Headache is worldwide frequently occurring neurological disorder in approximately all age levels. According to International Classification of Headache Disorders, it has been classified into primary and secondary headache. The purpose of study was to find relative occurrence of different forms of headache like Migraine, Tension headache, Cluster headache, Psychotic headache, Medication over use headache, Spinal headache and Cervicogenic headaches in Rural and Urban population of the Punjab province of Pakistan. In this survey based study, the questionnaires were distributed randomly among the people, aged 20 to 30 years of either gender in selected areas of the Punjab province. The questionnaires were self explanatory and contained all the information about types of headaches. The data obtained after survey was analyzed by SPSS. The results indicated that Tension headache was found to have the highest prevalence (65.5%) while the occurrence of Migraine, Cluster headache, Psychotic headache, Medication over use headache, Spinal headache and Cervicogenic headaches was 8.5%, 17%, 3.5%, 1.5%, 2.7% and 1.4%, respectively. However, the ratio of Migraine, Psychotic headache and Tension headache was more in female as compared to male population. Similarly, the people living in rural areas generally experienced Cluster headache (20.9%), Spinal headache (3.4%) and Cervicogenic headache (1.7%). We concluded that highest prevalence of Tension headache is due to stress, overburden and worries of everyday life which people usually experience at different stages of their lives.
Key words: Headache, Tension Headache, Cluster Headache, Migraine.
Headache is the most devastating neurological disorder if it is occurring recurrently or becoming a chronic form. The people suffering from headache often experience severely disabling conditions like nausea, vomiting and hyper-sensitivity reactions which exert negative impact on the individual’s everyday life .
International Classification of Headache Disorders 2nd Edition (ICHD-2) classify the headache into primary (non pathological) and secondary (pathological) headache. Migraine, tension headache, cluster headache and trigeminal-cephalgias are included into primary headache while sinus headache, headache due to illness, medication over use headache, aneurysm headache, spinal headache, cervicogenic headache, psychotic headache, headache due to homoeostasis disturbances and headache due to drug abuse and withdrawal are studied under the heading of secondary headache .
People suffering from headache often undergo deteriorated functionality in their routine work usually at home, work places and school . Headache exerts significant pessimistic effects over the economy and social set up of a nation . The most prevailing and customary forms of headache which occur in children, adolescents as well as in adults are tension headache and migraine . The total lifetime frequency of primary headache is...