Diagnosis of Childhood Periodic Syndromes, Tension-Type Headaches, and Daily Headache Syndromes

2011 ◽  
pp. 93-103
Author(s):  
Catalina Cleves ◽  
A. David Rothner
Keyword(s):  
Daily Headache ◽  
Tension Type Headaches

Chronic Daily Headache- One Disease Or Two.? Diagnostic Role of Serum Ionized Magnesium

Cephalalgia ◽  
1994 ◽  
Vol 14 (1) ◽  
pp. 24-28 ◽  
Author(s):  
A Mauskop ◽  
BT Altura ◽  
RQ Cracco ◽  
BM Altura
Keyword(s):  
Chronic Daily Headache ◽  
High Incidence ◽  
Current Classification ◽  
Diagnostic Role ◽  
History Of ◽  
Daily Headache ◽  
Calcium Magnesium ◽  
Drug Overuse ◽  
Tension Type Headaches

The entity of chronic daily headache (CDH) is well documented, but is not included in the current classification. We divided patients with CDH into groups with and without migrainous features. This division resulted in clearly distinguishable syndromes of daily migrainous headaches (DMH) and daily tension-type headaches (DTH). Family history of headaches was more common in patients with DMH. Patients in both groups had a high incidence of caffeine or drug overuse. The clinical division into DMH and DTH was supported by our finding of a higher incidence of disturbed magnesium (Mg) metabolism in patients with DMH. Of 26 patients with DMH, 8 (30.8%) had low serum ionized, but not total, Mg levels, and 16 (61.5%) had high ionized calcium/magnesium ratios. The corresponding numbers for the 22 patients with DTH were 1 (4.5%) and 8 (30.4%). These new laboratory measurements offer possible biological markers for the diagnosis of different headache syndromes.

Frequent Migraine and Migraine Status Without Tension-Type Headaches: an Unusual Presentation of Rebound Headaches

Cephalalgia ◽  
2003 ◽  
Vol 23 (4) ◽  
pp. 309-313 ◽  
Author(s):  
JS Warner
Keyword(s):  
Pain Relief ◽  
Chronic Daily Headache ◽  
Episodic Migraine ◽  
Unusual Presentation ◽  
Case Histories ◽  
Analgesic Agents ◽  
Daily Headache ◽  
Rebound Headache ◽  
Chronic Daily Headaches ◽  
Tension Type Headaches

Rebound headaches usually present as daily or almost daily, prolonged, generalized tension-type headaches with superimposed migraine-like attacks. The latter are more frequent, more intense, and longer than any episodic migraine that the patient might have experienced prior to the development of the chronic daily headaches. Rebound presenting as migraine without tension-type pain has been mentioned in a few previous articles on chronic daily headache, but there have been no previous articles stressing that frequent migraine might relate to the analgesics that are being used. These case histories are presented to illustrate that frequent migraine and migraine status without tension-type headaches may be manifestations of rebound and improve when the offending analgesic agents are stopped. If the clinician fails to recognize this unusual presentation of rebound headache, the patient might be placed on unnecessary and often ineffective medications for prophylaxis instead of stopping the offending pain relief medications.

Obesity Linked to Rise in Chronic Daily Headache

Ob Gyn News ◽  
2005 ◽  
Vol 40 (8) ◽  
pp. 45
Author(s):  
Robert Finn
Keyword(s):  
Chronic Daily Headache ◽  
Daily Headache

Daily Headache Occurs in 20% After Blasts

2010 ◽  
Vol 38 (2) ◽  
pp. 39
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  
Daily Headache

Daily Headache Diary Improves Diagnosis

2011 ◽  
Vol 39 (11) ◽  
pp. 28-29
Author(s):  
DAMIAN McNAMARA
Keyword(s):  
Headache Diary ◽  
Daily Headache

Obese Child Not at Higher Risk for Daily Headache

2005 ◽  
Vol 35 (19) ◽  
pp. 86
Author(s):  
DEBBIE LERMAN
Keyword(s):  
Obese Child ◽  
Daily Headache

Obese Face Higher Risk of Chronic Daily Headache

2005 ◽  
Vol 35 (12) ◽  
pp. 57
Author(s):  
ROBERT FINN
Keyword(s):  
Chronic Daily Headache ◽  
Daily Headache

Schmerztherapie

2009 ◽  
Vol 28 (07) ◽  
pp. 440-447
Author(s):  
S. Evers
Keyword(s):  
Chronic Daily Headache ◽  
International Headache Society ◽  
Wird Eine ◽  
Neuropathische Schmerzen ◽  
Neue Substanzen ◽  
Daily Headache

ZusammenfassungIn diesem Artikel wird eine aktuelle Übersicht über die Prinzipien der modernen Schmerztherapie gegeben. Folgende Neuerungen der letzten Jahre sind von besonderer Bedeutung. Bei der Therapie chronischer Schmerzen erzielt die Kombination medikamentöser und nicht medikamentöser Maßnahmen die besten Erfolge. Der Einsatz von Opioiden kann unter Beachtung der evidenzbasierten Leitlinien auch bei Nichttumorschmerzen erfolgen. Die neuen Opioide sind nebenwirkungsärmer geworden, insbesondere im gastrointestinalen Bereich. Neuerdings steht ein spezifisches Naltrexon-Analogon zur Behandlung der opioidinduzierten Obstipation zur Verfügung. Neue Substanzen gegen neuropathische Schmerzen sind Oxcarbazepin, Pregabalin, Duloxetin und Lacosamid. Akupunktur bei chronischen Schmerzen ist besser als Warteliste. Für die Diagnostik von Kopfschmerzen ist 2004 eine neue Klassifikation der International Headache Society erschienen. Vor allem das Konzept des Chronic Daily Headache ist dabei weiterentwickelt worden. In der Attackenbehandlung der Migräne erzielt der frühzeitige Einsatz von Triptanen den besten Therapieerfolg. Eine Kombination von Triptanen und NSAR ist in Einzelfällen insbesondere beim Wiederkehrkopfschmerz sinnvoll. Substanzen der ersten Wahl in der Migräneprophylaxe sind die Betablocker Propranolol und Metoprolol, Flunarizin, Valproat und Topiramat.

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