Correction to: Migraine Aura Without Headache
The original version of this article contains an error in the title. The title should be: Migraine Aura Without Headache. The title is corrected in this correction article. (Source: Current Pain and Headache Reports)
Source: Current Pain and Headache Reports - October 20, 2018 Category: Neurology Source Type: research

Triggers, Protectors, and Predictors in Episodic Migraine
AbstractPurpose of ReviewA wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice.Recent FindingsMultiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

A Critical Exploration of Migraine as a Health Disparity: the Imperative of an Equity-Oriented, Intersectional Approach
AbstractPurpose of ReviewDespite recognition of rising prevalence and significant burden, migraine remains underestimated, underdiagnosed, and undertreated. This is especially true among groups who have been historically, socially, and economically marginalized such as communities of color, women, people experiencing poverty, people with lower levels of education, and people who hold more than one of these marginalized identities. While there is growing public and professional interest in disparities in migraine prevalence, there is a paucity of research focusing on racial/ethnic and socioeconomic disparities, and the soci...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

Episodic Migraine With and Without Aura: Key Differences and Implications for Pathophysiology, Management, and Assessing Risks
AbstractPurpose of ReviewTo review the pathophysiologic, epidemiologic, and clinical evidence for similarities and differences between migraine with and without aura.Recent FindingsThe ICHD-3 has recently refined the diagnostic criteria for aura to include positive symptomatology, which better differentiates aura from TIA. Although substantial evidence supports cortical spreading depression as the cause of visual aura, the role (if any) of CSD in headache pain is not well understood. Recent imaging evidence suggests a possible hypothalamic origin for a headache attack, but further research is needed. Migraine with aura is ...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

Unique Populations with Episodic Migraine: Pregnant and Lactating Women
AbstractPurpose of ReviewMigraine is a disabling and prevalent neurological disease, commonly affecting women during their reproductive years. It is crucial for providers to be able to adequately counsel women who are pregnant, planning pregnancy, or nursing, regarding preventive and abortive treatment options for episodic migraine. This review will discuss (1) the expected course of migraine during pregnancy and the post-partum period, (2) recommended preventive therapies for migraine during pregnancy and lactation, and (3) recommended abortive medications for migraine during pregnancy and lactation.Recent FindingsRecent ...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment
AbstractPurpose of ReviewThis review highlights the importance of osteopathic manipulative treatment (OMT) in headache sufferers. OMT is a viable option for patients who either do not wish to use pharmaceuticals or who have contraindications to pharmaceuticals. Patients with headaches that are refractory to other treatment options may also be candidates for OMT. Multiple headache etiologies are amenable to this non-invasive treatment option and they will be reviewed here. Although there are advantages to using this treatment method, there are also shortcomings in the literature, which will be discussed.Recent FindingsRough...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

What Are We Missing in the Diagnostic Criteria for Migraine?
AbstractPurpose of ReviewThis review is intended to examine how the diagnostic criteria for migraine have evolved over the past 45  years and to evaluate the strengths and weaknesses of the current diagnostic criteria promulgated by the International Classification of Headache Disorders (ICHD).Recent FindingsThe ICHD is a comprehensive and systematic classification system for headache disorders. As the pathophysiology of migraine is more fully elucidated and more sophisticated diagnostic technologies are developed (e.g., the identification of biomarkers), the current diagnostic criteria for migraine will likely be fur...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

Buprenorphine for Chronic Pain: a Systemic Review
AbstractPurpose of ReviewThe purpose of this review is to evaluate and explain our current understanding of the clinical use of buprenorphine in the treatment of chronic pain.Recent FindingsThere has been few high-quality, unbiased studies performed on the use of buprenorphine in the treatment of chronic pain.SummaryBuprenorphine is an effective and safe analgesic that is tolerated at least as well, if not better, than other opioids. Given its safety and mechanistic advantages, the authors believe there is an important role for buprenorphine in the treatment of chronic pain severe enough to warrant the use of an opioid ana...
Source: Current Pain and Headache Reports - October 5, 2018 Category: Neurology Source Type: research

Current Aura Without Headache
AbstractPurpose of ReviewThis review evaluates and explains our current understanding of a rare subtype of migraine, typical aura without headache, also known as migraine aura without headache or acephalgic migraine.Recent FindingsTypical aura without headache is a known entity within the spectrum of migraine. Its pathophysiology is suggested to be similar to classic migraines, with cortical spreading depression leading to aura formation but without an associated headache. No clinical trials have been performed to evaluate treatment options, but case reports suggest that most patients will respond to the traditional treatm...
Source: Current Pain and Headache Reports - September 17, 2018 Category: Neurology Source Type: research

The Pivotal Role of Pediatric Psychology in Chronic Pain: Opportunities for Informing and Promoting New Research and Intervention in a Shifting Healthcare Landscape
AbstractPurpose of ReviewIn the context of new efforts to formulate more comprehensive diagnostic and treatment processes for chronic pain conditions, this review aims to provide an overview of some of the most salient developments in the diagnosis and clinical treatment of pediatric chronic pain and to delineate the current and future role of clinical pediatric psychologists in these efforts.Recent FindingsThe acceptance and promotion of the multidisciplinary approach to pediatric pain management has had an especially significant impact on the field of pediatric psychology. Though chronic pain was historically conceptuali...
Source: Current Pain and Headache Reports - September 11, 2018 Category: Neurology Source Type: research

Factors Associated with Sport-Related Post-concussion Headache and Opportunities for Treatment
AbstractPurpose of ReviewThe purpose of this review is to (1) describe factors both pre- and post-injury that are associated with post-concussion headache, (2) describe the influence of post-concussion headache on recovery following concussion, and (3) provide potential post-concussion treatment options that may reduce the burden of headache, as well as other symptoms to facilitate recovery.Recent FindingsVarious factors may be associated with post-concussion headache presentation. These may include pre-injury or historical factors such as sex, family and self-history of headache and migraine, concussion history, and mood ...
Source: Current Pain and Headache Reports - September 10, 2018 Category: Neurology Source Type: research

The Evolution of Surgical Enhanced Recovery Pathways: a Review
AbstractPurpose of ReviewEnhanced recovery pathways are a well-defined perioperative health care program utilizing evidence-based interventions in a protocol-like manner designed to standardize techniques including drug selection and dosing to improve results and to reduce overall costs including facilitating earlier discharge from hospitals after surgery.Recent FindingsA PubMed and World Wide Web search was performed with the following key words: enhanced recovery, surgical enhanced recovery, recovery pathways, and enhanced recovery pathways surgery.SummaryThis introduction to enhanced recovery pathways reflects its 20-ye...
Source: Current Pain and Headache Reports - August 31, 2018 Category: Neurology Source Type: research

Is Medication Overuse Drug Specific or Not? Data from a Review of Published Literature and from an Original Study on Italian MOH Patients
AbstractPurpose of ReviewThe aim is twofold. First, to give an insight on the role exerted by different classes of drugs in favouring migraine chronification. Second, to explore the relationship between type and amount of overused medications and history of previous withdrawal treatment and of frequent relapses.Recent FindingsAll drug classes were found to favour migraine chronification. No data are available for the association with relapses into CM-MOH. Our clinical study shows that patients who underwent previous withdrawal treatments were more likely to be overusers of multiple drug classes and overuse higher amounts o...
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis
AbstractPurpose of ReviewThe purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).Recent FindingsStudies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers ’ approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management.SummaryPain is the most common reason patients present to the ED. As such, emergency medicin...
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

Naloxone Academic Detailing: Role of Community Outreach Teaching
This study reflects the importance of education and academic detailing in resolving health problems. Academic detailing c an provide effective preventive tools that can reduce the incidence of health problems we encounter. (Source: Current Pain and Headache Reports)
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

Is Medication Overuse Drug Specific or Not? Data from a Review of Published Literature and from an Original Study on Italian MOH Patients
AbstractPurpose of ReviewThe aim is twofold. First, to give an insight on the role exerted by different classes of drugs in favouring migraine chronification. Second, to explore the relationship between type and amount of overused medications and history of previous withdrawal treatment and of frequent relapses.Recent FindingsAll drug classes were found to favour migraine chronification. No data are available for the association with relapses into CM-MOH. Our clinical study shows that patients who underwent previous withdrawal treatments were more likely to be overusers of multiple drug classes and overuse higher amounts o...
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

Naloxone Academic Detailing: Role of Community Outreach Teaching
This study reflects the importance of education and academic detailing in resolving health problems. Academic detailing c an provide effective preventive tools that can reduce the incidence of health problems we encounter. (Source: Current Pain and Headache Reports)
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis
AbstractPurpose of ReviewThe purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).Recent FindingsStudies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers ’ approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management.SummaryPain is the most common reason patients present to the ED. As such, emergency medicin...
Source: Current Pain and Headache Reports - August 27, 2018 Category: Neurology Source Type: research

The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS)
AbstractPurpose of ReviewThe purpose of this review is to give a better understanding of the pathogenesis of cystic formations of the mobile spine (CYFMOS) and the correlating imaging findings. This would help with medical decision-making, given the plethora of conservative, interventional, and surgical treatment options.Recent FindingsThere has been a general understanding that CYFMOS are associated with degenerative spine changes. More recent articles however have suggested that identifying detailed imaging characteristics can assist in determining outcomes when CYFMOS are treated with interventional percutaneous methods...
Source: Current Pain and Headache Reports - August 25, 2018 Category: Neurology Source Type: research

A Contemporary Perspective on the Management of Post-Craniotomy Headache and Pain
This article discusses the etiology and management of post-craniotomy headache and pain. A review of available as well as investigatory treatment modalities is offered, followed by suggestions for optimal management of post-craniotomy headache.Recent FindingsThere is a dearth of evidence-based practice regarding the differential diagnosis, natural history, and management of post-craniotomy headache. The etiology of post-craniotomy headache is typically multifactorial, with patients ’ medical history, type of craniotomy, and perioperative management all playing a role. Post-craniotomy headaches are often undertreated,...
Source: Current Pain and Headache Reports - August 14, 2018 Category: Neurology Source Type: research

Strides Toward Better Understanding of Post-Traumatic Headache Pathophysiology Using Animal Models
AbstractPurpose of ReviewIn recent years, the awareness of the detrimental impact of concussion and mild traumatic brain injuries (mTBI) is becoming more apparent. Concussive head trauma results in a constellation of cognitive and somatic symptoms of which post-traumatic headache is the most common. Our understanding of post-traumatic headache is limited by the paucity of well validated, characterized, and clinically relevant animal models with strong predictive validity. In this review, we aim to summarize and discuss current animal models of concussion/mTBI and related data that start to shed light on the pathophysiology...
Source: Current Pain and Headache Reports - August 2, 2018 Category: Neurology Source Type: research

Bath-Related Headache
AbstractPurpose of ReviewThe purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder.Recent FindingsInitially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Nimodipine can be effective in patients both with and without vasospasm.SummaryBath-related headache is a rare form of thunderclap headache. Although its mechanism is still unclear, it is associated wit...
Source: Current Pain and Headache Reports - August 2, 2018 Category: Neurology Source Type: research

Strides Toward Better Understanding of Post-Traumatic Headache Pathophysiology Using Animal Models
AbstractPurpose of ReviewIn recent years, the awareness of the detrimental impact of concussion and mild traumatic brain injuries (mTBI) is becoming more apparent. Concussive head trauma results in a constellation of cognitive and somatic symptoms of which post-traumatic headache is the most common. Our understanding of post-traumatic headache is limited by the paucity of well validated, characterized, and clinically relevant animal models with strong predictive validity. In this review, we aim to summarize and discuss current animal models of concussion/mTBI and related data that start to shed light on the pathophysiology...
Source: Current Pain and Headache Reports - August 2, 2018 Category: Neurology Source Type: research

Bath-Related Headache
AbstractPurpose of ReviewThe purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder.Recent FindingsInitially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Nimodipine can be effective in patients both with and without vasospasm.SummaryBath-related headache is a rare form of thunderclap headache. Although its mechanism is still unclear, it is associated wit...
Source: Current Pain and Headache Reports - August 2, 2018 Category: Neurology Source Type: research

Digital Technology and Mobile Health in Behavioral Migraine Therapy: a Narrative Review
This article reviews the recent research and development of electronic health (eHealth) and, in particular, mobile health (mHealth) strategies to deliver behavioral treatment for migraine. Prospects for future development and research of mobile health in migraine are suggested.Recent FindingsAdvances in digital technology and mobile technology have led to an era where electronic and mobile approaches are applied to several aspects of healthcare. Electronic behavioral interventions for migraine seem to be acceptable and feasible, but efficacy measures are uncertain. Clinical trials on mHealth-based classical behavioral ther...
Source: Current Pain and Headache Reports - July 31, 2018 Category: Neurology Source Type: research

Imaging Post-Traumatic Headache
AbstractPurpose of ReviewHeadache is a frequent and debilitating symptom after mild traumatic brain injury, yet little is known about its pathophysiology and most effective treatments. The goal of this review is to summarize findings from imaging studies used during the clinical evaluation and research investigation of post-traumatic headache (PTH).Recent FindingsThere are no published recommendations or guidelines for when to acquire imaging studies of the head or neck in patients with PTH. Clinical acumen is required to determine if imaging is needed to assess for a secondary cause of headache which may have been precipi...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Exploding Head Syndrome: a Review
AbstractPurpose of ReviewTo explain our current understanding of exploding head syndrome (EHS), an unusual and underreported sensory parasomnia.Recent FindingsBased on findings from recent studies of EHS, the prevalence is higher than previously suggested by the literature, which historically has consisted mostly of case reports. The typical presentation also has been better illustrated by recent case series, and diagnostic criteria have been defined. Its pathophysiology is still unclear.SummaryEHS is underrecognized and its symptoms are alarming, but a review of our current state of knowledge will allow physicians to make...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Health Behaviors in Episodic Migraine: Why Behavior Change Matters
AbstractPurpose of ReviewEpisodic migraine is common. Everyday behavioral patterns are associated with migraine attacks and disability. This paper reviews health behaviors that can be targeted in people with episodic migraine to enhance migraine-related outcomes.Recent FindingsStressful events and perceived stress have demonstrated associations with migraine attack onset among people with episodic migraine. Consistency in daily patterns (eating, sleeping, exercise, and hydration status) is also associated with migraine activity. Sleep deprivation, fatigue, and poor quality sleep have demonstrated relationships with migrain...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Imaging Post-Traumatic Headache
AbstractPurpose of ReviewHeadache is a frequent and debilitating symptom after mild traumatic brain injury, yet little is known about its pathophysiology and most effective treatments. The goal of this review is to summarize findings from imaging studies used during the clinical evaluation and research investigation of post-traumatic headache (PTH).Recent FindingsThere are no published recommendations or guidelines for when to acquire imaging studies of the head or neck in patients with PTH. Clinical acumen is required to determine if imaging is needed to assess for a secondary cause of headache which may have been precipi...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Exploding Head Syndrome: a Review
AbstractPurpose of ReviewTo explain our current understanding of exploding head syndrome (EHS), an unusual and underreported sensory parasomnia.Recent FindingsBased on findings from recent studies of EHS, the prevalence is higher than previously suggested by the literature, which historically has consisted mostly of case reports. The typical presentation also has been better illustrated by recent case series, and diagnostic criteria have been defined. Its pathophysiology is still unclear.SummaryEHS is underrecognized and its symptoms are alarming, but a review of our current state of knowledge will allow physicians to make...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Health Behaviors in Episodic Migraine: Why Behavior Change Matters
AbstractPurpose of ReviewEpisodic migraine is common. Everyday behavioral patterns are associated with migraine attacks and disability. This paper reviews health behaviors that can be targeted in people with episodic migraine to enhance migraine-related outcomes.Recent FindingsStressful events and perceived stress have demonstrated associations with migraine attack onset among people with episodic migraine. Consistency in daily patterns (eating, sleeping, exercise, and hydration status) is also associated with migraine activity. Sleep deprivation, fatigue, and poor quality sleep have demonstrated relationships with migrain...
Source: Current Pain and Headache Reports - July 30, 2018 Category: Neurology Source Type: research

Forecasting Migraine Attacks and the Utility of Identifying Triggers
AbstractPurpose of ReviewThis review synthesizes the utility of measuring migraine triggers for the purpose of forecasting future headache attacks. The nature of forecasting models, headache triggers as inputs to such models, and how these trigger exposures can be measured for forecasting are reviewed. A critical evaluation of the existing forecasting models in the context of their potential application for preemptive treatment is considered.Recent FindingsA substantial pool of candidate trigger factors could be considered in the creation of forecasting models. However, because mechanistic information about causal factors ...
Source: Current Pain and Headache Reports - July 16, 2018 Category: Neurology Source Type: research

Emerging Treatments in Episodic Migraine
AbstractPurpose of ReviewThe purpose of this review is to evaluate and describe recent and emerging treatment options for episodic migraine.Recent FindingsRecent advances have been made in better understanding the pathophysiology of migraine, which has led to further investigation of potential new pharmacologic and non-pharmacologic treatment options.SummaryA number of new medications are emerging for the acute and preventive treatment of migraine, including CGRP monoclonal antibodies, CGRP receptor antagonists, serotonin 5-HT1F agonists, and PACAP receptor monoclonal antibodies. Additionally, newer studies on existing non...
Source: Current Pain and Headache Reports - July 16, 2018 Category: Neurology Source Type: research

Forecasting Migraine Attacks and the Utility of Identifying Triggers
AbstractPurpose of ReviewThis review synthesizes the utility of measuring migraine triggers for the purpose of forecasting future headache attacks. The nature of forecasting models, headache triggers as inputs to such models, and how these trigger exposures can be measured for forecasting are reviewed. A critical evaluation of the existing forecasting models in the context of their potential application for preemptive treatment is considered.Recent FindingsA substantial pool of candidate trigger factors could be considered in the creation of forecasting models. However, because mechanistic information about causal factors ...
Source: Current Pain and Headache Reports - July 16, 2018 Category: Neurology Source Type: research

Emerging Treatments in Episodic Migraine
AbstractPurpose of ReviewThe purpose of this review is to evaluate and describe recent and emerging treatment options for episodic migraine.Recent FindingsRecent advances have been made in better understanding the pathophysiology of migraine, which has led to further investigation of potential new pharmacologic and non-pharmacologic treatment options.SummaryA number of new medications are emerging for the acute and preventive treatment of migraine, including CGRP monoclonal antibodies, CGRP receptor antagonists, serotonin 5-HT1F agonists, and PACAP receptor monoclonal antibodies. Additionally, newer studies on existing non...
Source: Current Pain and Headache Reports - July 16, 2018 Category: Neurology Source Type: research

A Review of Recent Advances in Ultrasound, Placed in the Context of Pain Diagnosis and Treatment
AbstractUltrasound plays a significant role in the diagnosis and treatment of pain, with significant literature reaching back many years, especially with regard to diagnostic ultrasound and its use for guiding needle-based delivery of drugs. Advances in ultrasound over at least the last decade have opened up new areas of inquiry and potential clinical efficacy in the context of pain diagnosis and treatment. Here we offer an overview of the recent literature associated with ultrasound and pain in order to highlight some promising frontiers at the intersection of these two subjects. We focus first on peripheral application o...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

Complexities of Perioperative Pain Management in Orthopedic Trauma
AbstractPurpose of ReviewThis review discusses both obvious and hidden barriers in trauma patient access to pain management specialists and provides some suggestions focusing on outcome optimization in the perioperative period.Recent FindingsOrthopedic trauma surgeons strive to provide patients the best possible perioperative pain management, while balancing against potential risks of opioid abuse and addiction. Surgeons often find they are ill-prepared to effectively manage postoperative pain in patients returning several months following trauma surgery, many times still dependent on opioids for pain control. Some individ...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

Occipital Headaches and Neuroimaging in Children
AbstractPurpose of ReviewThe goal of this review is to outline the prevalence and significance of occipital headaches in children and how they relate to neuroimaging findings. We seek to evaluate the concern that occipital headaches in children are indicative of secondary headache pathology by reviewing the yield of neuroimaging in pediatric patients with occipital headache location.Recent FindingsOccipital headaches are a common presentation of primary headache disorders in children, seen in 7 –16% of children presenting for evaluation of headache and in up to 20% of children diagnosed with migraine in the emergency...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

A Review of Recent Advances in Ultrasound, Placed in the Context of Pain Diagnosis and Treatment
AbstractUltrasound plays a significant role in the diagnosis and treatment of pain, with significant literature reaching back many years, especially with regard to diagnostic ultrasound and its use for guiding needle-based delivery of drugs. Advances in ultrasound over at least the last decade have opened up new areas of inquiry and potential clinical efficacy in the context of pain diagnosis and treatment. Here we offer an overview of the recent literature associated with ultrasound and pain in order to highlight some promising frontiers at the intersection of these two subjects. We focus first on peripheral application o...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

Complexities of Perioperative Pain Management in Orthopedic Trauma
AbstractPurpose of ReviewThis review discusses both obvious and hidden barriers in trauma patient access to pain management specialists and provides some suggestions focusing on outcome optimization in the perioperative period.Recent FindingsOrthopedic trauma surgeons strive to provide patients the best possible perioperative pain management, while balancing against potential risks of opioid abuse and addiction. Surgeons often find they are ill-prepared to effectively manage postoperative pain in patients returning several months following trauma surgery, many times still dependent on opioids for pain control. Some individ...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

Occipital Headaches and Neuroimaging in Children
AbstractPurpose of ReviewThe goal of this review is to outline the prevalence and significance of occipital headaches in children and how they relate to neuroimaging findings. We seek to evaluate the concern that occipital headaches in children are indicative of secondary headache pathology by reviewing the yield of neuroimaging in pediatric patients with occipital headache location.Recent FindingsOccipital headaches are a common presentation of primary headache disorders in children, seen in 7 –16% of children presenting for evaluation of headache and in up to 20% of children diagnosed with migraine in the emergency...
Source: Current Pain and Headache Reports - July 10, 2018 Category: Neurology Source Type: research

Headaches in Patients with Pituitary Tumors: a Clinical Conundrum
AbstractPurpose of ReviewPituitary tumors account for approximately 17% of all intracranial neoplasms, with the majority being pituitary adenomas. Often, these are found incidentally during a workup for headache; however, the relationship between symptom and pathology remains unclear. The purpose of this article is to review the most recent literature on the epidemiology, pathophysiology, and management of headaches in patients with pituitary tumors.Recent FindingsThe current literature is limited, with few prospective trials focusing on this question. With the exception of pituitary apoplexy, the relationship between head...
Source: Current Pain and Headache Reports - July 4, 2018 Category: Neurology Source Type: research

SUNCT and SUNA: an Update and Review
AbstractPurpose of ReviewThe purpose of this review is to provide an update on the clinical features, diagnosis, pathogenesis, epidemiology, and treatment of the rare primary headache disorders short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with autonomic symptoms (SUNA). Together these entities are known as short-lasting unilateral neuralgiform headache attacks (SUNHA).Recent FindingsRecent case reports of secondary SUNCT and SUNA due to medullary infarcts support the theory that the trigeminohypothalamic pat...
Source: Current Pain and Headache Reports - June 21, 2018 Category: Neurology Source Type: research