Yıl: 2019 Cilt: 36 Sayı: 2 Sayfa Aralığı: 98 - 103 Metin Dili: İngilizce DOI: 10.5152/NSN.2019.10911 İndeks Tarihi: 17-08-2020

Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study

Öz:
Objective: The frequency of neurologic manifestations of Behçet disease (BD) is between 5% and 30%. The most commonneurologic symptoms of BD are headache, which may be due to migraine, tension-type headache (TTH), uveitis or a direct consequence of neuro-Behçet disease. We aimed to evaluate the frequency of headache and the frequency of different headache types in patients with BD with or without neurologic involvement.Methods: One hundred two patients (44 males, 58 females) who fulfilled the International Study Group for BD classificationcriteria were included in the study. The control group consisted of 115 healthy subjects (41 males, 74 females) who were an age and sex-matched population. The patients were interviewed to determine a history of BD and headache.Results: There was no significant difference between the patients and controls in terms of the presence of headache. Themajority of the headaches of patients with BD were migraine and TTH. In the BD group, the mean activity score was higher inthe headache group than in the headache-free group. In the subgroups, the mean BD activity score was 4.6±1.9 in patientswith migraine and the mean BD activity score was 3.0±1.6 in patients with TTH. There was a significant difference between the migraine and TTH group in terms of BD activity.Conclusion: Migraine and TTH were the most common types of headache in both the patients with BD and the control group.The activity score of the disease was found to be higher in patients with Behçet's headache. In conclusion, physicians should be aware that worsening headache may be related to disease exacerbation in patients with BD.
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  • 1. Erturan I, Basak PY, Ozturk O, Ceyhan AM, Akkaya VB. Is there any relationship between serum and urine neopterin and serum interferon-gamma levels in the activity of Behcet’s disease? J Eur Acad Dermatol Venereol 2009; 23: 1414-1418. [CrossRef]
  • 2. Sakane T, Takeno M, Suzuki N, Inaba G. Behçet’s disease. N Engl J Med 1999; 341: 1284-1291. [CrossRef]
  • 3. Serdaroğlu P. Behçet’s disease and the nervous system. J Neurol 1998; 245: 197-205. [CrossRef]
  • 4. Akman-Demir G, Serdaroglu P, Tasci B. Clinical patterns of neurological involvement in Behçet’s disease: evaluation of 200 patients. The Neuro-Behçet Study Group. Brain 1992; 122: 2171- 2182. [CrossRef]
  • 5. Saip S, Siva A, Altintas A, et al. Headache in Behçet’s syndrome. Headache 2005; 45: 911-919. [CrossRef]
  • 6. Ideguchi H, Suda A, Takeno M, et al. Neurological manifestations of Behçet’s disease in Japan: a study of 54 patients. J Neurol 2010; 257: 1012-1020. [CrossRef]
  • 7. Serdaroğlu P, Yazici H, Ozdemir C, Yurdakul S, Bahar S, Aktin E. Neurologic involvement in Behçet’s syndrome. A prospective study. Arch Neurol 1989; 46: 265-269. [CrossRef]
  • 8. Wechsler B, Dell’lsola B, Vidailhet M, et al. MRI in 31 patients with Behçet’s disease and neurological involvement: prospective study with clinical correlation. J Neurol Neurosurg Psychiatry 1993; 56: 793-798. [CrossRef]
  • 9. Siva A, Kantarci OH, Saip S, et al. Behçet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol 2001; 248: 95-103. [CrossRef]
  • 10. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629- 808.
  • 11. Bhakta BB, Brennan P, James TE, Chamberlain MA, Noble BA, Silman AJ. Behçet’s disease: evaluation of a new instrument to measure clinical activity. Rheumatology (Oxford) 1999; 38: 728- 733. [CrossRef]
  • 12. Türsen Ü. Activation markers in Behcet disease. TURKDERM 2009; 43: 74-86.
  • 13. Kidd D. The prevalence of headache in Behçet’s syndrome. Rheumatology (Oxford) 2006; 5: 621-623. [CrossRef]
  • 14. Zarifoglu M, Siva A, Hayran O, Turkish Headache Epidemiology Study Group. An epidemiologic study of headache in Turkey: a nationwide survey. Neurology 1998; 50(Suppl 4): A225.
  • 15. Monastero R, Mannino M, Lopez G, et al. Prevalence of headache in patients with Behçet’s disease without overt neurological involvement. Cephalalgia 2003; 23: 105-108. [CrossRef]
  • 16. Aykutlu E, Baykan B, Akman-Demir G, Topcular B, Ertas M. Headache in Behçet’s disease. Cephalalgia 2006; 26: 180-186. [CrossRef]
  • 17. Ertas M, Baykan B, Orhan EK, et al. A. One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain 2012; 13: 147-157. [CrossRef]
  • 18. Borhani Haghighi A, Aflaki E, Ketabchi L. The prevalence and characteristics of different types of headache in patients with Behçet’s disease, a case-control study. Headache 2008; 48: 424- 429. [CrossRef]
  • 19. Kisabay A, Selcuki D, Pırıldar T. Characteristics of headaches in cases diagnosed with Behcet’s disease. J Neurol Sci 2013; 333: e358-e421. [CrossRef]
  • 20. Pal B, Gibson C, Passmore J, Griffiths ID, Dick WC. A study of headaches and migraine in Sjögren’s syndrome and other rheumatic disorders. Ann Rheum Dis 1989; 48: 312-316. [CrossRef] 102 Headache and Behçet's disease, Yürekli et al. Neurol Sci Neurophysiol 2019; 36(2): 98-103
  • 21. Al-Araji A, Sharquie K, Al-Rawi Z. Prevalence and patterns of neurological involvement in Behcet’s disease: a prospective study from Iraq. J Neurol Neurosurg Psychiatry 2003; 74: 608-613. [CrossRef]
  • 22. Kayim O, Gökçay A, Çelebisoy N, Gökçay F. Childhood-onset optic neuritis as the first manifestation of Behçet’s disease. Neuroophthalmology 2005; 29: 69-71.
  • 23. Kansu T, Kirkali P, Kansu E, Zileli T. Optic neuropathy in Behçet’s disease. J Clin Neuroophthalmol 1989; 9: 277-280.
  • 24. Walker LJ, Swallow MW, Mirakhur M. Behçet’s disease presenting with mononeuritis multiplex. Ulster Med J 1990; 59: 206-210.
  • 25. Joseph FG, Scolding NJ. Neuro-Behçet’s disease in Caucasians: a study of 22 patients. Eur J Neurol 2007; 14: 174-180. [CrossRef]
  • 26. Kalra S, Silman A, Akman-Demir G, et al. Diagnosis and management of Neuro-Behçet’s disease: international consensus recommendations. J Neurol 2014; 261: 1662-1676. [CrossRef]
  • 27. Siva A, Saip S. The spectrum of nervous system involvement in Behçet’s syndrome and its differential diagnosis. J Neurol 2009; 56: 513-529. [CrossRef]
  • 28. Coban O, Bahar S, Akman-Demir G, et al. Masked assessment of MRI findings: is it possible to differentiate neuro-Behçet’s disease from other central nervous system diseases? Neuroradiology 1999; 41: 255-260. [CrossRef]
  • 29. Akman-Demir G, Baykan-Kurt B, Serdaroglu P, et al. Seven-year follow-up of neurologic involvement in Behçet syndrome. Arch Neurol 1996; 53: 691-694. [CrossRef]
  • 30. Assaad-Khalil S, Abou-Seif M, Guindy S, El-Siwy F, El-Sawy M. C 32 Neurologic involvement in Behçet's disease: clinical, genetic and computed tomographic study. Rev Med Interne 1993; 14(Suppl 1): 39
  • 31. Kurtuncu M, Aydin BN, Gunduz T, Ala S, Akman-Demir G. Neuro-Behcet’s disease: Analysis of 430 patients. J Neurol Sci 2017; 381: 54-180. [CrossRef]
  • 32. Akman-Demir G, Bahar S, Baykan-Kurt B, Gürvit H, Serdaroglu P. Intracranial hypertension in Behçet’s disease. Eur J Neurol 1996; 3: 66-70. [CrossRef]
APA Yürekli V, ERTURAN İ, ŞENGEZE N, ATAY İ, GÜRLER S (2019). Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. , 98 - 103. 10.5152/NSN.2019.10911
Chicago Yürekli Vedat Ali,ERTURAN İjlal,ŞENGEZE Nihat,ATAY İnci Meltem,GÜRLER Semih Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. (2019): 98 - 103. 10.5152/NSN.2019.10911
MLA Yürekli Vedat Ali,ERTURAN İjlal,ŞENGEZE Nihat,ATAY İnci Meltem,GÜRLER Semih Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. , 2019, ss.98 - 103. 10.5152/NSN.2019.10911
AMA Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. . 2019; 98 - 103. 10.5152/NSN.2019.10911
Vancouver Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. . 2019; 98 - 103. 10.5152/NSN.2019.10911
IEEE Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S "Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study." , ss.98 - 103, 2019. 10.5152/NSN.2019.10911
ISNAD Yürekli, Vedat Ali vd. "Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study". (2019), 98-103. https://doi.org/10.5152/NSN.2019.10911
APA Yürekli V, ERTURAN İ, ŞENGEZE N, ATAY İ, GÜRLER S (2019). Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. Neurological sciences and neurophysiology (Online), 36(2), 98 - 103. 10.5152/NSN.2019.10911
Chicago Yürekli Vedat Ali,ERTURAN İjlal,ŞENGEZE Nihat,ATAY İnci Meltem,GÜRLER Semih Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. Neurological sciences and neurophysiology (Online) 36, no.2 (2019): 98 - 103. 10.5152/NSN.2019.10911
MLA Yürekli Vedat Ali,ERTURAN İjlal,ŞENGEZE Nihat,ATAY İnci Meltem,GÜRLER Semih Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. Neurological sciences and neurophysiology (Online), vol.36, no.2, 2019, ss.98 - 103. 10.5152/NSN.2019.10911
AMA Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. Neurological sciences and neurophysiology (Online). 2019; 36(2): 98 - 103. 10.5152/NSN.2019.10911
Vancouver Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study. Neurological sciences and neurophysiology (Online). 2019; 36(2): 98 - 103. 10.5152/NSN.2019.10911
IEEE Yürekli V,ERTURAN İ,ŞENGEZE N,ATAY İ,GÜRLER S "Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study." Neurological sciences and neurophysiology (Online), 36, ss.98 - 103, 2019. 10.5152/NSN.2019.10911
ISNAD Yürekli, Vedat Ali vd. "Headache frequency and its relation with disease activity in patients with Behçet’s disease: a casecontrol study". Neurological sciences and neurophysiology (Online) 36/2 (2019), 98-103. https://doi.org/10.5152/NSN.2019.10911