Think Like a Doctor: Think Like a Doctor: The Painter ’ s Headaches Solved!
Readers solve the case of a painter with terrible headaches.
Conclusion In conclusion, anodal stimulation was more effective than the cathodal and control stimulation in reducing the intensity of tinnitus in the short term.
AbstractA previously healthy 53-year-old male presented with a 2-month history of pulsatile tinnitus, worsening headaches, and neck pain. Given the clinical symptoms, a workup was initiated to assess for a vascular etiology such as a dural arteriovenous fistula.
Conditions: Stent Stenosis; Intracranial Hypertension; Headache; Tinnitus; Papilledema; Visual Impairment Interventions: Procedure: Venous stenting for internal jugular vein stenosis; Procedure: One-month routine medical treatment followed by venous stenting for internal jugular vein stenosis Sponsor: Capital Medical University Not yet recruiting
Background and purposeIdiopathic intracranial hypertension (IIH) is characterized by abnormally elevated intracranial pressure (ICP) without identifiable etiology. Recently, however, a subset of patients with presumed IIH have been found with isolated internal jugular vein (IJV) stenosis in the absence of intracranial abnormalities. MethodsFifteen consecutive patients were screened from 46 patients suspected as IIH and were finally confirmed as isolated IJV stenosis. The stenotic IJV was corrected with stenting when the trans‐stenotic mean pressure gradient (∆MPG) was equal to or higher than 5.44 cmH2O. Dynamic magneti...
Conclusion: Although embolization is an effective and safe procedure, complications may occur. Reflux of the embolic agent to the vasa nervorum of the cranial nerve may lead to ischemic neuropathy. Here, we reported a case of embolized DAVF presenting with a postoperative peripheral facial palsy where the two embolized pedicles were branches of the middle meningeal and occipital arteries involved in the vascularization of the extratemporal segment of the facial nerve. We discuss the etiopathogenic, anatomical, and pathophysiological aspects of this complication. PMID: 29204306 [PubMed]