Author(s)

Dieu Donne Gnonlonfoun^1*, Mendinatou Agbetou², Armand Wanvoegbe³, Constant Adjien¹, Ronald Gnimavo^1,4, Arlos Sowanou¹, Rodrigue Domingo¹, Joseph Adoco¹, Djimon Marcel Zannou³, Dismand Houinato¹

¹Department of Neurology, Teaching Hospital Center, Cotonou, Benin.
²Department of Neurology, Teaching Hospital Center, Parakou, Benin.
³Department of Internal Medicine, Teaching Hospital Center, Cotonou, Benin.
⁴Department of Public Health, Ouidah, Benin.

Introduction: Headache disorders are common in HIV-infected patients. These disorders are either primary or secondary. Objective: Determine prevalence and factors associated with primary headache disorders in HIV+ patients. Method: It was a cross-sectional, descriptive and analytical study conducted from 2^nd May 2017 to 2^nd August 2017 which included HIV+ patients aged 18 years and above. Diagnosis of primary headache disorders was carried out by a Neurologist on the basis of ICHD-II diagnostic criteria. The dependent variable was primary headache disorders. Epi Info Version 7.2.1.0 and STATA11 were used for data analysis. P < 0.05 was considered as significant value. Results: Primary headache disorders prevalence was 25.2% (124/493).Tension-type headache represented 77.41%. HIV+ patients were aged 42.63 ± 10.14 years. Sex-ratio was estimated at 0.14. Factors associated with primary headache disorders in HIV+ patients were: male (0.36 [0.17 - 0.77]; P = 0.008), Dendi ethnicity (14.8 [2.08 - 101.99]; P = 0.007), trader (3.09 [01.25 - 7.62]; P = 0.02), WHO clinical stage (3.20 [1.43 - 7.17]; P = 0.005), screening duration (1.01 [1.00 - 1.01]; P = 0.00), hypertension (10.28 [4.44 - 23.83]; P ≤ 0.001). Conclusion: This study helped to determine the standard profile of HIV+ patient with primary headache disorders. It will contribute to save costs associated with paraclinical examinations, while in search of secondary etiologies within an African context with limited financial resources.

Primary Headache, HIV, Benin

Gnonlonfoun, D. , Agbetou, M. , Wanvoegbe, A. , Adjien, C. , Gnimavo, R. , Sowanou, A. , Domingo, R. , Adoco, J. , Zannou, D. and Houinato, D. (2019) Primary Headache Disorders in HIV-Infected Patients within a Hospital Setting in Sub-Saharan Africa, Benin Case: Prevalence and Associated Factors. World Journal of Neuroscience, 9, 282-293. doi: 10.4236/wjns.2019.94021.