Headache Medicine最新文献

{"title":"Ramsay-Hunt syndrome in HIV patient","authors":"Maria Eduarda Oliveira Onuki, Mariana Leme Braga, Flávia Rodrigues de Oliveira, E. Santos","doi":"10.48208/headachemed.2022.supplement.40","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.40","url":null,"abstract":"Introduction \u0000Ramsay-Hunt syndrome type (SRH) type II is defined by the combination of herpes zoster oticus to acute peripheral facial nerve paralysis, described in 1907 by James Ramsay Hunt. Reactivation of latent varicella-zoster virus in the geniculate ganglion of the facial nerve will cause SRH, resulting in inflammation, edema, and compression of the VII cranial pair. However, nerve involvement, and in turn the development of SRH, manifests in less than 1% of infected patients. It is the second most common cause of atraumatic peripheral facial palsy (PFP) and has an incidence of 5 cases/100,000 people, with no sex predilection. Currently, SRH is classically described as a triad of otalgia, ipsilateral facial paralysis, and vesicles near the ear and ear canal; however, motor, sensory, and autonomic impairment when combined result in diverse neurological damage and may cause different symptoms, its diagnosis is mainly clinical.\u0000Goal\u0000To report the case of an HIV patient associated with SHR, seen by IIER between May and June/2022.\u0000Case Report\u0000Male, 49 years old, sought care on 05/20/22 in a hospital with complaints of vertigo and intense headache, associated with nausea and vomiting with onset of symptoms one day ago. His personal history was HIV+, diagnosed in 2013 and under regular treatment. On 5/25/22 resurfaced with the same symptoms of vertigo in conjunction with the appearance of an erythematous and painful vesicle in the right auricular region with edema and flushing of the region in association with PFP symptoms. On 05/30/22 he returned to the clinic with the same symptoms as before, and a magnetic resonance imaging of the temporal bones was done, showing an inflammatory process through the contrast at the bottom of the internal auditory canal suggestive of Bell's Palsy. \u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91422259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human choroid plexus in a patient with intracranial hypertension and hydrocephalus: scanning electron microscopy","authors":"J. Andrade, Artur Henrique Galvão Bruno da Cunha, Suzana Serra, G. G. Gonçalves, R. Padilha, F. Brayner, A. Silva, Déborah Emmily de Carvalho, Danielly Bruneska Gondim Martins, F. Souto, J. L. Lima Filho, M. Valença","doi":"10.48208/headachemed.2022.supplement.43","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.43","url":null,"abstract":"Introduction\u0000The daily production of 500 ml of cerebral spinal fluid (CSF) is largely carried out by the choroid plexus (CP), which is located in the cerebral ventricles. In recent years, much importance has been given to studies of the choroid plexus for a better understanding of the mechanism of headache associated with idiopathic intracranial hypertension or other etiologies. A few drugs acting on the CP to reduce CSF secretion are used to treat headache in patients with benign intracranial hypertension.\u0000Objectives\u0000To show scanning electron microscopy images of CP obtained from a pediatric patient with hydrocephalus.\u0000Method\u0000The CP sample was collected during a surgical procedure of a third ventriculostomy and CP coagulation as a treatment for hydrocephalus in a 2-year-old boy. A sample of uncoagulated CP (5 mm) was removed and immediately immersed in glutaraldehyde solution and refrigerated at 4°C. In the electron microscopy laboratory of UFPE, the sample. The sample was fixed with Karnovsky solution (2.5% glutaraldehyde, 4.0% formaldehyde and 0.1M sodium cacodylate buffer), later postfixed with 1% osmium tetroxide, dehydrated in an increasing series of alcohol (30%, 50%, 70%, 90% and 100%) and carried out the critical point for total drying. The samples were placed in metallic stubs containing a double-sided carbon tape and then metalized with gold-palladium in the Ion Sputter JFC-1100 (JEOL) equipment. Images were performed using the EVO LS-15 scanning microscopy (ZEISS).\u0000Results\u0000We present images of CP segments at 20,000 to 40,000x magnification, showing surface projections suggesting microvilli. Due to ethical issues, we do not have a control sample of healthy individuals for comparative purposes.\u0000Conclusion\u0000To the best of our knowledge, this is the first time human CP images of a patient with hydrocephalus are presented using scanning electron microscopy.\u0000Keywords: Choroid plexus, Headache, Intracranial hypertension, Hydrocephalus, Microscopy.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90231850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Residents: how is headache care in general, including emergency","authors":"Sophia Orsi, Sarah Gavião Ferreira, Beatriz Andrade Paternost, Tarso Vieira Cavalcanti, J. Farina, Bárbara Aparecida Klafke Zambelli, Ulisses Cleber da Silva, E. Melhado","doi":"10.48208/headachemed.2022.supplement.44","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.44","url":null,"abstract":"Introduction \u0000Headaches are pains in any region of the head with variable intensity, as well as its location. They can be localized or diffuse, acute or chronic, associated or not with other symptoms and have numerous causes.More than 90% of people report a history of headache during their lifetime. In addition, an overload is observed in emergency units and outpatient clinics due to inadequate initial care for a headache. \u0000Objective \u00001) Conduct an epidemiological survey of headache care in emergency care units, analyzing the conduct of resident physicians. 2) Estimate the resolvability of headache cases in the emergency room and provide actions through continuing education if a deficiency in the care provided by professionals is demonstrated. \u0000Methods \u0000This is a descriptive observational study (cross-sectional cohort) in which we applied an online questionnaire to resident physicians who will be providing treatment in general to the patients in the city of Catanduva and neighboring cities. This is a semi-structured interview aided with self-administrated questionnaire (annexed in online in private cloud to guarantee confidentiality) which was sent via email and WhatsApp. Before joining the study, the participants filled out the informed consent form. After applying the forms, Excel spreadsheet was generated in order to process the statistical analysis. The inclusion criteria was: be a resident physician in any area of activity. The exclusion criteria: resident withdrawal at any time during the study. Number of the project in the ethics committee: 44857315.5.0000.5430 \u0000Results \u0000A total of 115 residents physicians answered the questionnaire. The average age is 27,6 years and the majority are specializing in Clinical Surgery, Internal \u0000Medicine and Clinical Specialties. Twenty residents reported they didn't see any headache patient and the other 95 cared weekly for an average of 4,87 patients with... \u0000  \u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84134385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of the preempt protocol on chronic migraine: an integrative review","authors":"Melissa Helena Rodrigues Silva, Joaquim Fechine de Alencar Neto, Otávio da Cunha Ferreira Neto, Luis Bandeira Alves Neto, Nilson Batista Lemos, Arthur Oliveira Lira, M. L. Rocha, Luís Felipe Ferreira Marques, Victor Egypto Pereira, Victoria Rodrigues Durand, Ana Cristina Veiga Silva, Luiz Severo Bem Júnior, Hildo Rocha Cirne de Azevedo Filho","doi":"10.48208/headachemed.2022.18","DOIUrl":"https://doi.org/10.48208/headachemed.2022.18","url":null,"abstract":"Chronic migraine is an important cause of functional disability and quality of life deficits, affecting 12% of the world population. Therefore, more treatment alternatives that promote better pain control are needed. So, botulinum toxin type A presents itself as a therapeutic option for this purpose. This integrative review aimed to analyze the functionality of the PREEMPT protocol applied for the treatment of chronic migraine, analyzing the time of pain control, the frequency of repetition of the treatment and the possible subtypes of pain that benefit most from botulinum toxin. Data were collected from the National Library of Medicine and Lilacs databases, and the research concluded in July 2022. 31 articles were found, of which only 22 publications were considered eligible to compose this study, and those that contemplated the research objectives were selected. above. Botulinum toxin type A presents an effective, safe and well-tolerated preventive profile for patients with chronic migraine, increasing the patient's quality of life and works in pain control.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72976128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of migraine headache among university students: A cross-sectional study in Lebanon","authors":"Georges Hatem, Reva Mosleh, Mathijs Goossens, D. Khachman, A. Al-hajje, S. Awada","doi":"10.48208/headachemed.2022.23","DOIUrl":"https://doi.org/10.48208/headachemed.2022.23","url":null,"abstract":"Background\u0000Migraine constitutes a major public health concern since it negatively affects both the quality of life and the productivity of patients. Migraine among students can cause impaired academic performance and limit their daily activities.\u0000Objective\u0000This study aims to assess the prevalence of migraine among university students using the ID Migraine screening tool and to evaluate risk factors associated with migraine.\u0000Methods\u0000A cross-sectional study was performed over a period of six months targeting 1144 university students recruited from the different faculties.\u0000Results\u0000Migraine was suggested in 35.8% of subjects based on ID-Migraine. Migraine prevalence was significantly higher among women (42% versus 23.3% of men). After adjusting for covariates, women, daily coffee consumption, having unorganized meals, eating fast food and fasting were the main predictors of migraine.  Almost 41% of migraine students had a family history of migraine and only 26.7% sought medical help. Interestingly, most of the migraine students (84.8%) took headache medications without referring them to their doctor.\u0000Conclusion\u0000Recognizing headache risk factors among migraine students and adopting lifestyle changes accordingly can be an effective strategy to prevent the chronification of the attacks, decrease headache frequency and improve patients’ quality of life.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88856872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CEFALEIA CERVICOGÊNICA","authors":"Kleber Fernando Pereira, Wesley Gabriel Novaes Botelho, Luiz Gustavo Pagliarin, Alcântara Cesar Ramos","doi":"10.48208/headachemed.2022.19","DOIUrl":"https://doi.org/10.48208/headachemed.2022.19","url":null,"abstract":"Objetivo: Contextualizar a cefaleia cervicogênica descrevendo sua etiologia, fisiopatologia, quadro clínico, critérios diagnósticos e tratamentos, para nortear a sociedade médica diante da patologia que está em crescente aumento de sua incidência. Métodos: O presente estudo realizou buscas nas bases de dados PubMed, Nature, Scielo e Wiley, utilizando os descritores cefaleia cervicogênica, e foram analisados trabalhos publicados entre os anos de 1980 e 2022, em todos os idiomas, além das respectivas traduções em inglês. Como fator de inclusão foi considerado: “trabalhos publicados dentro do escopo do estudo dentro do intervalo de tempo citado e relacionados a cefaleia cervicogênica e como fator de exclusão foi considerado: “trabalhos não relacionados ao tema de estudo e com relatos já ultrapassados de acordo com a literatura atual”. Resultados: Foram encontrados 1.319 artigos, após leitura e análise dos artigos foram selecionados 27 artigos, e de acordo com a relevância no assunto fazem parte do escopo do trabalho. Em relação a cefaleia cervicogênica é possível classifica-la como uma cefaleia secundária, atribuída a transtornos cervicais, com sintomatologia heterogênea, geralmente apresentando-se como uma cefaleia unilateral, não latenjante e não excruciante, podendo ser desencadeada por pontos gatilhos em região cervical podendo ainda se apresentar com pródomos autonômicos. Sua etiologia e fisiopatologia tem ligação direta com transtornos cervicais e irritação das fibras aferentes de C1-C2-C3, além da convergência para o núcleo trigêmeo-cervical aumentando a variabilidade de sintomas. Seu diagnóstico é baseado em critérios diagnósticos e existem uma grande variedade de tratamentos com eficácia limitada. Conclusão: A cefaleia cervicogênica pode se apresentar de formas heterogêneas dificultado seu diagnóstico e sendo subdiagnosticada e tratada erroneamente em até 50% dos casos, seu aumento em decorrência da pandemia alerta para a melhoria no diagnóstico e tratamento da cefaleia cervicogênica e os distúrbios osteomusculares associados.  ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78909567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of postpartum depression in patients with migraine","authors":"A. Reis, Ana Luiza Rodegheri Gonçalves, Bruna Oliveira Rodrigues dos Santos, Júlia Milan Procópio e Silva, Lorenza de Ávila Gomes Carneiro Dutra Câmara, M. Jurno","doi":"10.48208/headachemed.2022.24","DOIUrl":"https://doi.org/10.48208/headachemed.2022.24","url":null,"abstract":"Introduction\u0000Migraine is a frequent and chronic condition that affects 3 times more women than men. Overall, it shows that migraine is influenced by variables such as fluctuating hormones levels throughout life with migraine. Women can also experience symptoms of postpartum depression (PPD) which can cause issues for new moms in terms of behavior, emotion and cognition. Clinical investigations have shown that headaches affects pregnants and parturients.\u0000Objective\u0000To verify PPD in migraine and non-migrainous parturients.\u0000Methods\u0000Data was collected from a sample of 155 women over 18 years old in the obstetric center of Santa Casa de Misericórdia de Barbacena, from October 2021 to August 2022, in the first 24 hours after labor. Parturients who did not agree to participate and those with cognitive impairment were excluded. All patients signed an informed consent form and answered the Edinburgh Postnatal Depression Scale (EPDS) and the ID-MigraineTM, in addition to clinic data and concomitant disorders from the patient's record.\u0000Results\u000025 of the 155 postpartum women achieved the criteria for migraine and 130 for non-migraine. Of the patients with postpartum depression associated with migraine, 4 were classified as migraine and 8 as non-migrainous. Among patients who had headaches during pregnancy, 11 had PPD compared to those who did not have headaches during pregnancy: 1. The OR=8.9 (CI 1.12-70) and RR=7.9 (CI 1.05-60) were higher compared to those who did not have PPD. The analysis did not find a relation between migraine and PPD. However, a relation was found between headaches during pregnancy and the presence of PPD (p<0.05).\u0000Conclusion\u0000Patients who experienced headaches while pregnant are more likely to have postpartum depression. However, migraine-diagnosed puerperal women do not present considerable concerns for the development of depression.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78997070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efeitos da fisioterapia na cefaleia do tipo tensional","authors":"Lucas Capalonga, Nadine Gabriela Lagemann, M. Grave","doi":"10.48208/headachemed.2022.21","DOIUrl":"https://doi.org/10.48208/headachemed.2022.21","url":null,"abstract":"Introdução: A Cefaleia do Tipo Tensional (CTT) é a mais frequente dentro do grupo das cefaleias primárias, sendo responsável por gerar um alto impacto socioeconômico para a sociedade, além de prejudicar as relações sociais, profissionais e familiares. Objetivos: Analisar os efeitos de um protocolo de intervenção fisioterapêutica, incluindo técnicas de terapia manual, alongamentos e fortalecimento muscular sobre a funcionalidade, dor e incapacidade em pacientes com CTT. Métodos: Trata-se de um estudo de caráter intervencionista, exploratório-descritivo com abordagem quantitativa, realizado com cinco indivíduos com quadro sintomático de CTT. A dor foi avaliada através da Escala Analógica Visual (EVA); a incapacidade pelo Neck Disability Index (NDI) e o impacto da cefaléia em atividades de vida diária (AVD) mediante aplicação do Headache Impact Test (HIT-6) antes e após intervenção. Foram realizadas seis sessões de fisioterapia, uma vez por semana, durante seis semanas. Resultados: Houve redução no padrão de dor pós-intervenção (4,2 ± 2,28 x 0,2 ± 0,45; p=0,0189). No quesito incapacidade, houve diferença entre os períodos pré e pós-intervenção (11,4 ± 1,54 x 6,6 ± 2,30; p=0,0220). Além disso, após a intervenção, houve redução nos níveis do HIT-6 quando comparado ao período pré-intervenção (51 ± 7,45 x 59,6 ± 3,91; p=0,0381). Conclusão: O protocolo de intervenção fisioterapêutica mostrou-se eficaz na redução do padrão de dor, incapacidade e impacto da cefaleia nas AVD de pacientes com CTT.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85259149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thank you Sjaastad (1928-2022) for everything we learned from you","authors":"R. Silva-Néto, M. Valença","doi":"10.48208/headachemed.2022.13","DOIUrl":"https://doi.org/10.48208/headachemed.2022.13","url":null,"abstract":"Editorial\u0000Thank you Sjaastad (1928-2022) for everything we learned from you","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85512202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher cerebrospinal fluid (CSF) opening pressure in patients with idiopatic intracranial hypertension (IIH) with permanent visual impairment","authors":"R. Domingues, Carlos Senne, C. Lacerda","doi":"10.48208/headachemed.2022.22","DOIUrl":"https://doi.org/10.48208/headachemed.2022.22","url":null,"abstract":"Objective\u0000The aim of this study was to identify potential visual prognostic markers in patients with idiopathic intracranial hypertension (IIH). \u0000Methods\u0000Patients with IIH of an outpatient headache clinic in São Paulo, Brazil, were retrospectively evaluated and divided in two groups with and without the presence of permanent visual deficit attributed to IIH. Body mass index (BMI), opening CSF pressure, and the frequency of IIH related MRI abnormalities were compared between these two groups. \u0000Results\u0000Twenty-nine patients, with 35,39±9,93 years, being twenty-eight female (96.55%) were included in the study. Reduced visual acuity attributed to IIH was registered in 16 (55.17%). According to BMI 17.4% had overweight and 82.6% were obese. Brain MRI was normal in 6 (20.69%). BMI, obesity, and the presence of MRI abnormalities were not associated with visual impairment. Initial CSF opening pressure was significantly higher in the group of patients with reduced visual acuity (40.4±13.14 x 30.5±3.41, P=0,015). \u0000Conclusion\u0000Higher CSF opening pressure at onset was significantly associated with a higher percentage of visual impairment in patients with IIH suggesting this measure as a potential prognostic marker for patients with IIH. \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76280201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}