Headache and Migraine in Patients with Asthma

Objectives: Severe headaches are the hallmark of the migraine condition, which also has systemic and neurological symptoms. This study aims to determine the prevalence of migraine and explore potential associations between migraine, atopic diseases, and parental history in asthmatic patients. Material And Methods: A total of 72 outpatients with asthma who were diagnosed, according to the hospital database, by an early or late test of reversibility demonstrating a reversible airway obstruction, were included. Questions about the history of asthma, atopic disorders, migraine, and headaches as well as atopic symptoms were asked. The neurology department examined the headacheing individuals and looked into the possibility of migraine. If a patient met the criteria established by the International Headache Society (IHS), a diagnosis of migraine headache was made. Results: In 60.4% of cases, a headache was mentioned. Three quarters of the patients, had headaches that satisfied the IHS criteria for migraine. Aura-associated migraine affected just 3 people. There were atopic symptoms in 86.8% of individuals. Based on the medical history of the parents, 47.9% had asthma, 39.6% had atopic symptoms, and 22.2% had migraines. It was discovered that patients with atopic symptoms had a noticeably higher frequency of headaches (65.3%) "p=0.007". Patients who had parents who had atopic symptoms had a significantly higher prevalence of migraines (54%) "p=0.002". Gender, smoking, allergens and migraine, and parental history of asthma were found to be independent risk factors for the presence of migraine in asthmatics using multiple logistic regression analysis. Conclusion: Patients with asthma have a high frequency of migraine headaches. The coexistence of headaches and asthma may be linked to a similar pathophysiological mechanism; smoking, shared genetic components, and family history may all be important components of this mechanism. Clinicians should inquire about atopic symptoms, family history, and headaches in patients with asthma. They should also exercise caution when suspecting migraines.