Search results for "Headache"

Benign nocturnal alternating hemiplegia of chilhood: A new case

2009

Eficacia de la terapia manual articulatoria vertebral en pacientes con migraña

2019

La migraña es uno de los trastornos del sistema nervioso más comunes y se considera la tercera causa de incapacidad en el mundo en menores de 50 años. El tratamiento de la migraña mediante terapia manual articulatoria vertebral (TMAV) puede ser efectivo, sin embargo, existe más controversia que en otros tipos de cefaleas. El objetivo del presente estudio es valorar los cambios producidos tras la aplicación de TMAV en pacientes con migraña en cuanto a la intensidad del dolor y su impacto.44 participantes con una edad media de 39 años (desviación típica= 9.47) con migraña, fueron divididos en dos grupos de forma aleatoria: 1) grupo TMAV (n=22), 2) grupo control (n=22). Se realizaron dos evalu…

Galvassāpju izplatība Latvijas Universitātes medicīnas studentu vidū

2022

Ievads: Galvassāpju traucējumi, galvenokārt primārie, tiek uzskatīti par nopietnām globālām veselības problēmām, kas izraisa ievērojamu invaliditātes slogu slimniekiem, lai arī paradoksālā kārtā, bieži tiek ignorēti un nenovērtēti. Cilvēki savos produktīvajos gados irvisvairāk skartā grupa, un to vidū ir arī studenti. Mērķis: Pētījuma mērķis bija apkopot Latvijas Universitātes medicīnas studentu galvassāpju epidemioloģiskos un klīniskos raksturojumus, lainoteiktu cefalģijas izplatību, novērtētu riska faktorus, provocējošos faktorus, galvassāpju ietekmi un to mazināšanu ar medikamentiem, kā arī noskaidrot iespējamos iemeslus, kādēļ pētāmā populācija izvairās no specializētas galvassāpju trau…

Technical and surgical aspects of the sphenopalatine ganglion (SPG) microstimulator insertion procedure

2015

Cluster headache (CH) is a debilitating, severe form of headache. A novel non-systemic therapy has been developed that produces therapeutic electrical stimulation to the sphenopalatine ganglion (SPG). A transoral surgical technique for inserting the Pulsante SPG Microstimulator into the pterygopalatine fossa (PPF) is presented herein. Technical aspects include detailed descriptions of the preoperative planning using computed tomography or cone beam computed tomography scans for presurgical digital microstimulator insertion into the patient specific anatomy and intraoperative verification of microstimulator placement. Surgical aspects include techniques to insert the microstimulator into the…

Red Ear Syndrome

2016

The Red Ear syndrome (RES) is an intriguing syndrome originally described for the first time nearly 20 years ago. RES is characterized by unilateral/bilateral episodes of pain and burning sensation of the ear, associated with ipsilateral erythema. RES episodes are indeed isolated in some patients, but they can occur in association with primary headaches, including in particular migraine in the developmental age. Although the underlying pathophysiological mechanisms are still uncertain, in the recent years the described comorbidities have aroused increasing interest because of possible clinical implications. Moreover, RES seems to be more often associated with clinical features of migraine p…

Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review

2016

It has been suggested that differential diagnosis of headaches should consist of a robust subjective ex-amination and a detailed physical examination of the cervical spine. Cervicogenic headache (CGH) is a form of headache that involves referred pain from the neck. To our knowledge, no studies have sum-marized the reliability and diagnostic accuracy of physical examination tests for CGH. The aim of this study was to summarize the reliability and diagnostic accuracy of physical examination tests used to diagnose CGH. A systematic review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in four electronic databases (MEDLINE, Web of …

Cluster headache in relation to different age groups

2019

Cluster headache (CH) has always been considered a type of primary headache affecting predominantly male subjects in early and medium adulthood. However, recent studies carried out in large case series of patients with CH show that not infrequently it may set in also after age 50; by contrast, onset before adolescence is very rare. Additionally, when onset occurs before age 14 or from the sixth decade of life onward, male predominance decreases to the point that in chronic forms CH predominantly affects the female sex. This particular pattern of the gender ratio in relation to onset in different age groups suggests that hormonal factors may actually play a role in the genesis of CH. In part…

Sleep disturbances in tension-type headache and migraine

2017

Current research into the pathogenesis of tension-type headache (TTH) and migraine is focused on altered nociceptive pain processing. Among the potential factors that influence sensitization mechanisms, emotional stress, depression, or sleep disorders all have an essential role: they increase the excitability of nociceptive firing and trigger hyperalgesic responses. Sleep disturbances and headache disorders share common brain structures and pathogenic mechanisms and TTH, migraine, and sleep disturbances often occur together; for example, 50% of individuals who have either TTH or migraine have insomnia. Moreover, insomnia and poor sleep quality have been associated with a higher frequency an…

Migraine and cluster headache – the common link

2018

Abstract Although clinically distinguishable, migraine and cluster headache share prominent features such as unilateral pain, common pharmacological triggers such glyceryl trinitrate, histamine, calcitonin gene-related peptide (CGRP) and response to triptans and neuromodulation. Recent data also suggest efficacy of anti CGRP monoclonal antibodies in both migraine and cluster headache. While exact mechanisms behind both disorders remain to be fully understood, the trigeminovascular system represents one possible common pathophysiological pathway and network of both disorders. Here, we review past and current literature shedding light on similarities and differences in phenotype, heritability…

Pediatric haedaches epidemiology in emergency department during COVID-19

2021

Background and aims Recent studies have showed that in emergency department (ED) pediatric admissions for headache are increasing in the last years. However Covid-19 pandemic may have changed the use of health services for several reasons. Aim of this study is to analyze the rates of admission for pediatric headaches in ED before and during Covid19 Pandemic. Methods we have collected retrospectively the records of children (range of age 5–14) admitted on ED in 2012, 2019 and 2020. We selected the records including Headache and Headache associated to other symptoms (vomit, fever, dizziness, etc.), collecting further the use of computed tomography (CT) and neurological consultation. Results I…