A case-report of migraine “sine headache”

Cephalalgia ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 592-594
Author(s):  
Arens Taga ◽  
Marco Russo ◽  
Antonio Genovese ◽  
Gian Camillo Manzoni ◽  
Paola Torelli
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Migraine Without Aura ◽  
Nausea And Vomiting ◽  
Cyclic Vomiting Syndrome ◽  
Full Spectrum ◽  
Abdominal Migraine ◽  
Associated Symptoms ◽  
History Of ◽  
Cyclic Vomiting

Background and objectives We describe a case of a female patient whose otherwise “typical” migraine attacks turned into episodes with a full spectrum of associated symptoms but without headache. Case report We evaluated a 53-year-old woman with a long history of migraine without aura. In concomitance with premenopausal menstrual dysregulation, she reported episodes of nausea and vomiting, associated with photophobia, phonophobia and osmophobia, but without headache; these episodes were responsive to oral triptans. Alternative diagnoses were excluded through extensive examinations. Discussion To date, no reports have been published in the literature on otherwise typical migraine attacks that are not accompanied by headache, nor did our case seem comparable to cases of abdominal migraine and cyclic vomiting syndrome. Conclusion Pathophysiologically, we hypothesize that functional dysregulation of the hypothalamus-brainstem connectivity may generate migraine attacks with a full spectrum of associated symptoms but without pain.

scholarly journals Improvement of Cyclic Vomiting Syndrome with Outpatient Ketamine Infusions

2021 ◽  
pp. 9-16
Author(s):  
Anna Carpenter ◽  
David J. Levinthal ◽  
David G. Binion ◽  
Trent Emerick
Keyword(s):  
Chronic Pain ◽  
Abdominal Pain ◽  
Prophylactic Treatment ◽  
Chronic Abdominal Pain ◽  
Inpatient Admission ◽  
Nausea And Vomiting ◽  
Cyclic Vomiting Syndrome ◽  
Prophylactic Therapy ◽  
History Of ◽  
Cyclic Vomiting

Cyclic vomiting syndrome (CVS) is a disorder characterized by recurrent flares of nausea and vomiting, often with significant abdominal pain, of several days duration. Although traditional prophylactic and abortive treatments for CVS are often successful, a subset of CVS patients with chronic abdominal pain may not respond as well to standard therapies. This report is the first, to our knowledge, to describe the use of outpatient ketamine infusions as therapy for refractory CVS. We describe a 63-year-old woman with history of CVS who presented with abdominal pain and recurrent episodes of nausea and vomiting. She first received ketamine during an inpatient admission for a CVS flare, with the aim of treating the abdominal pain. Given her improvement, she was offered a series of outpatient ketamine infusions, which led to a significant reduction in her symptoms. Thus, ketamine may be useful as both an abortive and prophylactic therapy in CVS. Prior reports have noted the anti-emetic effects of ketamine in the perioperative setting, and there is emerging evidence for the use of ketamine infusions for the treatment of chronic pain. However, this report is the first to describe ketamine as a potential prophylactic treatment for CVS.

scholarly journals Ulnar Nerve Compression in Guyon’s Canal by Ulnar Artery Cystic Adventitial Disease: A Case Report

2021 ◽  
pp. 33-38
Author(s):  
João Ribeiro Afonso ◽  
João Carvas ◽  
Miguel Quesado ◽  
João Vasconcelos ◽  
José Vidoedo ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Ulnar Nerve ◽  
Upper Limb ◽  
Popliteal Artery ◽  
Ulnar Artery ◽  
Work Activities ◽  
Ulnar Nerve Compression ◽  
History Of ◽  
Mucinous Cyst

Cystic adventitial disease is a condition where mucinous cyst(s) develop within the adventitia of blood vessels, especially arteries. The most affected vessel is the popliteal artery while the upper limb vasculature is seldom involved. To our knowledge, there are only 2 articles reporting this disease in the ulnar artery. We present a case of a 52-year-old female patient, a manual worker in a clothing factory, with a month history of increasing pain in her right wrist and gradual weakness that incapacitated her for work activities. She was finally treated surgically and an adventitial cyst of the ulnar artery compressing the ulnar nerve was diagnosed.

scholarly journals Cervical thymoma

1999 ◽  
Vol 117 (3) ◽  
pp. 132-135 ◽  
Author(s):  
Abrão Rapoport ◽  
Claudiane Ferreira Dias ◽  
João Paulo Aché de Freitas ◽  
Ricardo Pires de Souza
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Rare Disease ◽  
Female Patient ◽  
Thallium 201 ◽  
Accurate Diagnosis ◽  
Nuclear Resonance ◽  
Histological Findings ◽  
History Of ◽  
Iodine 131

CONTEXT: Cervical thymoma is a primitive thymic neoplasia. It is very rare. This disease presents higher incidence in female patients in their 4th to 6th decade of life. We present a case report of a cervical thymoma CASE REPORT: 54-year-old female patient, caucasian, with no history of morbidity, presenting a left cervical nodule close to the thyroid gland. During the 30 months of investigation a left cervical nodule grew progressively next to the thyroid while the patient showed no symptoms, making accurate diagnosis difficult. Tests on her thyroid function did not show changes, nor were there changes in any subsidiary tests. The diagnosis of the disease was made intra-operatively through total thyroid individualization. The results were confirmed by the histological findings from the ressected material. Cervical thymoma is a very rare disease, with difficult preoperatory diagnosis. Some additional study methods which are employed today are thallium 201, technetium 99 and iodine 131 scintigraphy, magnetic nuclear resonance and especially histopathological findings and classification.

scholarly journals RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE

2021 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Yunita Styaningrum ◽  
Yoanita Dwi Andina ◽  
Yulita Kristanti
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Root Canal ◽  
Composite Resin ◽  
Cost Effective ◽  
Class I ◽  
Root Section ◽  
History Of ◽  
Composite Resin Restorations ◽  
Initial Root

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

Cyclic vomiting syndrome associated with benign paroxysmal vertigo: a case report

2019 ◽  
Vol 120 (5) ◽  
pp. 1207-1208
Author(s):  
Sylvain Redon ◽  
Maya Elzière ◽  
Isabelle Lambert ◽  
Anne Donnet
Keyword(s):  
Case Report ◽  
Cyclic Vomiting Syndrome ◽  
Cyclic Vomiting

scholarly journals Type 1 diabetes complicated with uncontrollable adult cyclic vomiting syndrome: a case report

2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Kazuma Ogiso ◽  
Nobuyuki Koriyama ◽  
Ayako Akao ◽  
Mayumi Otsuji ◽  
Takahiko Goto ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Case Report ◽  
Cyclic Vomiting Syndrome ◽  
Cyclic Vomiting

Self-Monitoring, Competing Response and Response Cost in the Treatment of Trichotillomania: A Case Report

1997 ◽  
Vol 25 (3) ◽  
pp. 281-290 ◽  
Author(s):  
Paul Rogers ◽  
Simon Darnley
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Successful Treatment ◽  
Response Cost ◽  
Hair Pulling ◽  
Self Monitoring ◽  
History Of ◽  
Competing Response

Self-monitoring, a competing response and response cost were used in the successful treatment of a 49 year old female patient with a 19 year history of trichotillomania. Self-monitoring and a competing response produced significant decreases in hair-pulling, but still continued as the patient found it pleasurable at times of stress. The addition of response cost procedures overcame this.

scholarly journals Clozapine-induced rabbit syndrome: a case report

2009 ◽  
Vol 1 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Cicek Hocaoglu
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Case History ◽  
Atypical Antipsychotics ◽  
Paranoid Schizophrenia ◽  
Background Information ◽  
Clozapine Treatment ◽  
History Of ◽  
Typical Antipsychotics

Rabbit syndrome (RS) is an antipsychoticinduced rhythmic motion of the mouth/lips resembling the chewing movements of a rabbit. The movement consists of a vertical-only motion, at about 5 Hz, with no involvement of the tongue. Long-term exposure to typical antipsychotics has clearly been associated with RS, but little is known of the risk of RS due to exposure to newer atypical antipsychotics. There have been isolated reports of RS in patients treated with the atypical agents risperidone, aripiprazole, olanzapine, and clozapine. We present the case history of a 44-year old female patient treated for paranoid schizophrenia for 22 years and RS during her last 10-month clozapine treatment. Background information from the literature is also discussed.

scholarly journals Vulvar Hemangioma: Case Report

2018 ◽  
Vol 40 (06) ◽  
pp. 369-371
Author(s):  
Janine Silva ◽  
Emily Calife ◽  
João Cabral ◽  
Hildemárzio Andrade ◽  
Ana Gonçalves
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Female Patient ◽  
Surgical Approach ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Genital Ulcer ◽  
Emotional Disability ◽  
The Past ◽  
History Of

AbstractHemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

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