@article {924, title = {Temporal distribution of emergency room visits in patients with migraine and other headaches}, journal = {Expert Review of Neurotherapeutics}, volume = {21}, year = {2021}, pages = {599-605}, abstract = {

Background: Headache is a leading reason for presentation to the emergency department (ED) with migraine being the most frequently headache. To ensure the adequate staffing of healthcare providers during peak times of headache visits, we analyzed the temporal distribution of emergency department visits in patients presenting with headache and/or migraine.

Research design and methods: The authors conducted an ecological study, including all consecutive visits to the ED for headache. Patients were classified according to the IHS Classification. We analyzed circadian, circaseptan and circannual patterns for number of visits, comparing migraine patients with other headache patients.

Results: There were 2132 ED visits for headache, including primary headache in 1367 (64.1\%) cases; migraine in 963 (45.2\%); secondary headache in 404 (18.9\%); and unspecified headache in 366 (17.1\%). The circadian pattern showed peaks around 11:00{\textendash}13:00 and 17:00{\textendash}19:00, with visits during the night shift 45\% less frequent (p \< 0.001). The circaseptan pattern showed a peak on Monday-Tuesday and a low point on Sunday (p \< 0.007). The circannual pattern peaked in March and decreased in June.

Conclusions: ED visits for headache showed specific circadian, circaseptan and circannual variations. No differences were found in these patterns when comparing migraine patients to other headache patients.

}, doi = {10.1080/14737175.2021.1906222}, url = {https://doi.org/10.1080/14737175.2021.1906222}, author = {Garc{\'\i}a-Azor{\'\i}n, David and Abelaira-Freire, Jaime and Rodriguez-Adrada, Esther and Gonz{\'a}lez-Garc{\'\i}a, Nuria and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Porta-Etessam, Jes{\'u}s and Mart{\'\i}n-S{\'a}nchez, Francisco J} } @article {904, title = {Deep Phenotyping of Headache in Hospitalized COVID-19 Patients via Principal Component Analysis}, journal = {Frontiers in Neurology}, volume = {11}, year = {2020}, pages = {1751}, abstract = {

Objectives: Headache is a common symptom in systemic infections, and one of the symptoms of the novel coronavirus disease 2019 (COVID-19). The objective of this study was to characterize the phenotype of COVID-19 headache via machine learning.Methods: We performed a cross-sectional study nested in a retrospective cohort. Hospitalized patients with COVID-19 confirmed diagnosis who described headache were included in the study. Generalized Linear Models and Principal Component Analysis were employed to detect associations between intensity and self-reported disability caused by headache, quality and topography of headache, migraine features, COVID-19 symptoms, and results from laboratory tests.Results: One hundred and six patients were included in the study, with a mean age of 56.6 {\textpm} 11.2, including 68 (64.2\%) females. Higher intensity and/or disability caused by headache were associated with female sex, fever, abnormal platelet count and leukocytosis, as well as migraine symptoms such as aggravation by physical activity, pulsating pain, and simultaneous photophobia and phonophobia. Pain in the frontal area (83.0\% of the sample), pulsating quality, higher intensity of pain, and presence of nausea were related to lymphopenia. Pressing pain and lack of aggravation by routine physical activity were linked to low C-reactive protein and procalcitonin levels.Conclusion: Intensity and disability caused by headache attributed to COVID-19 are associated with the disease state and symptoms. Two distinct headache phenotypes were observed in relation with COVID-19 status. One phenotype seems to associate migraine symptoms with hematologic and inflammatory biomarkers of severe COVID-19; while another phenotype would link tension-type headache symptoms to milder COVID-19.

}, issn = {1664-2295}, doi = {10.3389/fneur.2020.583870}, url = {https://www.frontiersin.org/article/10.3389/fneur.2020.583870}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Trigo, Javier and Rodrigo de Luis-Garc{\'\i}a and {\'A}ngel L. Guerrero and Porta-Etessam, Jes{\'u}s and Garc{\'\i}a-Azor{\'\i}n, David} }