Search results for " headache"

showing 10 items of 110 documents

Cerebral Venous Sinus Espansion in Post Puncture Headache

2004

CT scan dural venous sinus headache lumbar puncture MRI.
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Manual therapy for tension-type headache related to quality of work life and work presenteeism:secondary analysis of a randomized controlled trial

2016

OBJECTIVE: The objective of this research is to evaluate the efficacy of manual therapy for tension-type headache (TTH) in restoring workers quality of work life, and how work presenteeism affects this relation.DESIGN: This study is a secondary analysis of a factorial, randomized clinical trial on manual therapy interventions. Altogether, 80 patients (85% women) with TTH and without current symptoms of any other concomitant disease participated.INTERVENTIONS: An experienced therapist delivered the treatment: myofascial inhibitory technique (IT), articulatory technique (AT), combined technique (IT and AT), and control group (no treatment).RESULTS: In general, all treatments as compared to ou…

Complementary and Manual TherapyAdultMalemedicine.medical_specialtyWorkAdolescentPsychological interventionDiseaselaw.invention03 medical and health sciencesYoung Adult0302 clinical medicinePhysical medicine and rehabilitationRandomized controlled triallawAbsenteeismmedicineHumans030212 general & internal medicineArticulatory TechniqueAgedAdvanced and Specialized Nursingbusiness.industryTension-Type HeadacheQuality of work lifeMiddle AgedMusculoskeletal ManipulationsComplementary and alternative medicineWork (electrical)PresenteeismPhysical therapyQuality of LifeFemaleManual therapybusiness030217 neurology & neurosurgery
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Stimulation of the sphenopalatine ganglion in intractable cluster headache: expert consensus on patient selection and standards of care.

2014

Context and overview Chronic cluster headache (CCH) is a debilitating headache disorder with a significant impairment of the patients' lives. Within the past decade, various invasive neuromodulatory approaches have been proposed for the treatment of CCH refractory to standard preventive drug, but only very few randomized controlled studies exist in the field of neuromodulation for the treatment of drug-refractory headaches. Based on the prominent role of the cranial parasympathetic system in acute cluster headache attacks, high-frequency sphenopalatine ganglion (SPG) stimulation has been shown to abort ongoing attacks in some patients in a first small study. As preventive effects of SPG-sti…

Consensusbusiness.industryCluster headachePatient SelectionExpert consensusContext (language use)StimulationCluster HeadacheElectric Stimulation TherapyGanglia ParasympatheticStandard of CareGeneral MedicineControlled studiesmedicine.diseaseNeuromodulation (medicine)Ganglionmedicine.anatomical_structureAnesthesiamedicineHumansNeurology (clinical)Headachesmedicine.symptombusinessCephalalgia : an international journal of headache
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Prophylaxis of hemicrania continua: two new cases effectively treated with topiramate.

2007

Hemicrania continua (HC) is an uncommon and under-recognized primary headache disorder characterized by a strictly unilateral continuous headache of moderate intensity with possible exacerbations and associated with ipsilateral autonomic features. HC has generally a prompt and enduring response to indomethacin although 25% to 50% of treated patients develop gastrointestinal side effects. These cases pose a difficult management challenge as no other drug is consistently effective in HC. Recently 2 HC patients responsive to topiramate treatment have been reported. Here we describe 2 more patients effectively treated with topiramate. Neither reported any side effects and one had persisting res…

DrugTopiramateAdultmedia_common.quotation_subjectmedicine.medical_treatmentIndomethacinNeurological disorderFructoseCentral nervous system diseaseDrug withdrawalPrimary headacheTopiramateProfilaxismedicineHumansmedia_commonbusiness.industryAnti-Inflammatory Agents Non-SteroidalHeadacheHemicrania continuaMiddle Agedmedicine.diseaseAnticonvulsantNeurologyHemicrania continuaAnesthesiaGastritisRetreatmentSettore MED/26 - NeurologiaAnticonvulsantsFemaleNeurology (clinical)businessmedicine.drugHeadache
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Are paediatric headaches in the emergency department increasing? An Italian experience

2020

The aim of this study was to assess admissions, for headache, to the emergency department (ED) of the Di Cristina Children’s Hospital in Palermo over a decade. The total number of ED admissions for headache was retrospectively analysed considering two 24-month periods: 2009-2010 and 2017-2018. Total admissions to the ED decreased from 55,613 to 50,096 (-10%) between the two periods considered, while the number of admissions for headache increased by 63.56% (p < 0.0001). There was also a significant increase in the number of multiple ED admissions by single children (9.5% versus 17.98% of the patients accessing the ED for headache). This significant increase in admissions for paediatric h…

Emergency departmentPrimary headachesPaediatric headacheChildrenComputed tomography
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Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey

2020

Purpose To survey healthcare workers (HCW) on availability and use of personal protective equipment (PPE) caring for COVID-19 patients in the intensive care unit (ICU). Materials and method A web-based survey distributed worldwide in April 2020. Results We received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623; 67%), and face shields/visors (1574; 62%). Powered Air-Purifying Respirators were used routinely and for intubation only by 184 (7%) and 254 (13%) respondents, respectively. Surgical masks were used for routine care by 289 (15%) and 47 (2%) for…

Face shieldMalebusiness.product_categoryHot TemperatureInfectious Disease TransmissionAllied Health PersonnelNursesCritical Care and Intensive Care MedicineOccupational safety and healthlaw.inventionPatient-to-Professional0302 clinical medicinelawSurveys and QuestionnairesPersonal protective equipmentHealth careMedicine and Health SciencesViralRespiratorRespiratory Protective DevicesHealth care workersHealth services researchHeadacheMasksMiddle AgedIntensive care unitEuropeIntensive Care UnitsFemaleSafetyCoronavirus InfectionsEye Protective DevicesThirstAdultmedicine.medical_specialtyCOVID-19; Health care workers; Intensive care; Personal protective equipment; Safety; Adult; Africa; Allied Health Personnel; Asia; Betacoronavirus; COVID-19; Coronavirus Infections; Europe; Eye Protective Devices; Female; Gloves Protective; Headache; Hot Temperature; Humans; Infectious Disease Transmission Patient-to-Professional; Intensive Care Units; Male; Masks; Middle Aged; North America; Nurses; Oceania; Pandemics; Personal Protective Equipment; Personnel Staffing and Scheduling; Physicians; Pneumonia Viral; Respiratory Protective Devices; SARS-CoV-2; South America; Surgical Attire; Surveys and Questionnaires; Thirst; Health Personnel; Occupational HealthInfectious Disease Transmission Patient-to-ProfessionalAsiaHealth PersonnelPneumonia ViralGlovesOceaniaPersonnel Staffing and SchedulingArticle03 medical and health sciencesBetacoronavirusIntensive carePhysiciansmedicineHumansSurgical AttirePersonal protective equipmentPandemicsOccupational Healthbusiness.industrySARS-CoV-2COVID-19030208 emergency & critical care medicinePneumoniaSouth AmericaProtective030228 respiratory systemCOVID-19Personal protective equipmentSafety Health care workersIntensive careIntensive careEmergency medicineAfricaNorth AmericabusinessGloves ProtectiveJournal of Critical Care
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Die Erfassung von Triggerempfindlichkeit und -vermeidung bei primären Kopfschmerzen: Entwicklung und psychometrische Erprobung einer deutschen Versio…

2019

<b><i>Hintergrund:</i></b> Die Vermeidung von Kopfschmerzauslösern kann zur Entwicklung primärer Kopfschmerzerkrankungen führen. Daraus können verhaltenstherapeutische Behandlungsoptionen abgeleitet werden, die auf einen differen­zierten Umgang mit Kopfschmerztriggern abzielen. Zur ­Unterstützung der Therapieevaluation und -planung bei primären Kopfschmerzen wurde im englischsprachigen Raum der Fragebogen <i>Headache Triggers Sensitivity and Avoidance Questionnaire</i> (HTSAQ) entwickelt. <b><i>Patienten und Methoden:</i></b> Der HTSAQ wurde ins Deutsche übersetzt. Anhand einer Stichprobe von Patienten der Migräne- und Kopfschmerzk…

GynecologyPsychiatry and Mental healthClinical Psychologymedicine.medical_specialtyPrimary headacheMigrainebusiness.industryMedicinebusinessmedicine.diseaseVerhaltenstherapie
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Postlumbar Puncture Headache Syndrome

2003

Publisher Summary This chapter presents a study on acute and chronic pain related to postlumbar puncture headache syndrome. The symptoms of the postlumbar puncture headache (PLPH) syndrome are positional, beginning in the upright posture and subsiding or improving when the patient reclines. Sometimes symptoms of PLPH occur spontaneously without a detectable dural defect. In these instances, suggested causes include a hyperactive resorption of cerebrospinal fluid (CSF) or a spontaneous mechanical dural hole. Magnetic resonance imaging (MRI) scans in patients with intracranial hypotension—either after LP or spontaneously—show meningeal enhancement, subdural effusions, and downward brain displ…

Intracerebral hemorrhagemedicine.diagnostic_testbusiness.industryMagnetic resonance imagingmedicine.diseaseHematomamedicine.anatomical_structureCerebrospinal fluidMigraineAnesthesiaCervicogenic headacheDural venous sinusesmedicinebusinessMeningitis
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Diagnosis and therapeutic management of primary headache in an emergency setting

2013

Introduction and aim: Much headachers are under or mis-diagnoses and data regarding the proportion of patients attending an emergency department (ED) because of headache are still few. We conducted a retrospective observational study in an ED with the following aims: (a) estimate the proportion of headache attending to an ED (b) to estimate and describe the therapeutic management of primary headache and (c) to assessment the exam most frequently requested. Materials and methods: We collected data regarding patients diagnosed with headache consecutively attending the ED of the University of Palermo between September 2011 and March 2012. The study was approved by the ethics committee. Results: Between the semester evaluated 25110 subjects were admitted to ED headache suffers were equal to 1.6 %. Of these 263 (63.1 %) were woman and 154 (36.9 %). Mean age was 44.2 (DS ± 18.4) years (p = 0.068).According to ED registry headache admission was as follow assigned: 76.5 % with a diagnosis of headache 22.8 % with a secondary headache 0.7 % with Trigeminal Autonomic Cephalgias (TACs). Among those with a primary headache about 36 % of patient did not received a pharmacological treatment. Monotherapy was prescribed less frequently than combination therapy (19.1 vs 44.5 %).In monotherapy the most frequent medication were NSAIDs (28.3 %) benzodiazepines (26.7 %) and dopamine antagonists (11.7 %). Among those with a primary headache a CT scan was performed in the 124 subjects and 111 (34.8 %) had a neurologist consultation. Discussion: Our data are in line with the one previously reported in literature. The most frequently medication in the Italian ED were NSAIDs benzodiazepines dopamine antagonists and steroids. Neverless our data unlikely can be compared to other study give a snapshot. We believe that much more can be done to improve treatment of primary headache in ED.Settore MED/26 - Neurologia
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Prognosis of migraine headaches in adolescents: a 10-year follow-up study.

2006

Objective: To determine the long-term outcome of migraine headaches in adolescents and to identify possible predictors of prognosis. Methods: Fifty-five of 80 subjects with migraine headaches (ages 11 to 14 years), who attended the baseline examination of a population-based study conducted in southern Italy in 1989, were eligible for follow-up in 1999. All interviews and examinations were conducted by neurologists, and migraine diagnoses were based on the International Headache Society (IHS) criteria. The association between possible prognostic factors and the long-term persistence of migraine headaches was explored using logistic regression analysis. Results: Of 55 subjects with migraine h…

MaleMigraine without AuraRiskmedicine.medical_specialtyPediatricsTime FactorsAdolescentAuraMigraine DisordersMigraine with AuraRemission SpontaneousPopulationLogistic regressionMedical RecordsAge DistributionOutcome Assessment Health CareOdds RatiomedicineHumansProspective StudiesSex DistributionFamily historyChildeducationeducation.field_of_studybusiness.industry10 year follow upTension-Type HeadacheOdds ratioPrognosismedicine.diseaseLogistic ModelsMigraineMigraine prognosis headacheChronic DiseasePhysical therapyFemaleSettore MED/26 - NeurologiaNeurology (clinical)Headachesmedicine.symptombusinessFollow-Up Studies
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