Sleep terrors prodromal for migraine headaches responsive to galcanezumab: A case report

2020 ◽  
Author(s):  
Andrew R. Spector ◽  
Jacqueline F. Kerkow ◽  
Timothy A. Collins
Keyword(s):  
Case Report ◽  
Migraine Headaches ◽  
Sleep Terrors

‘Soft reinforcement’ of the round window for superior semi-circular canal dehiscence syndrome

2020 ◽  
Vol 134 (4) ◽  
pp. 366-368 ◽  
Author(s):  
A Gona ◽  
J S Phillips
Keyword(s):  
Case Report ◽  
Round Window ◽  
Invasive Technique ◽  
Round Window Membrane ◽  
Spatial Disorientation ◽  
Migraine Headaches ◽  
Vestibular Symptoms ◽  
Round Window Niche ◽  
Canal Syndrome ◽  
Canal Dehiscence

AbstractBackgroundIndividuals with superior semi-circular canal syndrome often describe vestibular symptoms elicited by loud sounds, as well as other pressure-induced symptoms. They also often report other symptoms, including autophony, hyperacusis, cognitive dysfunction, spatial disorientation, anxiety and migraine headaches. Symptoms occur due to the presence of a ‘third window’ created by the dehiscence of the superior semi-circular canal. This case report describes a minimally invasive technique to provide soft reinforcement of the round window.Case reportOur patient underwent a permeatal procedure whereby the tympanic membrane was raised to allow inspection of the middle ear. The round window niche was identified and the round window membrane was reinforced with fat. The mucosa of the bony meatus leading to the round window was then disrupted before the application of a double layer of perichondrium to allow further reinforcement.ConclusionThe case provides support for the use of ‘soft reinforcement’ as a simple and effective technique to treat the symptoms of superior canal dehiscence syndrome.

scholarly journals Toxicological Findings in a Possible Drug-drug Interaction Death: A Case Report

2021 ◽  
Vol 3 (1) ◽  
pp. 128-133
Author(s):  
Mohammed Y. Albeishy ◽  
Magbool E. Oraiby ◽  
Ahmad M. Alamir ◽  
Ibrahim A. Khardali ◽  
Farid M. Abualsail ◽  
...  
Keyword(s):  
Drug Interaction ◽  
Case Report ◽  
Solid Phase ◽  
Synergistic Effects ◽  
Post Mortem ◽  
Migraine Headaches ◽  
History Of ◽  
Drug Drug Interaction ◽  
Serotonergic Drugs ◽  
Identification And Quantification

Synergistic effects are the most encountered types of drug-drug interaction in post-mortem toxicology. Concomitant use of fentanyl, tramadol and carbamazepine may increase the risk of severe serotonin toxicity. The decedent was a 32-year-old black man, with a history of severe migraine headaches. He died after being administered several drugs to treat the migraine. For fentanyl identification and quantification, samples were extracted using solid phase extraction and analyzed by GC-MS. For carbamazepine and tramadol identification and quantification, samples were extracted by liquid-liquid extraction and analyzed by LC-QTOF. Toxicology showed post-mortem concentrations of fentanyl 0.033, 0.025, 0.005, 0.0127, and 0.005 mg/L; tramadol 0.143, 0.093, 0.043, 0.09, and 0.08 mg/L; carbamazepine 1.6, 1.04, 0.3, 0.83, and 0.18 mg/L in the blood, brain, liver, kidney and stomach, respectively. In this case report, the combination of serotonergic drugs can contribute to synergistic serotonergic effects. Therefore, drug-drug interaction is expected, and the cause of death may be attributed to toxic synergistic drug-drug interaction including fentanyl, tramadol and carbamazepine.

scholarly journals Management of migraine headaches in a chronic pain patient: A case report

2016 ◽  
Vol 6 (3) ◽  
pp. 154-158 ◽  
Author(s):  
Linda Lu Bach ◽  
Joshana Goga
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Extended Release ◽  
Medication Overuse ◽  
Chronic Pain Patient ◽  
Pain Patient ◽  
Migraine Headaches ◽  
Opioid Induced Hyperalgesia ◽  
History Of ◽  
Severe Migraine

Abstract Managing migraines complicated with medication overuse headaches and opioid-induced hyperalgesia can be challenging, especially within the geriatric and chronic pain population. A 65-year-old woman with a degenerative spine condition and chronic migraine headaches, along with other comorbidities, was admitted to the geriatric psychiatry unit for extreme mood swings and paranoia. Prior to admission, she had been taking extended-release morphine sulfate twice daily for more than a month and was unable to determine triggers to her frequent migraine headaches. She had a history of medication overuse and severe migraine episodes within 4 weeks prior to admission. This case report reviews the challenges of treating a geriatric patient with probable chronic migraines in addition to other pain conditions and comorbidities.

scholarly journals A Case of Migraine Headaches with Hemifacial Spasm: Complete Resolution of Hemifacial Spasm Following Upper Cervical Intraarticular Facet Joint Injection

2021 ◽  
pp. 67-71
Author(s):  
Bhawna Jha
Keyword(s):  
Case Report ◽  
Hemifacial Spasm ◽  
Complete Resolution ◽  
Facet Joint ◽  
Headache Disorder ◽  
Medial Branch ◽  
Joint Injection ◽  
Facet Joint Injection ◽  
Migraine Headaches ◽  
Upper Cervical

Background: Headache is one of the leading neurological disorders both globally and nationally, responsible for significant morbidity and disability. Migraine headache disorder is a common headache disorder affecting at least 11% of world’s population. Case Report: We present a case of a patient who presented with migraine headaches associated with hemifacial spasm (only during acute migraine attacks) along with upper cervical pain. She was offered right-sided C2-C3 and C3-C4 intraarticular facet joint injections with steroid and local anesthetic under fluoroscopy. Significant relief in headaches along with a complete resolution of hemifacial spasms was noted. Conclusion: This outcome raises the possibility of underlying pathophysiological processes that could have been interrupted by cervical facet joint steroid injection to stop the facial spasms. To the best of our knowledge, this is the first case report of migraine headaches associated with hemifacial spasm that responded to cervical intraarticular facet joint injection. Key words: Facet joint injection, headache, hemifacial spasm, medial branch block, migraine, pathophysiology, spinal cord stimulation, trigeminocervical complex

scholarly journals A Concha Bullosa Mucopyocele Manifesting as Migraine Headaches: A Case Report and Literature Review

2012 ◽  
Vol 91 (5) ◽  
pp. E16-E18 ◽  
Author(s):  
Rabia Shihada ◽  
Michal Luntz
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Concha Bullosa ◽  
Migraine Headaches

scholarly journals Resolution of chronic migraine headaches with intrathecal ziconotide: a case report

2015 ◽  
pp. 603
Author(s):  
Eric Chang ◽  
Sachin Narain ◽  
Lama Al-Khoury
Keyword(s):  
Case Report ◽  
Chronic Migraine ◽  
Migraine Headaches

scholarly journals A case report of sleep terrors exacerbated by cetirizine

2021 ◽  
Vol 17 (1) ◽  
pp. 99-101
Author(s):  
Shahzad Hussain ◽  
Sameh G. Aziz
Keyword(s):  
Case Report ◽  
Sleep Terrors

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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