headache and Pain, 16, Article No. 85. https://doi.org/10.1186/s10194-015-0569-6
[17]
Wahab, K.W. and Ugheoke, A.J. (2009) Migraine: Prevalence and Associated Disability among Nigerian Undergraduates. Canadian Journal of Neurological Sciences/Journal Canadien des Sciences Neurologiques, 36, 216-221. https://doi.org/10.1017/s0317167100006570
[18]
Diallo, S.H., Togo, M., Apetse, K., Sogoba, Y., Diallo, S., Traoré, Z., et al. (2019) Céphalées primaires en consultation externe dans le service de neurologie du chu Gabriel Touré: Aspects épidémiologiques, cliniques et thérapeutiques sur 4 ans (2013-2016). Journal de la Recherche Scientifique de l’Université de Lomé, 20. https://www.ajol.info/index.php/jrsul/article/view/184615
[19]
Kim, B., Chu, M.K., Yu, S.J., Dell’Agnello, G., Hundemer, H., Panni, T., et al. (2022) Prevalence Rates of Primary Headache Disorders and Evaluation and Treatment Patterns among Korean Neurologists. Journal of Clinical Neurology, 18, 571-580. https://doi.org/10.3988/jcn.2022.18.5.571
[20]
Shin, H.E., Park, J.W., Kim, Y.I. and Lee, K.S. (2008) Headache Impact Test-6 (HIT-6) Scores for Migraine Patients: Their Relation to Disability as Measured from a Headache Diary. Journal of Clinical Neurology, 4, 158-163. https://doi.org/10.3988/jcn.2008.4.4.158
[21]
Yang, M., Rendas-Baum, R., Varon, S.F. and Kosinski, M. (2010) Validation of the Headache Impact Test (HIT-6™) across Episodic and Chronic Migraine. Cephalalgia, 31, 357-367. https://doi.org/10.1177/0333102410379890
[22]
Lyngberg, A.C., Rasmussen, B.K., Jørgensen, T. and Jensen, R. (2005) Prognosis of Migraine and Tension-Type Headache: A Population-Based Follow-Up Study. Neurology, 65, 580-585. https://doi.org/10.1212/01.wnl.0000172918.74999.8a
