HEADACHE

Objective and aims: To determines relationship of age, gender, hypertension,diabetes mellitus and obesity with primary and secondary headache in a tertiary carehospital. Study design: A cross-sectional study. Place and duration of study: Medical OPDof Liaquat University of Medical and Health Sciences, Hyderabad from 10January to 10 July2015. Methodology: Patients (male and female) with complaint of headache in medical OPDwere included in this study. Patients with acute emergency, stroke, meningitis, encephalitisand severe infection were excluded. After taking informed consent, history, examination andlaboratory test (like fasting blood glucose, blood urea nitrogen) were sent. Data was recordedin a proforma. Data was entered and analyzed using SPSS version 20. Results: A total of 100patients of headache were included in this study. The mean age of enrolled participants was33.6±2 years. Forty percent were male and 60% female with male to male ratio was 0.7:1. Eightynine percent of patients have normal blood pressure, 82% normal blood sugar and 48% normalbody mass index. Eighty six percent patients had primary and 14% had secondary headaches.Normal blood pressure was observed in 93% cases of primary headache compared to 64.3%in secondary headache (p-0.006). Normal blood sugar was observed in 14% cases of primaryheadache compared to 42.9% in secondary headache (p-0.018).normal body mass index wasobserved in 51.2% cases of primary headache compared to 28.6% in secondary headache (p-0.002). Conclusion: There is strong relationship of primary headache with age, gender, obesitybut not associated with hypertension and diabetes mellitus. Hypertension and diabetes aremore strongly related with secondary headache