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Migraine and its psychiatric comorbidities
In conclusion, a review of the literature demonstrates the wide variety of psychiatric comorbidities with migraine. However, more research is needed to elucidate the neurocircuitry underlying the association between migraine and the comorbid psychiatric conditions and to determine the most effective treatment for migraine with psychiatric comorbidity.
Source: Journal of Neurology, Neurosurgery and Psychiatry - June 13, 2016 Category: Neurosurgery Authors: Minen, M. T., Begasse De Dhaem, O., Kroon Van Diest, A., Powers, S., Schwedt, T. J., Lipton, R., Silbersweig, D. Tags: JNNP Patients' choice, Headache (including migraine), Stroke, Anxiety disorders (including OCD and PTSD) Source Type: research

The spectrum of migraine in 306 patients with cadasil
In conclusion, the spectrum of migraine in CADASIL differs from that in the general population. Acute encephalopathy is a common feature of CADASIL and usually evolves from a migraine episode. Non-migraneurs have a higher risk of developing stroke, however the reasons for this are not well understood.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: Tan, R., Markus, H. Tags: Headache (including migraine), Stroke ABN abstracts 2015 ABN Annual Meeting, 10 September 2015, Institute of Education, London Source Type: research

Delayed diagnosis of cadasil in a patient with hemiplegic migraine
Conclusion prevalence of CADASIL may be underestimated partly due to underdiagnoses, especially in patients presenting with migraine. Every attempt to gain an appropriate family history should be made to avoid misdiagnosis.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: Matar, M., Sivagnanasundarum, J., Harikrishnan, S. Tags: Headache (including migraine), Stroke Thur 21, Parallel session 5: Therapeutics Source Type: research

Characteristics of functional and organic stroke mimics
Conclusion Both functional and medical stroke mimics appear to have distinct features that could aid the diagnostic process.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: Gargalas, S., David, A., Khan-Bourne, N., Shotbolt, P., Weeks, R. Tags: Long term care, Immunology (including allergy), Headache (including migraine), Pain (neurology), Stroke, Memory disorders (psychiatry) ABN abstracts 2015 ABN Annual Meeting, 10 September 2015, Institute of Education, London Source Type: research

The many faces of melas
We report the case of a 76-year-old man (the second oldest diagnosed case to the authors' knowledge) whose case exemplifies the complexity of diagnosing and managing these patients including the complications of the disease.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: AlMasri, O., Massey, T., Mukhopadhyay, D., Walters, R. J. Tags: Genetics, Epilepsy and seizures, Headache (including migraine), Infection (neurology), Muscle disease, Neuromuscular disease, Musculoskeletal syndromes Thur 21, Parallel session 5: Therapeutics Source Type: research

Cadasil in northern ireland: a retrospective clinical, neuroimaging and genetic study
This study demonstrates the wide variability in the phenotype and MRI features of CADASIL.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: McMacken, G., McKenna, E., McKee, S., McConville, J. Tags: Dementia, Epilepsy and seizures, Headache (including migraine), Stroke, Memory disorders (psychiatry) Wed 20, Parallel session 4: Disease pathophysiology Source Type: research

Transient global amnesia
Thorsten Bartsch MD. Currently, I am a board-certified Cognitive Neurologist and Consultant at the Department of Neurology of the University Hospital Schleswig Holstein in Kiel and Professor for Memory Disorders and Plasticity at the University of Kiel. I was initially trained in Physiology (1993–1998) before pursuing my clinical training in Neurology (1998–2007). Additionally training was in emergency medicine, pain therapy, clinical neurophysiology (EEG, EP, EMG, ENG), neurological ultrasound, geriatrics. My area of clinical expertise is memory disorders, in particular hippocampal dysfunction, dementias, imag...
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 13, 2015 Category: Neurosurgery Tags: Long term care, Dementia, Pain (neurology), Stroke, Hospice, Memory disorders (psychiatry), Radiology, Radiology (diagnostics) PRESENTATION ABSTRACTS - DAY 3 Source Type: research

Multiple intracranial arteritis and hypothyroidism secondary to Streptococcus anginosus infection
A 50-year-old Chinese woman reported a sharp paroxysmal headache and abrupt paralysis of the left leg. She then developed ptosis, blurred vision, diplopia and fever. On admission, a neurological examination revealed right III, IV, VI and left V1 cranial nerve palsy, bilateral upper eyelid oedema and left leg monoplegia (Medical Research Council grade 2/5). In addition, a left Babinski sign and nuchal rigidity were observed. Blood tests revealed elevated white cell count (WCC) and a majority of the cells were neutrophils. Lumbar puncture revealed that the WCC (120x106/μL) and protein level (0.79 g/L) of the cerebros...
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 13, 2015 Category: Neurosurgery Authors: Zhang, C., Xie, B., Shi, F.-D., Hao, J. Tags: Open access, Immunology (including allergy), Meningitis, Brain stem / cerebellum, Cranial nerves, Drugs: CNS (not psychiatric), Headache (including migraine), Infection (neurology), Pain (neurology), Stroke, Hypertension, Ophthalmology, Radiology, Musculo Source Type: research

Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness
Conclusions Almost half of patients with vertigo/dizziness suffer from a psychiatric comorbidity. These patients show more severe psychosocial impairment compared with patients without psychiatric disorders. The worst combination, in terms of vertigo-related handicaps, is having non-organic vertigo/dizziness and psychiatric comorbidity. This phenomenon should be considered when diagnosing and treating vertigo/dizziness in the early stages of the disease.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 12, 2015 Category: Neurosurgery Authors: Lahmann, C., Henningsen, P., Brandt, T., Strupp, M., Jahn, K., Dieterich, M., Eckhardt-Henn, A., Feuerecker, R., Dinkel, A., Schmid, G. Tags: Drugs: CNS (not psychiatric), Headache (including migraine), Stroke, Mood disorders (including depression), Ear, nose and throat/otolaryngology Neuropsychiatry Source Type: research

Probable bilateral posterior cerebral artery dissection
We present the clinical features of this highly unusual case and discuss the radiological findings. In the absence of another identified cause and given the proximity to tentorium, we presume the cause is bilateral PCA dissection.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 9, 2014 Category: Neurosurgery Authors: Lam, D., Siripurapu, R., H, S., Punter, M. Tags: Abstracts Source Type: research

The neuropsychiatry of tinnitus: a circuit-based approach to the causes and treatments available
In conclusion, a review of the literature demonstrates the varied neuropsychiatric manifestations of tinnitus. Imaging studies help to explain the mechanism of the association. However, more research is needed to elucidate the neurocircuitry underlying the association.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 9, 2014 Category: Neurosurgery Authors: Minen, M. T., Camprodon, J., Nehme, R., Chemali, Z. Tags: Headache (including migraine), Pain (neurology), Stroke, Drugs: psychiatry, Personality disorders, Psychotic disorders (incl schizophrenia), Radiology, Drugs: musculoskeletal and joint diseases, Radiology (diagnostics), Ear, nose and throat/otolaryngology Source Type: research

Basilar extension and posterior inferior cerebellar artery involvement as risk factors for progression of the unruptured spontaneous intradural vertebral artery dissection
Conclusions Thus, some vertebrobasilar morphologies might be markers of the progression of unruptured siVAD. Although all unruptured siVAD patients should be closely monitored, those with basilar extension and posterior inferior cerebellar artery involvement should perhaps be more carefully followed than those without such morphologies.
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 6, 2014 Category: Neurosurgery Authors: Matsukawa, H., Shinoda, M., Fujii, M., Takahashi, O., Uemura, A., Niimi, Y. Tags: Brain stem / cerebellum, Headache (including migraine), Neurological injury, Stroke, Trauma CNS / PNS, Trauma, Injury Cerebrovascular disease Source Type: research

Cortical susceptibility-weighted imaging hypointensity after stroke-like episode in MELAS
A 49-year-old woman with a known m.3243A>G tRNALeu(UUR) mutation (ie, the most frequent mutation in mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS)) diagnosed in the presence of migraine, diabetes mellitus, neurosensory hearing loss, short stature, cognitive deficit, ataxia and elevated lactate levels, presented with subacute aphasia and right hemiplegia. Brain MRI showed a typical stroke-like lesion in the left temporal and parietal lobe and prerolandic cortex. At this time, gradient-echo T2-weighted imaging showed hyperintensities in the involved regions (also visible on T2-weighted and ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 6, 2014 Category: Neurosurgery Authors: Renard, D., Taieb, G. Tags: Immunology (including allergy), Headache (including migraine), Neuroimaging Neurological pictures Source Type: research

Is there anything distinctive about epileptic deja vu?
Conclusions Déjà vu is common and qualitatively similar whether it occurs as an epileptic aura or normal phenomenon. However ictal déjà vu occurs more frequently and is accompanied by several distinctive features. It is distinguished primarily by ‘the company it keeps’.
Source: Journal of Neurology, Neurosurgery and Psychiatry - January 17, 2014 Category: Neurosurgery Authors: Warren-Gash, C., Zeman, A. Tags: Epilepsy and seizures, Headache (including migraine), Pain (neurology), Stroke Neuropsychiatry Source Type: research

Stroke risk after a first late-onset migraine-like transient neurological attack (tna): oxford vascular study tna cohort
Conclusions The short and long–term risks of stroke in patients with a first migraine–like TNA are significantly lower than after a definite TIA. The trend towards a higher stroke risk than the underlying population rate is similar to that seen in studies of individuals with clinically–definite migraine with aura.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Tuna, M. A., Mehta, Z., Rothwell, P. M. Tags: Headache (including migraine), Stroke Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

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