Hemicrania Continua Evolving from Episodic Paroxysmal Hemicrania

Cephalalgia ◽  
2006 ◽  
Vol 26 (9) ◽  
pp. 1143-1145 ◽  
Author(s):  
F Castellanos-Pinedo ◽  
M Zurdo ◽  
E Martínez-Acebes
Keyword(s):  
Family History ◽  
Migraine Without Aura ◽  
Clinical Course ◽  
Previous History ◽  
Primary Headache ◽  
Complete Response ◽  
Hemicrania Continua ◽  
Paroxysmal Hemicrania ◽  
History Of ◽  
Probable Migraine

A 45-year-old woman, who had been diagnosed in our unit with episodic paroxysmal hemicrania, was seen 2 years later for ipsilateral hemicrania continua in remitting form. Both types of headache had a complete response to indomethacin and did not occur simultaneously. The patient had a previous history of episodic moderate headaches that met criteria for probable migraine without aura and also had a family history of headache. The clinical course in this case suggests a pathogenic relationship between both types of primary headache.

scholarly journals A case of remitting hemicrania continua with seasonal variation and clustering: a diagnostic confusion with cluster headache

2019 ◽  
Vol 12 (5) ◽  
pp. e229650
Author(s):  
Sanjay Prakash ◽  
Kalu Singh Rawat
Keyword(s):  
Discrete Series ◽  
Primary Headache ◽  
Complete Response ◽  
Hemicrania Continua ◽  
Therapeutic Trial ◽  
Cranial Autonomic Symptoms ◽  
Unilateral Headache ◽  
Continuous Background ◽  
Diagnostic Confusion ◽  
History Of

Hemicrania continua (HC) is an indomethacin responsive primary headache that is characterised by a continuous strictly unilateral headache with periodic exacerbations. About 15% may have a remitting subtype of HC. Herein, we are reporting a 36-year-old man who had a 5-year history of episodic right-sided headaches. The headaches used to occur in a discrete series lasting 4–6 weeks, separated by pain-free remissions of 10–11 months. In each relapse, he had continuous background pain with superimposed exacerbations. The superimposed exacerbations were 1–2 attacks per day, lasting for 2–5 hours, and were associated with ipsilateral cranial autonomic symptoms. However, the patient did not respond to usual therapies of custer headache (CH). He had a complete response to indomethacin. We suggest that remitting subtype of HC may mimic CH. A therapeutic trial of indomethacin should be done in all strictly unilateral headaches who are not responding to other drugs.

Activation of the Brainstem but not of the Hypothalamus in Hemicrania Continua without Autonomic Symptoms

Cephalalgia ◽  
2009 ◽  
Vol 29 (9) ◽  
pp. 974-979 ◽  
Author(s):  
P Irimia ◽  
J Arbi ◽  
E Prieto ◽  
R Fernández-Torrón ◽  
E Martínez-Vila
Keyword(s):  
Primary Headache ◽  
Brain Structures ◽  
Complete Response ◽  
Hemicrania Continua ◽  
Single Observation ◽  
Autonomic Symptoms ◽  
Positron Emission ◽  
History Of ◽  
The Brain ◽  
No Activation

A 64-year-old woman presented with a 6-month history of right-sided continuous headache, without autonomic symptoms and complete response to indomethacin. Clinical examination and structural brain imaging were normal. A diagnosis of hemicrania continua (HC) was made. We sought to determine the brain structures active during the pain in a patient who met all of the diagnostic criteria for HC with the exception of autonomic symptoms. A brain positron emission tomography study was performed during pain, and completely pain-free after indomethacin administration. Comparing the pain with pain-free states, the region of the dorsal pons was significantly activated. There was no activation in the hypothalamus, as previously reported in HC with autonomic symptoms. Although definitive conclusions can not be drawn from a single observation, the lack of autonomic symptoms along with the absence of hypothalamic activation suggests that the clinical presentation may predict the pattern of brain activation in primary headache syndromes.

scholarly journals Gambaran nyeri kepala primer pada mahasiswa angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Yafet Tandaju ◽  
Theresia . Runtuwene ◽  
Mieke A.H.N. Kembuan
Keyword(s):  
Medical Students ◽  
Family History ◽  
Cluster Headache ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Primary Headache ◽  
Descriptive Study ◽  
Headache Type ◽  
History Of ◽  
Pain Questionnaires

Abstract: This study aimed to obtain the profile of primary headache among medical students batch 2013 in University of Sam Ratulangi Manado. This was a descriptive study. The headache description was assessed with questionnaires (Pain questionnaires PERDOSSI). There were 176 respondents consisted of 45 males and 131 females. The percentages of each headache type were as follows: tension-type 64%, migraine without aura 20%, migraine with aura 15%, and cluster headache 1%. The results showed that stress triggered 84% of headache cases. There were 73% of respondents who suffered from headache had family history of headache.Keywords: primary headache, types of headache Abstrak: Penelitian ini bertujuan untuk mendapatkan gambaran nyeri kepala primer pada mahasiswa kedokteran Universitas Negeri Sam Ratulangi angkatan 2013. Jenis penelitian ini deskriptif. Deskripsi nyeri kepala pada responden dinilai dengan kuesioner (kuesioner nyeri PERDOSSI ). Terdapat 176 responden, terdiri dari 45 responden laki-laki dan 131 responden perempuan. Persentase untuk setiap jenis sakit kepala ialah sebagai berikut: tipe tegang 64%, migraine tanpa aura 20%, migrain dengan aura 15%, dan nyeri kepala klaster 1%. Hasil penelitian menunjukkan bahwa stres memicu 84% dari kasus nyeri kepala. Pada penelitian ini didapatkan 73% dari responden yang menderita serangan nyeri kepala memiliki riwayat keluarga sakit kepala.Kata kunci: nyeri kepala primer, jenis sakit kepala

scholarly journals Ponytail headache (external-traction headache): prevalence, characteristics and relationship with migraine

2020 ◽  
pp. 81-84
Author(s):  
Larissa Paes Barreto ◽  
Daniella Araújo de Oliveira ◽  
Marcelo Moraes Valença
Keyword(s):  
Migraine Headache ◽  
Previous History ◽  
Primary Headache ◽  
Frequent Occurrence ◽  
Latency Time ◽  
Positive History ◽  
Previous Episode ◽  
Minute Period ◽  
History Of ◽  
Probable Migraine

IntroductionDespite its frequent occurrence, external-traction headache (previously named as “ponytail headache”) is scarcely documented in the literature.ObjectiveIn the present study we set out to estimate the prevalence of ponytail headache and its relationship with migraine.MethodsOne hundred and thirty women (27.7±11.1 years of age), 108 of them reported a previous history of primary headache [81/130 (62.3%) migraine or probable migraine and 27/130 (20.8%) non-migraine headache; 22/130 (16.9%) did not report any previous episode of headache], were requested to wear a ponytail for 60 minutes, removing it only in case of pain. When pain occurred, it was recorded for the latency between the placement of the ponytail and the onset of the pain, its duration and characteristics. The women also filled out a questionnaire on previous headache episodes.ResultsDuring the 60 minute-period, 52/130 (40%) women had ponytail headache elicited by the experiment. There was a higher prevalence of ponytail headache in those who reported previous episodes of primary headache [48/108 (44.4%)], compared to those who did not [4/22 (18.2%)] (p=0.022). The migraineurs had more ponytail headache than non-migraneurs [39/81 (48.2%) versus 9/27 (33.3%), p=0.180] with a positive history of primary headache and they also had more than those without [4/22 (18.2%)] (p=0.012). The group of women with migraine also presented more ponytail-induced headache than non-migraineurs combined with the groupof individuals without a previous history of headache [13/49 (26.5%), OR 2.57, 95%CI 1.19-5.55; p=0.015]. Migraine-like episodes were trigged in 3/52 (5.8%) by the experiment, all three migraineurs. The latency time for the beginning of ponytail headache during the experiment was 21.5 ± 15.4 min and the duration was 76.0±159.3 min.ConclusionThe prevalence of ponytail headache in our study was 40% and was statistically higher in migraineurs.

scholarly journals Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

2019 ◽  
Vol 41 (11) ◽  
pp. 647-653 ◽  
Author(s):  
Inês Carolina Siqueira Freitas ◽  
Micheli Cristiane Hintz ◽  
Larissa Chaiane Orth ◽  
Tamara Gonçalves da Rosa ◽  
Betine Moehlecke Iser ◽  
...  
Keyword(s):  
Family History ◽  
Gestational Diabetes ◽  
Statistical Significance ◽  
Positive Family History ◽  
Previous History ◽  
Diabetes Diagnosis ◽  
Fetal Outcomes ◽  
Family History Of Diabetes ◽  
Significant Difference ◽  
History Of

Abstract Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditional multivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical significance level of 5%. Results The cases (n = 47) were more likely to be 35 years old or older compared with the controls (n = 93) (p < 0.001). The cases had 2.56 times greater chance of being overweight (p = 0.014), and a 2.57 times greater chance of having a positive family history of diabetes mellitus (p = 0.01). There was no significant difference regarding weight gain, presence of a previous history of gestational diabetes, height, or delivery route. The mean weight at birth was significantly higher in the infants of mothers diagnosed with diabetes (p = 0.01). There was a 4.7 times greater chance of macrosomia (p < 0.001) and a 5.4 times greater chance of neonatal hypoglycemia (p = 0.01) in the infants of mothers with gestational diabetes. Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.

The Performance of Manic Patients on the ‘Grid Test for Schizophrenic Thought Disorder’

1971 ◽  
Vol 118 (547) ◽  
pp. 671-673 ◽  
Author(s):  
G. W. Mellsop ◽  
M. S. Spelman ◽  
A. W. Harrison
Keyword(s):  
Family History ◽  
Clinical Diagnosis ◽  
Previous History ◽  
Thought Disorder ◽  
Paranoid Ideation ◽  
History Of ◽  
Manic Patients ◽  
Grid Test

It can be difficult to make a confident diagnosis and one that will stand the test of time when a person without a family history or previous history of psychosis presents as psychotic with overactivity, pressure of talk, loose association of ideas and perhaps some paranoid ideation. He may be schizophrenic or manic. The nature of the disturbance of speech, and by inference thought, may assist in making the clinical diagnosis, but standard textbooks (Slater and Roth, 1969; Freedman and Kaplan, 1967) state that pressure of speech, flight of ideas, clang associations, distractibility and inability to adhere to a line of thought are common to both conditions.

scholarly journals Scrofuloderma: A Diagnosis to Bear in Mind in the Western World

2019 ◽  
Vol 32 (4) ◽  
pp. 313
Author(s):  
Mariana Batista ◽  
Barbara Ferreira ◽  
Gonçalo Cruz ◽  
Américo Figueiredo
Keyword(s):  
Periodic Acid ◽  
Previous History ◽  
Complete Response ◽  
Purulent Discharge ◽  
Western World ◽  
Periodic Acid Schiff ◽  
Cutaneous Tuberculosis ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Polymerase Chain

The incidence of tuberculosis has been increasing worldwide. Contrarily, a recent decrease in Portugal has been reported. Cutaneous tuberculosis comprises a low percentage of all cases. We report a 70-year-old female with a 2-month-history of painful, nodular, suppurative lesions in the groin area, bilaterally. Previous history was remarkable for Human Immunodeficiency Virus infection and stage-IIIB cervical cancer. A skin biopsy, stained with periodic acid–Schiff and Fite’s stain, polymerase chain reaction on purulent discharge and mycobacterial culture of the skin were performed, leading to the diagnosis of scrofuloderma. Tuberculostatic therapy was initiated and complete response was observed. This case depicts an uncommon variant of tuberculosis, highlighting the need for awareness of the cutaneous variants of tuberculosis that, although rare, can still present in the clinic today.

INDOMETHACIN TEST USAGE AT UNITED KINGDOM TERTIARY CENTRES OVER 20 YEARS-AN AUDIT

2015 ◽  
Vol 86 (11) ◽  
pp. e4.127-e4
Author(s):  
Pyari Bose ◽  
DG Palethorpe ◽  
J Marin ◽  
A Nesbitt ◽  
J Lowe ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Test Procedure ◽  
Primary Headache ◽  
Hemicrania Continua ◽  
Paroxysmal Hemicrania ◽  
Serious Adverse Events ◽  
Data Set ◽  
Primary Headache Disorders ◽  
Test Usage

BackgroundIndomethacin-responsive trigeminal autonomic cephalalagias (TACS), paroxysmal hemicrania (PH) and hemicrania continua (HC), are unique, important syndromes to understand.AimEvaluation of the role of the placebo-controlled indomethacin test (P-Indotest) in the diagnosis of primary headache disorders.MethodPatients notes, clinic letters and headache diaries of patients under our care (PJG) over a 20 year period across various UK Neurology tertiary care centres were examined to obtain data against an audit collection tool. A pre-determined set of data were extracted, and the test procedure reviewed for compliance against a standard with minimum data set requirement by an unblinded observer. The original test score was noted, and prospectively re-scored by a blinded observer.ResultsPatients (n=7; 4 female) were aged from 24 to 51 years. The majority (85%) had side locked headache. P-Indotest was positive in 78% of the cases with patients having either HC or PH. Of all patients tested, 42% had unilateral photophobia and phonophobia and all these cases had a positive response. No serious adverse events were noted. Sleepiness was often reported on the active treatment as was transient worsening of headache in unilateral chronic migraine. Further data is being compiled.ConclusionThe P-IndoTest is a reliable and safe test and should in the diagnosis of patients with possible indomethacin sensitive TACs. While far from ideal, a positive indomethacin test does identify a particular biology and should be retained as a diagnostic marker of PH and HC until its basis is understood.

Factors Related to Delay in the Diagnosis of Basal Cell Carcinoma

2013 ◽  
Vol 17 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Husein Husein-ElAhmed ◽  
Maria-Teresa Gutierrez-Salmeron ◽  
Ramon Naranjo-Sintes ◽  
Jose Aneiros-Cachaza
Keyword(s):  
Family History ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Diagnostic Delay ◽  
Previous History ◽  
Hospital Setting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Cutaneous Cancer

Background: There is often a delay between the clinical emergence of a basal cell carcinoma (BCC) and the point in time at which the patient presents for definitive diagnosis and treatment. Previously published studies on delays regarding skin cancer have focused on melanoma rather than Bcc. We conducted a study aimed at identifying factors associated with the detection of Bcc and reasons for the delay in diagnosis. Method: A monocentric study was performed. Patients with a primary BCC diagnosed in 2010 were included in the study. They were asked about factors concerning BCC awareness and detection, tumor characteristics, previous history of nonmelanoma cutaneous cancer, family history of nonmelanoma cutaneous cancer, and the presence of comorbidities. Data were analyzed using SPSS software. Results: The mean diagnostic delay for BCC in our hospital setting was estimated at 19.79 ± 14.71 months. Delayed diagnosis was significantly associated with patients over 65 years, those without a previous history of BCC, those without a family history of BCC, those with BCC located elsewhere than the head or neck, and those with lesions not associated with itching or bleeding. Conclusion: This study revealed considerable delay in the diagnosis of BCC. The main reason for delay in the diagnosis seems to be the initial decision of the patient to seek medical advice. These data suggest a need for greater information for the general public on the symptoms and signs that should prompt suspicion of a BCC.

scholarly journals Short-Lasting Headaches in Children

Cephalalgia ◽  
2006 ◽  
Vol 26 (10) ◽  
pp. 1220-1224 ◽  
Author(s):  
JP Vieira ◽  
AB Salgueiro ◽  
M Alfaro
Keyword(s):  
Family History ◽  
Clinical Characteristics ◽  
Paroxysmal Hemicrania ◽  
Primary Headaches ◽  
Secondary Headache ◽  
Younger Age ◽  
Associated Symptoms ◽  
History Of ◽  
Stabbing Headache ◽  
Idiopathic Stabbing Headache

Short-lasting headaches have been studied infrequently in children and it is not known if the main categories of primary headaches of this type in adults are applicable to children. We report our experience with a group of 20 children with a brief headache. Two patients had a secondary headache. One patient had a headache with some clinical characteristics of paroxysmal hemicrania. The remaining 17 had a very brief headache. They were in many aspects comparable to others from previous studies on idiopathic stabbing headache in children: no associated symptoms, no other associated headache, frequent family history of migraine. They differed, however, in the younger age of the patients and the more frequent extratrigeminal location of the pain. Extratrigeminal ice-pick pain may be a variant of idiopathic stabbing headache, more prevalent in young children.

Sign in / Sign up

Export Citation Format

Share Document