ABSTRACT
Background and aims: Headaches represent at the same time the symptom and the disease, while the secondary ones are the expression of an ongoing pathology that can be systemic, locoregional or distant. The aim of this study is to determine the prevalence rate in the workplace in a ward (Nucleo Alzheimer) during the period of Sars-COV2 infection. This survey was carried out using 2 questionnaires: 1 (work activity sheet), 2 (headache sheet according to IHS criteria). Methods: All health personnel belonging to the Alzheimer Nucleus of the IDR S. Margherita di Pavia were subjected to compilation of questionnaires during the Sars-COV2 infection period. Results: From the analysis of the questionnaires administered, it was found that out of 15 workers, 10 were women and 5 were men. 4 (all women had migraines without aura) and 7 tension-type headaches (5 women and 2 men). Before the Sars-COV2 period, only 2 workers had migraine without aura and 2 tension-type headaches (all women). All 11 workers reported stress, insomnia, and concern for family members and their own health. None of the workers at the time of testing had been vaccinated. Conclusions: Factors related to the work environment are able to increase the frequency and/or intensity of pre-existing headaches. It is also likely that particular situations can give rise to or cause some forms of headache under certain working conditions. Excessive responsibility or, on the contrary, disaffection and incongruous work rhythms should be considered among the occupational risk factors.
ABSTRACT
Background and aims: Migraine without aura is the most frequent of the forms of migraines (about 60% - 80% of all forms of migraines). There are many causes that can trigger migraines, including infections (IHS ICDH-3). Methods: 69 year old woman. Professional nurse. Family history of migraine (maternal line). Arising in school age. Diagnosis made according to the IHS ICDH-3 criteria. The patient presented 2–3 crises / month with pulsating pain in the bilateral frontotemporal region, medium-strong intensity, associated with photo-phonophobia, nausea, sometimes vomiting. Duration 24–36 h. Triggering factors: menstruation and psychophysical stress. After menopause (49 years) reduction of intensity, duration and frequency with 1–2 cris / month related stress lasting 12–24 h and responsive to NSAID intake. No preventive therapy performed. Results: On 29.11.2020 episode of atypical headache (described as different from other episodes) with very strong, throbbing, stabbing, burning pain in the bilateral front-temporal region, unresponsive to the intake of NSAIDs. Duration 24 h. No other symptoms reported, apiretic. 30.11.2020: TNF fast: +. Molecular TNF: positive for SARS COV 2. During the period of infection headache present whenever the patient had fever and was unresponsive to paracetamol. Conclusions: In our case report, atypical migraine can be considered a sentinel symptom of an initial infection. The patient works as a professional nurse in the ward which had become Covid on 3.11.2020.