Evidence map›Paper›PMID 27094526›Full record

ArticleNeurosciences (Riyadh, Saudi Arabia)2016

The challenge of managing headache disorders in a tertiary referral neurology clinic in Rwanda.

Celestin Kaputu-Kalala-Malu, Timothy D Walker, Olga Ntumba-Tshitenge, Eric M Mafuta, Pierrot L Tugirimana, Jean P Misson

Abstract read
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Article in Neurosciences (Riyadh, Saudi Arabia), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Outcome of topiramate in migraine prophylaxis.Annals of medicine and surgery (2012) · 2023
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Celestin Kaputu-Kalala-MaluChild Neurology, Department of Neurology, Centre Neuropsychopathologique Hospital, Kinshasa University Teaching Hospital, Kinshasa, Republic Democratic of Congo. E-mail: ckaputukalalamalu@yahoo.fr.
Timothy D Walker
Olga Ntumba-Tshitenge
Eric M Mafuta
Pierrot L Tugirimana
Jean P Misson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the pattern, management, and outcome of headaches among patients treated at Outpatient Neurology Clinic.

methodsA retrospective study was conducted at the Out-Patient Neurology Clinic of the Butare University Teaching Hospital, University of Rwanda, Butare, Rwanda between February and May 2015. We extracted the demographic data, headache characteristics, and associated conditions, prior pain-relieving medication use, waiting time before consultation, the results of paraclinical investigations, final diagnosis according to the International Classification of Headache Disorders, management, and 3-month clinical outcome from the medical records of all patients who consulted for headache over 36-month period. Epi Data and Statistical package for Social sciences software version 21.0 (SPSS Inc, Chicago, IL, USA) software were used for data processing.

resultsHeadache disorders represent a quarter of all neurological consultations. Patients were predominantly female (67%) and young (78% <45 years old). One-third (34%) presented with chronic tension-type headache. Neuroimaging demonstrated an abnormality in a significant minority (14%). Amitriptyline was the most commonly used drug (60%) in management. Forty percent of those patients followed for 3 months did not experience any clinical improvement.

conclusionHeadache is among the most common medical complaints in the Outpatient Neurology Clinic, with a wide array of underlying diagnoses, and a significant yield on neuroimaging. A significant proportion of those suffering from headache disorders have poor short-term outcomes. Novel approaches, such as headache support groups and alternative pharmacological agents, should be investigated for these patients.

Indexed as

NeurologyTertiary Care CentersAdolescentAdultAgedFemaleHeadache DisordersHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesRwandaYoung Adult

Identifiers

PMID27094526
PMCPMC5107270

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