Abstract

Background: Migraine and tension-type headache (TTH) are the two most common types of primary headaches. In spite of the internationally accepted diagnostic criteria, it is not uncommon to face difficulties in diagnosing headache in the clinical practice.Objectives: To evaluate the risk factors, triggers and comobid conditions associated with migraine and tension type headache (TTH).
Materials and Methods: A total of 410 patients of migraine and TTH having age more than 15 years of either sex attending Neurology Department of G.R Medical College, Gwalior, from February 2016 to September 2017 were studied. Detailed information on demography, past history were recorded.
Results: Out of 410 patients, 228 (55.60%) were having migraine and 182 (44.40%) were having TTH. Migraine (50.32%) and TTH (35.16%) were commonly seen in the age group of 20–40 years. Migraine and TTH were more common in females (50.16% and 56.59%). Most common associating factor in patients with migraine was nausea (n = 72) followed by vomiting (n = 58), phonophobia (n = 25), and photophobia (n = 33) whereas among TTH patients nausea (11.54%) followed by scalp tenderness (11.53) and giddiness (10.99%) were the most common. Most common triggers in migraine were emotional stress (25.43%) followed by fast (18.42%) and sunlight (16.22%).Conclusion: Migraine was a common headache affecting young age group subjects with female predominance. Migraine without aura was most common subtype. Stress was the most common triggering factors for migraine. Tension-type was mostly associated with nausea and scalp tenderness.