Severe Headaches in the African: Report on 250 Cases from Sierra Leone, West Africa
Article first published online: 22 JUN 2005
Headache: The Journal of Head and Face Pain
Volume 27, Issue 9, pages 477–483, October 1987
How to Cite
Lisk, D. R. (1987), Severe Headaches in the African: Report on 250 Cases from Sierra Leone, West Africa. Headache: The Journal of Head and Face Pain, 27: 477–483. doi: 10.1111/j.1526-4610.1987.hed2709477.x
- Issue published online: 22 JUN 2005
- Article first published online: 22 JUN 2005
- Accepted for Publication: September 2, 1987
- Cited By
The pattern of severe headaches in a clinic population of 250 indigenous Sierra Leonean Africans is studied. The sex ratio was 2.2 females to one male. The commonest cause of severe headaches was migraine, both common and classical, accounting for over 40% of cases. Next most common was tension headache. The prevalence of sinusitis of etiological importance was high at 15.6 per cent. Environmental and local cultural factors may contribute to such a high proportion. Hypertension, on the other hand, though a widespread medical problem accounted for only 4.4 percent of cases.
The prevalence of sickling positivity, though higher in the migraine groups, was not significantly higher than in the general population.
Four patients with severe headaches died mainly from tumors and hemorrhage giving a mortality of about 1.6%.
It appears as if the pattern of severe headaches in the Sierra Leonean African is basically similar to that of other racial groups.