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Source: Neurology
Condition: Headache

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Total 267 results found since Jan 2013.

Helping Haiti: Addressing the Burden of Neurologic Disease (I10-2.004)
CONCLUSIONS: With this nationwide collaborative and interdisciplinary approach, we hope to have a dramatic impact on the perceptions and outcomes of neurologic disease and provide a continuous, but dynamic presence in Port au Prince, Haiti while training physicians, nurses, and other team members in global health perspectives.Disclosure: Dr. Santini has nothing to disclose. Dr. Alessi has received personal compensation for activities with CBS Radio, the National Football League Players Association, and Colonial Cooperative Care. Dr. Jones has nothing to disclose. Dr. Etienne has nothing to disclose. Dr. Hohler has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Santini, V., Alessi, A., Jones, E., Etienne, M., Hohler, A. Tags: The Global Burden of Neurological Diseases Data Blitz Presentations Source Type: research

Teaching NeuroImages: Internal carotid artery dissection presenting as Villaret syndrome
A 63-year-old man presented with headache, hoarseness, and dysphagia. He had a left-sided Horner syndrome and wasting of the left sternocleidomastoid muscle. His tongue was deviated to the left on protrusion (figure 1). MRI and CT angiography revealed a distal left internal carotid artery dissection (figure 2).
Source: Neurology - March 31, 2014 Category: Neurology Authors: Okpala, O., Von Essen, A., Cummins, G., Manford, M. Tags: All Imaging, All Cerebrovascular disease/Stroke, Cranial neuropathy, Carotid artery dissection RESIDENT AND FELLOW SECTION Source Type: research

Cerebral microbleeding in varicella-zoster viral meningitis: An early sign of vasculopathy?
A 75-year-old man undergoing chemotherapy for prostate cancer for 3 months presented with headache after having blisters in his left ear canal and auricle. His body temperature at presentation was 38°C. Neurologic examination revealed nuchal stiffness and left peripheral facial palsy. We also noted leukocytopenia (2,000/µL) and elevated serum C-reactive protein (8.51 mg/dL). CSF analysis showed no erythrocytes, elevated leukocytes (640/µL; 3% monocytes, 97% neutrophils), an increased protein level (473 mg/dL), and slightly decreased glucose level (51 mg/dL, serum glucose 120 mg/dL). Brain MRI and magnetic r...
Source: Neurology - March 3, 2014 Category: Neurology Authors: Ohtomo, R., Shirota, Y., Iwata, A., Shimizu, J., Tsuji, S. Tags: MRI, Other cerebrovascular disease/ Stroke, Vasculitis, Viral infections CLINICAL/SCIENTIFIC NOTES Source Type: research

Corticobasal syndrome associated with antiphospholipid syndrome without cerebral infarction
Antiphospholipid syndrome (APS) is a rare autoimmune coagulopathy with various systemic and neurologic symptoms. Ischemic stroke and TIA are common neurologic manifestations of APS, while migraine, epilepsy, chorea, and multiple sclerosis–like syndromes have also been reported.1,2 Dementia is an unusual manifestation of APS, and the presentation of APS with corticobasal syndrome (CBS) has rarely been reported.3,4 CBS is a progressive neurologic syndrome characterized by asymmetric cortical dysfunction, such as apraxia, alien limb phenomenon, or cortical sensory changes accompanied by akineto-rigid syndrome or dystoni...
Source: Neurology - February 24, 2014 Category: Neurology Authors: Lee, D.-W., Eum, S.-W., Moon, C. O., Ma, H.-I., Kim, Y. J. Tags: All Medical/Systemic disease, Corticobasal degeneration CLINICAL/SCIENTIFIC NOTES Source Type: research

Neurological Disorders Due to Systemic Disease (Book)
If you are a splitter, and you are still in the vanishing market for a desktop reference, you will be in heaven with this new book. The book is organized into 15 presenting clinical problems that may be due to underlying systemic illness, or to the treatments used for those illnesses: headache, encephalopathy, dementia, stroke, seizures, neuro-ophthalmology problems, neuro-otologic presentation, movement disorders, myelopathies, peripheral nerve disorders, neuromuscular junction disorders, myopathies, autonomic manifestations, and sleep disorders. The stated reason for this organization is that neurologists may often be th...
Source: Neurology - February 17, 2014 Category: Neurology Authors: Franklin, G. M. Tags: BOOKS & amp;amp; DIGITAL MEDIA Source Type: research

Clinical Reasoning: A 42-year-old man with severe headache, fever, and acute coma
A 42-year-old man underwent brain MRI at a local health facility for severe headache and was found to have a pituitary adenoma. Two days later, he presented to the emergency department of our hospital with high fever and sudden-onset coma. The patient had a history of intermittent moderate headache in the recent 8 months. No medical history of vascular risk factors was identified.
Source: Neurology - January 13, 2014 Category: Neurology Authors: Han, F., Peng, B., Gao, S., Mao, C.-H., Cui, L.-Y., Xing, B., Zhu, Y.-C. Tags: Stroke in young adults, Coma, All Cerebrovascular disease/Stroke, Infarction RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Combined retinal and cerebral hyperperfusion syndrome after carotid thromboendarterectomy
A 62-year-old man presented with mild left hemiparesis, headache, and blurred vision of his right eye. Ten days before, he had undergone thromboendarterectomy because of subtotal stenosis of his right internal carotid artery. MRI revealed confluent white-matter edema together with focal hemorrhage consistent with cerebral hyperperfusion syndrome (CHS; figure 1). Likewise, funduscopy showed small retinal hemorrhages confined to the right eye (figure 2). Under careful blood pressure control, symptoms and brain edema fully resolved within weeks. CHS occurs in around 3% of patients undergoing carotid thromboendarterectomy and ...
Source: Neurology - November 25, 2013 Category: Neurology Authors: Ketteler, S., Djalali-Talab, Y., Dafotakis, M., Wiesmann, M., Schulz, J. B., Haarmeier, T. Tags: Stroke prevention, Retina, Visual loss, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Teaching Video NeuroImages: See-saw nystagmus
A 43-year-old woman experienced a worsening of her usual headache. As a right hemifacial hypoesthesia had appeared, the patient underwent a brain MRI that revealed a giant cavernoma localized at the left meso-diencephalic region (figure, A and B). After the operation, an involuntary ocular oscillation known as see-saw nystagmus developed (video on the Neurology® Web site at www.neurology.org). See-saw nystagmus consists of alternating phases of intorsion of the elevating eye and extorsion of the descending eye.1 The patient displayed a right head tilt with left hypertropia referred to as "ocular tilt reaction" (figure,...
Source: Neurology - November 18, 2013 Category: Neurology Authors: Bassani, R., Marzoli, S. B. Tags: Other cerebrovascular disease/ Stroke, Ocular motility, Nystagmus, All Cerebrovascular disease/Stroke, All Neurotology RESIDENT AND FELLOW SECTION Source Type: research

Prevalence of white matter lesions and stroke in children with migraine
Conclusion: WMLs in pediatric patients with migraine and aura are no more prevalent than in controls. They appear to be benign and are not associated with stroke.
Source: Neurology - October 14, 2013 Category: Neurology Authors: Mar, S., Kelly, J. E., Isbell, S., Aung, W. Y., Lenox, J., Prensky, A. Tags: Migraine, Pediatric headache, MRI, All Pediatric, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Right Brain: How to treat the untreatable
Mr. X came in to the hospital late at night. He initially had left-sided weakness and headache but rapidly progressed to decreased level of consciousness (Glasgow Coma Scale score was 4). From home, I reviewed his head CT, which revealed a large supratentorial bleed that had ruptured into both lateral ventricles, and significant midline shift. Without having seen the patient, I already knew that his prognosis of survival was very low.
Source: Neurology - October 14, 2013 Category: Neurology Authors: Goldenholz, D. M. Tags: Prognosis, All Cerebrovascular disease/Stroke, All Ethics in Neurology/Legal issues RESIDENT AND FELLOW SECTION Source Type: research

Migraine and white matter hyperintensities: The ARIC MRI study
Conclusion: Migraine is associated with WMH volume cross-sectionally but not with WMH progression over time. This suggests that the association between migraine and WMH is stable in older age and may be primarily attributable to changes occurring earlier in life, although further work is needed to confirm these findings.
Source: Neurology - October 7, 2013 Category: Neurology Authors: Hamedani, A. G., Rose, K. M., Peterlin, B. L., Mosley, T. H., Coker, L. H., Jack, C. R., Knopman, D. S., Alonso, A., Gottesman, R. F. Tags: Migraine, MRI, Other cerebrovascular disease/ Stroke, Cognitive aging, Cohort studies ARTICLE Source Type: research

Bilateral cerebellar hemorrhage in vermian vein thrombosis
A 67-year-old previously healthy man presented with sudden onset of headache, vomiting, and instability of stance and gait. Neurologic examination demonstrated bilateral dysmetria of the limbs, ataxia, and scanning speech. Neuroimaging showed bilateral cerebellar hemorrhage and altered signal of the superior vermian vein suggestive for thrombosis (figures 1 and 2). Workup for hematologic, coagulation, and immunologic disorders was negative.
Source: Neurology - October 7, 2013 Category: Neurology Authors: Lattanzi, S., Provinciali, L., Silvestrini, M. Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage, Cerebral venous thrombosis NEUROIMAGES Source Type: research

Acute late-onset encephalopathy after radiotherapy: An unusual life-threatening complication
Unusual late-onset complications of brain irradiation, characterized by reversible neurologic focal signs, seizures, and MRI alterations, have recently been reported and classified as stroke-like migraine attacks after radiation therapy (SMART)1 and peri-ictal pseudoprogression (PIPG).2
Source: Neurology - September 9, 2013 Category: Neurology Authors: Di Stefano, A. L., Berzero, G., Vitali, P., Galimberti, C. A., Ducray, F., Ceroni, M., Bastianello, S., Colombo, A. A., Simoncelli, A., Brunelli, M. C., Giometto, B., Diamanti, L., Gaviani, P., Salmaggi, A., Silvani, A., Marchioni, E. Tags: All Clinical Neurology, Coma CLINICAL/SCIENTIFIC NOTES Source Type: research

Reversible cerebral vasoconstriction syndrome and cervical artery dissection in 20 patients
Conclusion: The association of RCVS and CeAD was found in 12% of our patients with RCVS and 7% of our patients with CeAD. Underlying mechanisms are unknown. In practice, our results point to the need for a systematic study of both cervical and intracranial arteries in the 2 conditions.
Source: Neurology - August 26, 2013 Category: Neurology Authors: Mawet, J., Boukobza, M., Franc, J., Sarov, M., Arnold, M., Bousser, M.-G., Ducros, A. Tags: Secondary headache disorders, Stroke in young adults, Carotid artery dissection, Subarachnoid hemorrhage ARTICLE Source Type: research

Moving from gene discovery to clinical trials in Hutchinson-Gilford progeria syndrome
Hutchinson-Gilford progeria syndrome (HGPS) is a rare and fatal genetic disorder that results in accelerated atherosclerosis and signs and symptoms of rapid aging. The incidence has been estimated at approximately 1 in 4 million births.1 Children with HGPS have failure to thrive, alopecia, thinning of skin, loss of body fat, headaches, atherosclerosis, cardiovascular disease, and stroke. Death occurs at an average age of 13 years and most commonly results from myocardial infarction or stroke.
Source: Neurology - July 29, 2013 Category: Neurology Authors: King, A. A., Heyer, G. L. Tags: Stroke in young adults, All Genetics EDITORIALS Source Type: research