Paroxysmal headache with extracephalic irradiation: Proposal for a new variant of epicrania fugax in a series of five patients

Cephalalgia ◽  
2020 ◽  
Vol 40 (9) ◽  
pp. 959-965 ◽  
Author(s):  
María Gutiérrez-Sánchez ◽  
David García-Azorín ◽  
Álvaro Gutiérrez-Viedma ◽  
Nuria González-García ◽  
Alejandro Horga ◽  
...  

Background Epicrania fugax consists of brief paroxysms of pain, which radiate in a line or in zigzag trajectory across the surface of the scalp or the face. Methods A prospective, descriptive study was performed in five patients presenting with an epicrania fugax-type pain with extracephalic irradiation. Results All patients were women, and the mean age at onset was 59.8 (standard deviation, 10.9). They had unilateral paroxysms of electrical pain starting at a particular point in the head (parietal, n = 3; vertex, n = 1; frontal, n = 1) and rapidly radiating downwards in a lineal trajectory to reach extracephalic regions (ipsilateral limbs, n = 2; shoulder, n = 2; low neck, n = 1) in 1–3 seconds. Pain intensity was moderate or severe. Three patients had nummular headache at the point where the paroxysms originated. One patient had spontaneous remission, and four patients achieved complete or almost complete response with therapy (onabotulinumtoxinA, n = 2; indomethacin, n = 1; amitriptyline, n = 1; lamotrigine, n = 1). Conclusion The spectrum of epicrania fugax may include paroxysms with extracephalic irradiation. The propagation of pain beyond the head and the face supports the involvement of central mechanisms in the pathophysiology of this entity.

2004 ◽  
Vol 95 (2) ◽  
pp. 609-614 ◽  
Author(s):  
Andrew K. Gulledge ◽  
Robert F. Stahmann ◽  
Colwick M. Wilson

College students from Brigham Young University ( N = 186; 68 men, 118 women, M age = 22.7 yr., SD = 3.5) completed a survey regarding nonsexual, romantic physical affection—defined as any touch intended to arouse feelings of love in the giver or the recipient. Respondents included both dating and married individuals, although this was not specified on the questionnaire. This descriptive study reports the mean, median, mode, and standard deviation for each of the seven physical affection types: backrubs/massages, caressing/stroking, cuddling/holding, holding hands, hugging, kissing on the face, and kissing on the lips. Grouped frequency distributions further describe the amounts of each type of physical affection. Although physical affection has been underrepresented in the literature, studies have shown it to be associated with relationship satisfaction, partner satisfaction, psychological intimacy, feeling understood, the development of attachment bonds, modulating cardiovascular arousal, and easier conflict resolution.


2021 ◽  
Vol 7 (3) ◽  
pp. 223-228
Author(s):  
Sanda Aamani ◽  
Hemanth M ◽  
Sharmada B K ◽  
Karthik J Kabbur ◽  
Goutham Kalladka

There is a lack of accurate three-dimensional studies to locate malar prominence for specified population, this study aims to locate the malar prominence using stable landmarks using CBCT. To derive a novel method to accurately locate the malar prominence and to assess and compare the malar prominence between males and females among Bangalore population using 3D CBCT study. All CBCT scans of study subjects belong to Bangalore population were collected from the pre-existing data available in Radiology imaging Solutions (CBCT centre), Bangalore during the period of September 10th to October 10th 2020. This is a descriptive study. A total of 42 subjects including 21 Males and 21 females were assessed using full skull CBCT scans which were converted to DICOM format and reconstructed into 3D images using NEMOCEPH 3D software. Landmarks used to locate the malar prominence were Fzs, Z, Zm and Ans. The intersection of these landmarks is considered to be as constructed maxillozygion(My). For the accuracy of the constructed Maxillozygion point (My), the distance between the actual Maxillozygion (Mzy) and constructed Maxillozygion (My) is measured and calculated between left and right halves of males and females. Three Orthogonal planes constructed were Midsagittal, Axial and Coronal Planes and the linear measurements with reference to all three reference planes in both the groups are measured. Student paired t- Test, Independent Student t Test, Mann Whitney Test. The mean distance from Mzy and my between right and left half of the face was compared using student paired t- Test. There is no significant difference (p=0.35).The mean values of the constructed anatomical landmark (maxillozygion) coordinated to three orthogonal planes between right and left sides of the face is compared using student paired T test and for both the genders (males and females) was compared using Independent Student t Test, and it is significantly higher in males as compared to females and it is statistically significant at (p=0.01). The location of malar prominence using CBCT by a novel method for Bangalore population is found which can be helpful in diagnosis and treatment planning for malar augmentation, camouflage treatment in subjects with midface deficiencies.


2014 ◽  
Vol 29 (1) ◽  
pp. 16-19
Author(s):  
Daniel Jose C. Mendoza ◽  
Samantha S. Castañeda ◽  
Antonio H. Chua

Objective: to determine the mean distance of the main trunk of the facial nerve from two commonly employed surgical landmarks (tragal pointer and tympanomastoid suture line) among a sample of Filipino adults undergoing parotidectomy.   Methods Study Design:            Prospective Descriptive Study Setting:                       Tertiary Government Training Hospital Subjects:                    22 patients without facial paralysis undergoing surgery for parotid neoplasms were evaluated intraoperatively.   Results: The main trunk of the facial nerve was found to be 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line.   Conclusion:  The mean distance from the main trunk of the facial nerve to two of the most commonly utilized landmarks in identification of the nerve during parotidectomy was 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line. These may serve as reference values for surgeons in safer identification and preservation of the facial nerve during parotidectomy.   Keywords: facial nerve, parotidectomy, tragal pointer, tympanomastoid suture line, anatomic landmarks


2014 ◽  
Vol 2 (1) ◽  
pp. 25-27 ◽  
Author(s):  
P Niraj ◽  
PMS Dangol ◽  
N Ranjit

Background: Anthropometry is the science that deals with the measurement of size, weight and proportion of humanbody. Measurements of long bones play an important role in the estimation of stature of individuals in palaeoanthropologyand forensic investigations.Objectives: The objectives of this study were to determine length and weight of humerus in Nepalese population and tocompare these with the data from other population for use in forensic and archaeological studies.Methods: This is a descriptive study. A total of 200 (100 right, 100 left) humerus bones were included. The Maximumhumerus length (mm) was measured by osteometric board and weight (g) of the humerus was measured by electronicweighing machine.Results: The mean and standard deviation for humerus length and weight of humerus were found to be 308.580±19.169mm and 122.261 g for right humerus and 307.270±16.1301 mm and 118.473 g for left humerus respectively.Conclusion: In conclusion, our measurements on the humerus have demonstrated that the length and weight ofhumerus in Nepalese population is similar to that of other country population values.DOI: http://dx.doi.org/10.3126/jkmc.v2i1.10550Journal of Kathmandu Medical College, Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013, page : 25-27


2019 ◽  
Vol 72 (5) ◽  
pp. 1167-1172
Author(s):  
Rogério José de Azevedo Meirelles ◽  
Pedro Fredemir Palha

ABSTRACT Objectives: To describe and analyze the coverage profile of directly observed treatment for tuberculosis in 59 priority municipalities in the state of São Paulo, Brazil, through the creation and comparison of groups homogenized by the number of people in each municipality from 2006 to 2012. Method: Quantitative, epidemiological and descriptive study based on the data available in the EPI-TB and the Statistica 7.0 software databases. Results: The mean and standard deviation of directly observed treatment for the 59 priority municipalities of the state of São Paulo were 77.0 ± 24.3%. The coverage of directly observed treatment increased in 34 municipalities (57.6%) but decreased in 25 (42.4%). Conclusion: Some municipalities could not keep the coverage reached at some point. This coverage heterogeneity should be examined in detail by searching for possible reasons in political-management, technical-operational and funding dimensions.


Author(s):  
Arjunani Arjunani ◽  
Yeni Probowati ◽  
Yulis Setyowati ◽  
Deni Kuswahono

This study tries to describe students’ achievement on institutional TOEFL in Universitas Wijaya Putra. The test is meant as a means of evaluation upon the launching of a mandatory subject as a prerequisite towards final paper writing. The program begins with ten weeks of test preparation completed with a try-out test and the final test. This is a descriptive study since it tries to depict the result of their achievement and the most difficult section of the test. The data analysis uses the computation upon the results mostly applied for Excel Program, particularly in finding the Mean (X) and the Standard Deviation (S). The findings derived from the data analysis tell that  62.85% of the class belong to Grade D which means it is far below expectation. The finding also identified that Listening Section is to be the most difficult part of the test. Still, the findings say none of the students included into the level of either extremely excellent or failed. It is a big task to fulfill a better target for the coming classes by undergoing revision and development in many aspects, especially in time allocation and the module.


2017 ◽  
Vol 9 (1-5) ◽  
Author(s):  
Mohd Hasril Amiruddin ◽  
Siti Norain Jafaar ◽  
Noorazman Abd Samad

Technical Entrepreneur involves individuals who have a combination of knowledge, skills and capabilities in technical and entrepreneurship to engage in business. This study aims to identify the knowledge, skills and capabilities possessed by the trainee electrical wiring in GIATMARA Johor state in the formation of technical entrepreneurs. The respondents consisted of 124 students from seven branches GIATMARA Johor which have of course electrical wiring. This study is a descriptive study and data collection methods are conducted using questionnaires instrument set. Data were collected and analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 with regard to the mean and standard deviation. The results showed that the level of knowledge the coach is moderately high with a mean score of 3.86, the level of skills of trainees is moderately high with a mean score of 3.93 and also medium-level coach high reliability with a mean score of 3.96. Overall, the level of knowledge, skills and capabilities to be an entrepreneur coach Technical is moderately high and has a significant relationship. However, the level of knowledge, skills and capabilities can be enhanced to coach a higher level by increasing the entrepreneurial program and initial implementation of the coach electrical wiring in GIATMARA.


2021 ◽  
Vol 64 (10) ◽  
pp. 726-733
Author(s):  
Marn Joon Park ◽  
Yeonjoo Choi ◽  
Chol Ho Shin ◽  
Yong Ju Jang

Background and Objectives Nasal floor slanting (NFS) is an incidental radiographic finding of asymmetry in the nasal floor level. Despite its frequent appearance, however, NFS has never been properly defined, neither has its correlation with the asymmetry of the adjacent nasofacial structures been investigated. We evaluated the incidence of NFS in patients with sinonasal symptoms and its correlation with the nasofacial skeletal structures.Subjects and Method We investigated patients who underwent preoperative ostiomeatal unit (OMU) CT and facial photography. We measured the incidence of NFS and its angle in the 265 patient images, and analyzed the relationships between NFS and radiologically detected asymmetries of the adjacent nasofacial skeleton and facial asymmetry visible on a photograph.Results NFS was found in 51% of the study subjects (136/265), who were defined as the slanted group. The mean NFS angle in the slanted group was 7.7° with a standard deviation (SD) of 4.4°, ranging from 2.4° to 22.4°. The slanted group showed a higher incidence of nasal septal deviation, asymmetry in the orbit and maxillary sinus, and a larger maxillary cavity (p<0.001) than the non-slanted group. Asymmetry of the face showed a higher incidence in the slanted group (p<0.01), whereas an external nasal deviation did not show an association with NFS.Conclusion NFS is evident in about 50% of patients complaining of nasal symptoms and is associated with nasofacial skeletal asymmetry as well as asymmetry in the face.


1969 ◽  
Vol 14 (9) ◽  
pp. 470-471
Author(s):  
M. DAVID MERRILL
Keyword(s):  

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