Headache Related to PPE Use during the COVID-19 Pandemic
AbstractPurpose of ReviewPersonal protection equipment (PPE) –associated headache is an unusual secondary headache disorder that predominantly occurs in healthcare workers as a consequence of the donning of protective respirators, face masks and/or eyewear. The appreciation of this entity is important given the significant ramifications upon the occupationa l health of healthcare workers and could additionally have an impact on persons living with pre-existing headache disorder(s).Recent FindingsThere has been a renewed interest and recognition of PPE-associated headaches amongst healthcare professionals, largely brought...
Source: Current Pain and Headache Reports - June 15, 2021 Category: Neurology Source Type: research

Models for Treating Post-traumatic Headache
AbstractPurpose of ReviewTo discuss the treatment of post-traumatic headache (PTH) and how to choose pharmacotherapy based upon known pathophysiology.Recent FindingsPreclinical models of traumatic brain injury are finally revealing some of the mechanisms of PTH, including the significant role that inflammatory neuropeptides like calcitonin gene-related peptide (CGRP) play in the initiation and persistence of symptoms.SummaryTo effectively treat post-traumatic headache (PTH), one needs to understand the pathophysiology behind the initiation and persistence of symptoms. Recent animal models are starting to elucidate these me...
Source: Current Pain and Headache Reports - June 14, 2021 Category: Neurology Source Type: research

Monckeberg ’s Medial Sclerosis as a Cause for Headache and Facial Pain
AbstractPurpose of ReviewM önckeberg’s medial sclerosis (MMS) is a chronic, non-inflammatory degenerative condition affecting primarily the tunica media of muscular arteries resulting in their calcification. The purpose of this comprehensive review is to describe MMS as it appears in the literature, in the context of heada che and facial pain. Understanding the etiopathology, the associated conditions, and the differential diagnoses is important in managing MMS.Recent FindingsManagement of MMS primarily depends upon identification of its associated conditions and their treatment. Due to the rare incidence and inadequate...
Source: Current Pain and Headache Reports - June 4, 2021 Category: Neurology Source Type: research

Post-traumatic Headache in Children and Adolescents
AbstractPurpose of ReviewPost-traumatic headache is a common disorder in the pediatric age group, seen both by child neurologists and by non-neurologists. The current review of post-traumatic headache in children and adolescents aims to review the pathophysiology, risk factors, clinical features, neuroimaging, and both acute and preventive treatment options.Recent FindingsRecent literature provides insight into specific risk factors in the pediatric age group for developing post-traumatic headache as well as unique pathophysiologic changes seen in neuroimaging and neurometabolic pathways. It also elucidates common treatmen...
Source: Current Pain and Headache Reports - June 4, 2021 Category: Neurology Source Type: research

Evidence of Potential Mechanisms of Acupuncture from Functional MRI Data for Migraine Prophylaxis
AbstractPurpose of ReviewTo summarize the clinical neuroimaging evidence pertaining to the potential mechanisms of acupuncture for migraine prophylaxis.Recent FindingsFrom a descriptive perspective, converging evidence from recent neuroimaging studies, mainly from functional MRI (fMRI) studies, has demonstrated that when compared with sham acupuncture, verum acupuncture could normalize the decrease of the functional connectivity of the rostral ventromedial medulla-trigeminocervical complex (RVM/TCC) network, frontal-parietal network, cingulo-opercular networks, and default mode network and could normalize sensorimotor netw...
Source: Current Pain and Headache Reports - May 26, 2021 Category: Neurology Source Type: research