Inflammatory and infectious parameters in tension-type headache


Abstract views: 112 / PDF downloads: 79

Authors

DOI:

https://doi.org/10.26900/hsq.1995

Keywords:

Neutrophil / lymphocyte ratio, platelet / lymphocyte ratio, immature / mature granulocyte ratio, tension-type headache

Abstract

Although tension-type headache (TTH) is the most common primary headache in the world, much fewer studies on its pathophysiology have been carried out in comparison to other primary headaches. Inflammatory processes are important in the pathophysiology of both peripheral and central pain. Studies on the role of inflammatory markers in TTH patients are limited. Therefore, in this study, it was aimed to examine the role of inflammatory parameters in TTH. 199 TTH patients and 154 control participants were involved in this study. C-reactive protein (CRP) and high-density lipoprotein (HDL) levels and neutrophil/lymphocyte (NLR), platelet/lymphocyte (PLR), monocyte/lymphocyte (MLR), HDL/monocyte and Immature/Total granulocyte ratios in all patients reviewed retrospectively. CRP value and immature/total granulocyte ratio were found to be significantly higher in the patient group when compared to the control group. No difference was found between NLR, PLR, MLR, and HDL/Monocyte ratios. There was no difference in NLR, MLR, immature/mature granulocyte ratios, and CRP values between the genders in the patient group. Median values of PLR, HDL, and HDL / monocyte were found to be higher in males. The fact that there is no difference in most of the inflammatory parameters in TTH and there is a significant difference in the immature/total granulocyte ratio is a new finding on this subject. There is no other study in the literature examining the immature/total granulocyte ratio in headaches.

Downloads

Download data is not yet available.

References

Loder E, Rizzoli P. Tension-type headache. BMJ. 2008;336(7635):88-92. doi: 10.1136/bmj.39412.705868.AD.

Karabulut KU, Egercioglu TU, Uyar M, Ucar Y. The change of neutrophils / lymphocytes ratio in migraine attacks: A case-controlled study. Ann Med Surg. 2016;10:52-6. doi: 10.1016/j.amsu.2016.07.023.

Sarıcam G. Relationship between migraine headache and hematological parameters. Acta Neurol Belg. 2021;121(4):899-905. doi: 10.1007/s13760-020-01362-x

Acar E, Beydilli H, Karagöz Ü, Yildirim B, Kirlii I, Kilinç RM, et al. Neutrophil-lymphocyte ratio can distinguish migraine patients from other patients with nonspecific headache in the emergency department. Acta Medica Mediterr. 2015;31(4):829-34.

Olesen J. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211. doi: 10.1177/0333102417738202.

Özdemir HH, Dönder A. Evaluation of neutrophilto-lymphocyte ratio, platelet-to-lymphocyte ratio, and c-reactive protein in tension-type headache patients. J Neurosci Rural Pract. 2021;12(3):566-70. doi: 10.1055/s-0041-1730124.

Albayrak HO, Gurbuz H, Basaran S YS. Assessment of inflammation with hematological parameters in patients with migraine and tensiontype headache: A prospective study from a tertiary care center. Pain Manag. 2022;12(2):141-8. doi: 10.2217/pmt-2021-0036.

Biscetti L, De Vanna G, Cresta E, Bellotti A, Corbelli I, Letizia Cupini M, et al. Immunological findings in patients with migraine and other primary headaches: A narrative review. Clin Exp Immunol. 2022;207(1):11-26. doi: 10.1093/cei/uxab025.

Domingues RB, Duarte H, Rocha NP T AL. Increased serum levels of interleukin-8 in patients with tension-type headache. Cephalalgia. 2015;35(9):801-6. doi: 10.1177/0333102414559734.

Della Vedova C, Cathcart S, Dohnalek A, Lee V, Hutchinson MR, Immink MA, et al. Peripheral interleukin-1β levels are elevated in chronic tension-type headache patients. Pain Res Manag. 2013;18(6):301-6. doi: 10.1155/2013/796161.

Bø SH, Davidsen EM, Gulbrandsen P, Dietrichs E, Bovim G, Stovner LJ WL. Cerebrospinal fluid cytokine levels in migraine, tensiontype headache and cervicogenic headache. Cephalalgia. 2009;29(3):365-72. doi: 10.1111/j.1468-2982.2008.01727.x.

Onder H, Deliktas MM. May neutrophil to lymphocyte ratio serve a role in the prediction of clinical features of migraine? J Neurol Res. 2020;10(2):38-43. doi: https://doi.org/10.14740/jnr574.

Arıkan Z, Amasyalı SY, Akyol A. Correlation of hematological parameters, imaging results, and clinical findings in primary headache disorders. Turk Noroloji Derg. 2021;27(1):58-63. doi: 10.4274/tnd.2020.37790.

Tekeşin A, Tunç A. Evaluation of inflammatory markers in patients with migraine. Arch Clin Exp Med. 2019;4(1):37-40. doi: 10.25000/acem.494415.

Kubat M, Şengül S. Value of neutrophil-to-platelet ratio, immature granulocyte-to-lymphocyte ratio, red blood cell distribution width-to-lymphocyte ratio in differentiating complicated acute appendicitis. Ulus Travma ve Acil Cerrahi Derg. 2022;28(5):607-14. doi: 10.14744/tjtes.2021.30434.

Ayres LS, Sgnaolin V, Munhoz TP. Immature granulocytes index as early marker of sepsis. Int J Lab Hematol. 2019;41(3):392-6. doi: 10.1111/ijlh.12990.

Incir S. The role of immature granulocytes and inflammatory hemogram indices in the inflammation. Int J Med Biochem. 2020;3(3):1-2. doi: 10.14744/ijmb.2020.02986.

Chavan D, Ahmad F, Iyer P, Dalvi R, Kulkarni A, Mandava S, et al. Cytogenetic investigation in chronic myeloid leukemia: Study from an Indian population. Asian Pacific J Cancer Prev. 2006;7(3):423-6.

Ünal Y, Barlas AM. Role of increased immature granulocyte percentage in the early prediction of acute necrotizing pancreatitis. Ulus Travma ve Acil Cerrahi Derg. 2019;25(2):177-82. doi: 10.14744/tjtes.2019.70679.

Downloads

Published

2023-07-20

How to Cite

Özkara Yılmaz, B. (2023). Inflammatory and infectious parameters in tension-type headache. HEALTH SCIENCES QUARTERLY, 3(3), 171–175. https://doi.org/10.26900/hsq.1995

Issue

Section

Original Article