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Normal MRI findings were the most prevalent patterns in patients presenting with headache in this study. The most common pathology was sinusitis. Headache is one of the commonest symptoms in general medical practices and it virtually affects all persons at some point [ 1 , 2 ]. Headache has been ranked among the tenth most disabling conditions globally according to World Health Organization parameters [ 3 , 4 ]. Depending on the etiology, the headache may be classified into primary and secondary.
A primary headache disorder is not caused by a specific medical condition. A primary headache is more common than the second type of headache [ 5 ]. Secondary headache disorder has another disorder that activates the pain-sensitive nerves of the head. The differential diagnoses of secondary headaches could be a legion and are very likely more numerous than for any other symptom [ 5 ].
The fear of missing a potentially sinister but treatable cause of headaches, coupled with patients' anxiety and medicolegal reasons are usually what prompts the investigation of headaches with neuroimaging modalities such as Magnetic Resonance Imaging MRI and Computerized Tomography scan CT [ 6 ]. Headaches can be infrequent episodic or may become chronic.
Chronic headache refers to a headache that occurs on 15 or more days in a month for at least three months [ 4 , 7 , 8 ]. A headache may have an extraordinarily high number of causes, which may be grouped into primary and secondary causes [ 9 ]. The majority of the patients who present with chronic or recurrent headaches have no neurological abnormality [ 10 ], still a greater number of the patients undergo an evaluation with Computed tomography and Magnetic resonance imaging [ 10 , 11 ]. The yield may vary depending on the field strength 0.
In emergency situations, the CT scan could be performed first, depending on the patient's symptoms. In Africa, there is rarity of data on the prevalence of headaches. A study conducted in rural Tanzania recorded the 1-year prevalence of headache as In a report on the global burden of headache, Stovner et al. Headache is a common public health challenge, and a good knowledge of the patterns of MRI findings in patients presenting with a headache would serve as a guide to clinicians and neurosurgeons in the management of these patients. There is a dearth of information on the MR imaging findings in patients presenting with headaches in our locality.
This was a cross-sectional retrospective review of radiological reports of patients who underwent MRI investigations in three private diagnostic centers in Port Harcourt metropolis, Rivers State, Nigeria.
A sample size of was used for this study, and they were selected purposively based on the inclusion criteria from the radiology department database of the selected study centers from January to December Radiological reports with information such as age, gender, clinical indications and radiological findings were selected and included in this study. Permission to collect data for this study was obtained from the Human Research and Ethics Committees of the study centers.
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