ANALYSIS OF NEUROLOGICAL SOFT SIGNS IN PRIMARY HEADACHE PATIENTS

IJAR - Indian Journal of Applied Research

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Field Value
 
Title ANALYSIS OF NEUROLOGICAL SOFT SIGNS IN PRIMARY HEADACHE PATIENTS
 
Creator N, Thamilpavai; Assistant Professor of Neurology, Madras Institute of Neurology, Madras Medical College.
Vellaichamy, Kannan; Assistant Professor of Neurology, Madras Institute of Neurology, Madras Medical College. *Corresponding Author
R, Lakshminarasimhan; Professor of Neurology, Madras Institute of Neurology, Madras Medical College.
K, Bhanu; Professor of Neurology, Madras Institute of Neurology, Madras Medical College.
 
Subject
 
Description Introduction: NSS correlates with neuroanatomical, neurocognitive abnormalities which represents defective neural intregration. Neurological examination is usually normal and investigations are non contributory in patients with primary headaches. NSS can be used to identify a specific subset of headache patients. Aim of Study: To assess neurological soft signs in primary headaches using Heidelberg scale. Materials and Methods: It is a crosssectional study of 60patients attending our headache and neurological OPD in RGGH Chennai. Diagnosis of headache made by HIS criteria. Inclusion Criteria: Age >18 and < 60 years. H/O of > 1 to < 15 attacks / month. Exclusion Criteria: H/O intake of psychoactive medications,psychiatric illness, head trauma, secondary headaches. Detailed neurological examination and brain imaging done. Results: Of the 60 patients examined 55 of them presented with migraine, 5 with tension type headache with a mean duration of 1 - 10 years. The NSS score was increased in patients with a longer duration of headache. 20 of the 60 had increased scores .6 of the 20 had increased scores in all the domains.7 of them had defective motor coordination,3 in spatial orientation, 4 in complex motor tasks. Only 5 patients had WMH lesions. Conclusion: Patients with chronicisation of headaches had increased NSS scores. Endophenotypes of psychiatric comorbitidies may be present which may be missed by routine clinical examination. Tailored pharmacotherapy may be beneficial and cost effective.
 
Publisher World Wide Journals
 
Contributor
 
Date 2017-10-28
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://worldwidejournals.in/ojs/index.php/ijar/article/view/9
 
Source IJAR - Indian Journal of Applied Research; Vol 7, No 10 (2017): October
2249 - 555X
 
Language eng
 
Relation http://worldwidejournals.in/ojs/index.php/ijar/article/view/9/9
http://worldwidejournals.in/ojs/index.php/ijar/article/downloadSuppFile/9/10
 
Rights Copyright (c) 2017 Thamilpavai N, Kannan Vellaichamy, Lakshminarasimhan R, Bhanu K
http://creativecommons.org/licenses/by/4.0
 

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