1/14. Posttraumatic dysautonomic cephalalgia. Clinical observations and treatment.Five patients developed posttraumatic vascular headaches associated with autonomic dysfunction. The precipitating injury affected the anterior triangle of the neck, presumably involving the region of the carotid artery sheath. Disturbance of sympathetic function, characterized by excessive sweating and pupillary dilation associated with headache, was noted. Appropriate pharmacologic studies revealed evidence of partial sympathetic devervation. While headache was resistant to ergotamine preparations, prompt relief was obtained with propranolol hydrochloride, and adrenergic beta-receptor blocking agent.- - - - - - - - - - ranking = 1keywords = cephalalgia, autonomic cephalalgia (Clic here for more details about this article) |
2/14. Lateral medullary infarction secondary to vertebral artery dissection presenting as a trigeminal autonomic cephalalgia.A 51-year-old woman had an attack of severe hemifacial pain with autonomic features as the presenting symptom of a lateral medullary infarction. A bilateral vertebral artery dissection was demonstrated. The existence of secondary cases may lead to a better understanding of the pathophysiology of trigeminal autonomic cephalalgias.- - - - - - - - - - ranking = 2.2373491928367keywords = trigeminal autonomic cephalalgia, cephalalgia, autonomic cephalalgia (Clic here for more details about this article) |
3/14. Cardiac cephalalgia. Case report and review of the literature with new ICHD-II criteria revisited.We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International classification of headache disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100%), C (headache developed concomitantly with acute myocardial ischemia, 100%), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83%). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27%); this criterion might not be mandatory for diagnosis.- - - - - - - - - - ranking = 0.82478462190818keywords = cephalalgia (Clic here for more details about this article) |
4/14. Familial SUNCT.Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately, one of the siblings was already dead. However, clear and detailed information from close relatives and her general practitioner confirmed the diagnosis of SUNCT. It is likely that genetic factors contribute to all types of trigeminal autonomic cephalalgias.- - - - - - - - - - ranking = 0.44746983856734keywords = trigeminal autonomic cephalalgia, cephalalgia, autonomic cephalalgia (Clic here for more details about this article) |
5/14. A case of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT). Discussion of clinical features and differential diagnosis.Chronic short-lasting headaches, in which trigeminal autonomic cephalalgias (TACs) are included, are relatively rare syndromes and not always well recognised. We present a case highly suggestive of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) and we try to affirm essential points to distinguish the diagnosis from other TACs and chronic short-lasting headaches. We conclude that the qualifying points for differential diagnosis are number and duration of attacks in a day, presence of autonomic features and lack of indomethacin effect.- - - - - - - - - - ranking = 0.44746983856734keywords = trigeminal autonomic cephalalgia, cephalalgia, autonomic cephalalgia (Clic here for more details about this article) |
6/14. Spontaneous intracranial hypotension with pachymeningeal enhancement on MRI.Spontaneous intracranial hypotension (SIH) is a rarely reported syndrome of spontaneously occurring postural cephalalgia associated with low CSF pressure. We report a case of SIH in which MRI of the brain revealed diffuse symmetric pachymeningeal enhancement that resolved without specific therapy.- - - - - - - - - - ranking = 0.16495692438164keywords = cephalalgia (Clic here for more details about this article) |
7/14. deep brain stimulation for neuropathic cephalalgia.The aim of this study was to determine the efficacy of deep brain stimulation (DBS) in the treatment of various types of intractable head and facial pains. Seven patients underwent the insertion of DBS electrodes into the periventricular/periaqueductal grey region and/or the ventroposteromedial nucleus of the thalamus. We have shown statistically significant improvement in pain scores (visual analogue and McGill's) as well as health-related quality of life (SF-36v2) following surgery. There is wide variability in patient outcomes but, overall, DBS can be an effective treatment. Our results are compared with the published literature and electrode position for effective analgesia is discussed.- - - - - - - - - - ranking = 0.65982769752654keywords = cephalalgia (Clic here for more details about this article) |
8/14. Case studies of uncommon headaches.The following interesting and uncommon headache disorders are presented through case studies: exploding head syndrome, hypnic headache, neck-tongue syndrome, "Alice in Wonderland" syndrome, nummular headache, red ear syndrome, burning mouth syndrome, spontaneous intracranial hypotension syndrome, and cardiac cephalalgia.- - - - - - - - - - ranking = 0.16495692438164keywords = cephalalgia (Clic here for more details about this article) |
9/14. Headache in acromegaly: dramatic improvement with the somatostatin analogue SMS 201-995.Two acromegalic patients with severe headache, persisting after pituitary adenomectomy followed by radiotherapy in one, were treated with the somatostatin analogue SMS 201-995. Both had been resistant to conventional headache therapy and experienced dramatic and rapid relief after the first injection of the analogue. This result persisted with long-term treatment of the drug. Although the mechanism of action of SMS 201-995 in pain remains unclear, the rapid and efficacious analgesic effect of this compound may be one more indication for its use in pituitary tumors associated with cephalalgias.- - - - - - - - - - ranking = 0.16495692438164keywords = cephalalgia (Clic here for more details about this article) |
10/14. Medical thermography and its use in posttraumatic cephalagia.The use of infrared thermographic imaging in the diagnosis of human illness is discussed from the point of view of its historical development and its multiple uses to the present time. Future goals for its use are outlined. Several case histories are presented documenting the use of thermography in post traumatic cephalalgia.- - - - - - - - - - ranking = 0.16495692438164keywords = cephalalgia (Clic here for more details about this article) |
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