Migraine Aura

2011 ◽  
pp. 63-67
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak ◽  
Robert B. Daroff
Keyword(s):  
Clinical Features ◽  
Specific Reference ◽  
Migraine Aura ◽  
Common Cause ◽  
Visual Phenomena

Migraine aura is a common cause of transient positive and negative visual phenomena. Similar symptoms can occasionally occur with occipital lesions or as a manifestation of occipital seizures. In this chapter, we review the clinical features of migraine aura, with specific reference to those features that help distinguish it from occipital seizures.

Non-gonococcal urethritis and mucopurulent cervicitis

2019 ◽  
pp. 161-168
Keyword(s):  
Antibiotic Resistance ◽  
Chlamydia Trachomatis ◽  
Clinical Features ◽  
Mycoplasma Genitalium ◽  
Common Cause ◽  
Urethral Discharge ◽  
Separate Section ◽  
Diagnosis And Management ◽  
Gonococcal Urethritis

Non-gonococcal urethritis (NGU) is caused by Chlamydia trachomatis in 11–50% of cases, but Mycoplasma genitalium is being increasingly recognized as a common cause. Mycoplasma genitalium is not as well understood, and experience with treatment is limited; however, antibiotic resistance is already a problem. Asymptomatic in up to 20% of men, symptoms include dysuria and urethral discharge. Mucopurulent cervicitis is the female equivalent, but is less well defined. This chapter describes the aetiology, clinical features, complications, and investigations and management of NGU, and mucopurulent cervicitis. Management of recurrent and persistent urethritis is also covered, including a separate section for diagnosis and management of Mycoplasma genitalium.

Clinical features of migraine aura: Results from a prospective diary-aided study

Cephalalgia ◽  
2016 ◽  
Vol 37 (10) ◽  
pp. 979-989 ◽  
Author(s):  
Michele Viana ◽  
Grazia Sances ◽  
Mattias Linde ◽  
Natascia Ghiotto ◽  
Elena Guaschino ◽  
...  
Keyword(s):  
Clinical Features ◽  
Migraine With Aura ◽  
Reliable Data ◽  
Visual Features ◽  
Clinical Aspects ◽  
Migraine Aura ◽  
Visual Symptom ◽  
Visual Symptoms ◽  
Detailed Evaluation ◽  
Temporal Succession

Background A detailed evaluation of migraine aura symptoms is crucial for classification issues and pathophysiological discussion. Few studies have focused on the detailed clinical aspects of migraine aura. Methods We conducted a prospective diary-based study of migraine aura features including presence, quality, laterality, duration of each aura symptom, their temporal succession; presence of headache and its temporal succession with aura. Results Seventy-two patients completed the study recording the characteristics of three consecutive auras ( n = 216 auras). Visual symptoms occurred in 212 (98%), sensory symptoms in 77 (36%) and dysphasic symptoms in 22 (10%). Most auras had more than one visual symptom (median 2, IQR 1–3, range 1–4). The majority of patients (56%) did not report a stereotyped aura on the three attacks with respect to visual features, the combination and/or temporal succession of the three aura symptoms. Fifty-seven percent of patients also reported a different scenario of temporal succession between aura and headache in the three attacks. Five per cent of aura symptoms were longer than four hours. Conclusion These findings show a high inter- and intravariability of migraine with aura attacks. Furthermore, they provide reliable data to enrich and clarify the spectrum of the aura phenotype.

scholarly journals Angioedema: Clinical and Etiological Aspects

2007 ◽  
Vol 2007 ◽  
pp. 1-6 ◽  
Author(s):  
Kanokvalai Kulthanan ◽  
Sukhum Jiamton ◽  
Kanonrat Boochangkool ◽  
Kowit Jongjarearnprasert
Keyword(s):  
Standard Deviation ◽  
Mucous Membrane ◽  
Clinical Features ◽  
University Hospital ◽  
Skin Involvement ◽  
Drug Induced ◽  
Common Cause ◽  
The Common ◽  
Systemic Symptoms ◽  
Idiopathic Angioedema

Angioedema is an abrupt swelling of the skin, mucous membrane, or both including respiratory and gastrointestinal tracts. This study aimed to report an experience of angioedema in a university hospital with respect to etiologies, clinical features, treatment, and outcome. One hundred and five patients were enrolled. About half had angioedema without urticaria. The common sites of involvement were periorbital area and lips. Forty five patients (49%) had systemic symptoms. The most common cause of angioedema was allergic angioedema. Nonsteroidal anti-inflammatory drug-induced angioedema and idiopathic angioedema were detected in 20% and 18%, respectively. Among patients with allergic angioedema, 41.7% were caused by food, 39.6% by drugs. Thirty seven patients (39%) had recurrent attacks of angioedema. Mean standard deviation (SD) number of attacks in patients with recurrent angioedema was 3.9 (2.7) (ranging from 2 to 10 times). Patients who had older age and multiple sites of skin involvement had tendency to have systemic symptoms.

Aura status: A not so frequent aura

Cephalalgia ◽  
2014 ◽  
Vol 34 (14) ◽  
pp. 1150-1162 ◽  
Author(s):  
Ana Alagoa João ◽  
Tomas B Goucha ◽  
Isabel P Martins
Keyword(s):  
Systematic Review ◽  
Retrospective Analysis ◽  
Clinical Features ◽  
Migraine With Aura ◽  
Migraine Aura ◽  
Visual Symptoms ◽  
Research Criteria ◽  
Detailed Diagnosis

Background Migraine aura status is a variety of migraine aura with unvalidated research criteria. Aim and methods We conducted a systematic review of published cases and a retrospective analysis of 500 cases of migraine with aura to evaluate the applicability and clinical features of ICHD-III beta criteria, compared to a more liberal definition for its diagnosis: ≥3 aura episodes for up to three consecutive days. Results Many publications under this title correspond to persistent or formerly designated prolonged auras. Nine cases fulfilled ICHD-III beta status criteria. In our series, either 1.7% or 4.2% cases fulfilled ICDH-III beta or our definition, respectively. Regardless of the criteria, aura status patients were older at onset of status than those with typical aura, had a predominance of visual symptoms, normal neuroimaging and no sequelae. Status recurred in a few. Conclusion Both criteria identify a similar population in terms of age, gender, main symptoms, imaging and outcome. Since patients with closely recurring auras might raise the same approach independently of the criteria, the use of more liberal criteria will allow more cases for detailed diagnosis and therapeutic analysis, eventually leading to the identification of subtypes.

scholarly journals Common Causes of Chest Pain in the Emergency Department of Orotta National Referral Hospital, Asmara, Eritrea

2020 ◽  
Author(s):  
Selam Berhe ◽  
Naomi Amanuel
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Respiratory Disease ◽  
Clinical Features ◽  
Referral Hospital ◽  
Diagnostic Modality ◽  
Common Cause ◽  
Common Diagnosis ◽  
Common Causes ◽  
National Referral Hospital

Abstract BackgroundChest pain is one of the common causes of visits to the emergency department. However, there is scarcity of studies on the causes and prevalence of this common symptom in Eritrea. This retrospective descriptive study was done to determine the prevalence, causes, clinical features, demographics, diagnostic modality and outcome of all patients with the chief complaint of chest pain who presented to the ED of Orotta national referral hospital in Eritrea and the association of demographic characters, diagnostic modality, and clinical features with final diagnosis and outcome.MethodsAfter securing approval by Ministry of Health ethical and research committee, Clinical Service Division and from Orotta National Referral Hospital in Asmara Eritrea, Records of patients 15 years and older presenting with the complaint of chest pain from 1st January 2018 through 31st December 2018 were assessed. Samples of patients who presented with chest pain and did ECG were also included. All data were collected in Microsoft excel software, cleaned and then analyzed using Statistical Package of Social Sciences (SPSS) software version 20.Results855 patients presented with chest pain to the emergency department, out of which 798 patient files were retrieved. Respiratory disease was the most common cause 441(51.6%), with pneumonia the most common diagnosis 415 (94.1%) followed by cardiac cause at 234( 27.4%).Out of the study population 253 study sample were taken with inclusion criteria of those who did an ECG. In these study samples the most common cause was cardiovascular 149(58.9%) out of which the most common illness was ST elevation myocardial infarction 60(23.7%). Out of 253 patients who did electrocardiogram 230(90.9%) were discharged and 23(9.1%) died. 6(26%) of those who died were smokers and 13(56.5%) of those who died were above 69 years old.ConclusionThe main cause of chest pain was found to be respiratory disease, followed by cardiovascular disease in the population study, which was reversed in the sample study (those who did ECG). Age and Smoking were found to affect the prognosis. There were highest mortality rates in STEMI and pulmonary embolism.

scholarly journals Neonatal Intussusception: A Review

2018 ◽  
Vol 7 (1) ◽  
pp. 5 ◽  
Author(s):  
Vipul Prakash Bothara ◽  
Anand Pandey ◽  
Jiledar Rawat
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Features ◽  
Premature Infants ◽  
Bowel Obstruction ◽  
Treatment Options ◽  
Infants And Children ◽  
Intestinal Lumen ◽  
Common Cause ◽  
Diagnostic Modalities ◽  
In Infants And Children

Intussusception is defined as a process in which a segment of bowel invaginates into the adjoining intestinal lumen, causing bowel obstruction. It is the most common cause of intestinal obstruction in infants and children between 6 months to 18 months of age. In neonates and premature infants, it accounts for only 3% of intestinal obstruction and 0.3% (0–2.7%) of all cases of intussusception Since neonatal intussusception is an uncommon entity, we conducted this review to examine its occurrence, clinical features, diagnostic modalities, and treatment options.

Falls in the elderly due to vestibular dysfunction: clinical and pathogenetic aspects

2020 ◽  
Vol 26 (2) ◽  
pp. 98-103
Author(s):  
I. V. Damulin ◽  
M. V. Tardov
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Clinical Features ◽  
Vestibular System ◽  
Sensory Integration ◽  
Functional Neuroimaging ◽  
The Elderly ◽  
Vestibular Dysfunction ◽  
Common Cause ◽  
Multimodal Sensory Integration

This article discusses the clinical features and causes of falls in the elderly due to vestibular dysfunction. The sociomedical significance of this problem is emphasized. Almost 50% of older people who have suffered repeated falls have a restriction of physical activity because of psychological reasons (fear of repeated falls). The most common cause of falls is balance disorders, and the corresponding complaint in patients with falls is vertigo. The description of peripheral and central forms of vertigo is provided. The clinical and pathogenetic aspects of these disorders are considered. It emphasizes that research conducted in recent years using methods of functional neuroimaging has significantly advanced our understanding of the mechanisms of functioning of the vestibular system, especially its central parts. Based on the results of studies aimed at studying the human connectome in patients with cochleovestibular disorders, the significance of multimodal sensory integration disorders with this pathology is shown.

Trauma to the cardiovascular system

ESC CardioMed ◽  
2018 ◽  
pp. 2629-2636
Author(s):  
Ibrahim Akin ◽  
Christoph A. Nienaber
Keyword(s):  
Cardiovascular System ◽  
Cause Of Death ◽  
Clinical Features ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Therapeutic Management ◽  
Traumatic Rupture ◽  
Common Cause ◽  
System P ◽  
Detailed Diagnosis

Trauma to the heart is most common cause of death after chest trauma, with a distinction between blunt and penetrating cardiac injuries. Both of these types of injury might be lethal and need detailed diagnosis and treatment. This chapter describes the aetiology, pathogenesis, clinical presentation, diagnostic procedures, and therapeutic management of traumatic rupture of the aorta, and the aetiology, pathogenesis, clinical features, and therapeutic management of trauma to the heart.

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