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Condition: Headache

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Total 110 results found since Jan 2013.

Migraine and cerebrovascular diseases: Epidemiology, pathophysiological, and clinical considerations.
In conclusion, migraine is a potential risk factor for cerebrovascular diseases. Migraineurs should be carefully evaluated considering their vascular risk assessment based on current evidence, so that healthcare professionals can provide appropriate and individualized management of other cardiovascular risk factors, notably quitting smoking and restricting use of oral contraceptives. PMID: 30117565 [PubMed - as supplied by publisher]
Source: Headache - August 17, 2018 Category: Neurology Authors: Magalhães JE, Sampaio Rocha-Filho PA Tags: Headache Source Type: research

Impact of Aura and Status Migrainosus on Readmissions for Vascular Events After Migraine Admission.
CONCLUSIONS: -In this large, nationally representative retrospective cohort study, migraine admission with aura was independently associated with TIA readmission, and status migrainosus was independently associated with subarachnoid hemorrhage. Further research would clarify the role of misdiagnosis and causal relationships underlying these strong associations. PMID: 29933509 [PubMed - as supplied by publisher]
Source: Headache - June 22, 2018 Category: Neurology Authors: Velickovic Ostojic L, Liang JW, Sheikh HU, Dhamoon MS Tags: Headache Source Type: research

Risk of Stroke Associated With Use of Estrogen Containing Contraceptives in Women With Migraine: A Systematic Review.
CONCLUSIONS: This systematic review shows a lack of good quality studies assessing risk of stroke associated with low dose estrogen use in women with migraine. Further study in this area is needed. The available evidence is consistent with an additive increase in stroke risk with CHC use in women with migraine with aura. Since the absolute risk of stroke is low even in the presence of these risk factors, use of CHCs in women who have migraine with aura should be based on an individualized assessment of harms and benefits. PMID: 29139115 [PubMed - as supplied by publisher]
Source: Headache - November 15, 2017 Category: Neurology Authors: Sheikh HU, Pavlovic J, Loder E, Burch R Tags: Headache Source Type: research

Hypercoagulability and Migraine.
Abstract BACKGROUND: A growing body of literature suggests that migraineurs, particularly those with aura, have an increased risk for ischemic stroke, but not via enhanced atherosclerosis. The theory that micro-emboli induced ischemia provokes cortical spreading depression (ie, symptomatic aura) in migraineurs but transient ischemic attacks in others highlights a potential role for hypercoagulability as a link between migraine (with aura) and stroke. AIM: Our objective is to summarize the literature evaluating the association of migraine with various acquired or inheritable thrombophilic states, including tho...
Source: Headache - February 8, 2017 Category: Neurology Authors: Tietjen GE, Collins SA Tags: Headache Source Type: research

Cerebral Sinus Thrombosis.
CONCLUSIONS: Given its eclectic epidemiology, its potential to produce a highly unfavorable clinical outcome, and evidence suggesting that specific treatment improves outcome, CVT/CST is a disorder whose salient features should be familiar to virtually all clinicians. PMID: 27350588 [PubMed - as supplied by publisher]
Source: Headache - June 27, 2016 Category: Neurology Authors: Agrawal K, Burger K, Rothrock JF Tags: Headache Source Type: research

A retrospective analysis of triptan and dhe use for basilar and hemiplegic migraine.
CONCLUSION: In this retrospective study, triptans and DHE were used with no reported, subsequent acute/subacute ischemic vascular events for the abortive treatment of migraines with basilar and hemiplegic-type features. Although the small sample sizes generated theoretical statistical event rates of 4.5% for BM and 23% for HM, there has been no clear evidence that BM and HM carry an actual elevated risk for vascular events compared with migraine with aura. PMID: 27062528 [PubMed - as supplied by publisher]
Source: Headache - April 7, 2016 Category: Neurology Authors: Mathew PG, Krel R, Buddhdev B, Ansari H, Joshi SG, Spinner WD, Klein BC Tags: Headache Source Type: research

Reversible Cerebral Vasoconstriction Syndrome Without Typical Thunderclap Headache.
Abstract Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headache and diffuse segmental intracranial arterial constriction that resolve within three months. Stroke, which is the major complication of RCVS, can result in persistent neurological disability, and rarely causes death. Diagnosis of RCVS early in the clinical course might improve outcomes. Although recurrent thunderclap headache is the clinical hallmark of RCVS, the absence of such a pattern should not lead to discard the diagnosis. Our literature review shows that RCVS can also manifest as an unspecific headache, such as ...
Source: Headache - March 25, 2016 Category: Neurology Authors: Wolff V, Ducros A Tags: Headache Source Type: research

The Typical Thunderclap Headache of Reversible Cerebral Vasoconstriction Syndrome and its Various Triggers.
Abstract During the last 10 years, reversible cerebral vasoconstriction syndrome (RCVS) has emerged as the most frequent cause of thunderclap headache (TCH) in patients without aneurysmal subarachnoid hemorrhage, and as the most frequent cause of recurrent TCHs. The typical TCHs of RCVS are multiple, recurring over a few days to weeks, excruciating, short-lived, and brought up by exertion, sexual activities, emotion, Valsalva maneuvers, or bathing, among other triggers. All these triggers induce sympathetic activation. In a minority of cases with RCVS, TCH heralds stroke and rarely death. Early diagnosis of RCVS i...
Source: Headache - March 25, 2016 Category: Neurology Authors: Ducros A, Wolff V Tags: Headache Source Type: research

The Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study.
CONCLUSIONS: The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache. PMID: 26129830 [PubMed - as supplied by publisher]
Source: Headache - June 30, 2015 Category: Neurology Authors: Hong CK, Joo JY, Kim YB, Shim YS, Lim YC, Shin YS, Chung J Tags: Headache Source Type: research

Fibromuscular Dysplasia: An Update for the Headache Clinician.
CONCLUSION: This review summarizes the most recent literature regarding FMD, including epidemiology, clinical manifestations, imaging practices, and treatment. Special attention will be paid to the association of headaches and FMD. Correct diagnosis, optimal medical management, and appropriate referral for vascular intervention are vital elements of the treatment of patients with FMD. There is a great need for more clinical research regarding the epidemiology, pathophysiology, and optimal treatment of headache in the FMD patient population. PMID: 25882138 [PubMed - as supplied by publisher]
Source: Headache - April 17, 2015 Category: Neurology Authors: O'Connor SC, Poria N, Gornik HL Tags: Headache Source Type: research

Endothelial Function in Migraine With Aura - A Systematic Review.
CONCLUSION: Endothelial dysfunction appears not to be of importance in MA patients. However, the studies were few with a wide variety of techniques applied in small groups of patients. Endothelial biomarkers were increased in patients indicating a possible subtle change in the endothelium. Further investigations on larger groups of patients combining testing of endothelial dysfunction as well as biomarkers are warranted to identify whether or not endothelial changes may play a role in the increased risk of stroke in young MA patients. PMID: 25546573 [PubMed - as supplied by publisher]
Source: Headache - December 24, 2014 Category: Neurology Authors: Butt JH, Franzmann U, Kruuse C Tags: Headache Source Type: research

An Unusual Case of Episodic SUNCT Responding to High Doses of Topiramate.
We report a case of episodic SUNCT with symptoms suggestive of brainstem stroke that completely resolved spontaneously for which no underlying structural cause was found. The onset of first attack occurred during orgasm, and the patient responded to a high dose of topiramate. PMID: 25250729 [PubMed - as supplied by publisher]
Source: Headache - September 24, 2014 Category: Neurology Authors: Khalil M, Maniyar F, Ahmed F Tags: Headache Source Type: research

Spreading Depolarization May Link Migraine, Stroke, and Other Cardiovascular Disease.
PMID: 25163584 [PubMed - as supplied by publisher]
Source: Headache - August 28, 2014 Category: Neurology Authors: Ripa P, Ornello R, Pistoia F, Carolei A, Sacco S Tags: Headache Source Type: research

Spreading Depolarization May Link Migraine and Stroke.
Abstract Migraine increases the risk of stroke, particularly in young and otherwise healthy adults. Being the most frequent neurological condition, migraine prevalence is on a par with that of other common stroke risk factors, such as diabetes or hypertension. Several patterns of association have emerged: (1) migraine and stroke share a common association (eg, vasculopathies, patent foramen ovale, or pulmonary A-V malformations); (2) injury to the arterial wall such as acute arterial dissections can present as migraine aura attacks or stroke; (3) strokes rarely develop during a migraine attack, as described for "m...
Source: Headache - June 10, 2014 Category: Neurology Authors: Eikermann-Haerter K Tags: Headache Source Type: research

Headaches in brain tumor patients: primary or secondary?
CONCLUSION: Our literature review revealed that brain tumor headache uncommonly presents with classic brain tumor headache characteristics and often satisfies criteria for a primary headache category such as migraine or tension-type. Thus, clinicians may miss headaches due to brain tumors in following ICHD-3 criteria, and the distinction between primary and secondary headache disorders may not be so clear-cut. PMID: 24697234 [PubMed - in process]
Source: Headache - April 1, 2014 Category: Neurology Authors: Nelson S, Taylor LP Tags: Headache Source Type: research