scholarly journals Facial paroxysmal hemicrania associated with the menstrual cycle

2019 ◽  
Vol 2 ◽  
pp. 251581631985707 ◽  
Author(s):  
Christian Ziegeler ◽  
Arne May
Keyword(s):  
Side Effects ◽  
Menstrual Cycle ◽  
Female Patient ◽  
Paroxysmal Hemicrania ◽  
Attack Frequency ◽  
Diagnostic Challenge ◽  
Trigeminal Autonomic Cephalalgia ◽  
Good Efficacy ◽  
Facial Region ◽  
Psychiatric Side Effects

Paroxysmal hemicrania (PH) is a rare trigeminal autonomic cephalalgia (TAC) which is usually not associated with the menstrual cycle and usually affects the first trigeminal branch. We present a 47-year-old female patient with a facial variant of PH. For over 11 years, the patient had suffered from 8 to 12 typical PH attacks per day localized in the left maxilla in bouts of 4–9 days solely during her menstruation and ovulation. Single dosages of indomethacin 25 mg showed good efficacy in the prevention of the attacks for several hours. However, the intake of indomethacin had to be ceased due to severe psychiatric side effects. Ibuprofen 400 mg also reliably reduces the attack frequency with the same effectiveness as indomethacin. Attacks of PH can occur solely in the facial region and can be associated with the menstrual cycle which can prove to be a diagnostic challenge. Also, the intake of indomethacin can be limited by psychiatric side effects but can be adequately substituted by ibuprofen.

Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

2014 ◽  
Vol 17 (1) ◽  
pp. 42
Author(s):  
Shi-Min Yuan
Keyword(s):  
Computed Tomography ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Constrictive Pericarditis ◽  
Delayed Diagnosis ◽  
Young Female ◽  
Refractory Ascites ◽  
Diagnostic Challenge ◽  
Massive Ascites ◽  
History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

Submandibular Lymphadenitis in an Immunocompetent Female: Microbiological Confirmation is Need of the Hour

2019 ◽  
Vol 19 ◽  
Author(s):  
Lipika Singhal ◽  
Pooja Kumari ◽  
Menal Gupta ◽  
Kranti Garg ◽  
Jagdish Chander
Keyword(s):  
Side Effects ◽  
Female Patient ◽  
Multidrug Resistant ◽  
Cervical Lymphadenitis ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis ◽  
Healthy Female ◽  
Microbiological Examination ◽  
Rising Incidence ◽  
Microbiological Confirmation

: Non-tuberculous mycobacterial (NTM) infections have been drawing interest recently because of their rising incidence not only in immunocompromised but also in immunocompetent individuals. These are underdiagnosed in India, due to lack of awareness and a low index of suspicion. In regions endemic for tuberculosis (TB) such as India, presumptive anti-tubercular treatment (ATT) is often prescribed. Non-response of NTM to the treatment may be wrongly ascribed to multidrug-resistant tuberculosis. This emphasizes the need to correctly identify them before initiating therapy. We describe the case of a young, healthy female patient who developed cervical lymphadenitis and was given presumptive ATT. Microbiological examination of aspirate revealed M. fortuitum. This not only rectified the course of treatment resulting in complete cure, but also spared the patient from significant side effects of ATT. This case is an awakening call for clinicians to avoid presumptive ATT.

Burns in a suicide attempt related to psychiatric side effects of interferon

Burns ◽  
1998 ◽  
Vol 24 (6) ◽  
pp. 581-583 ◽  
Author(s):  
K. Fukunishi ◽  
H. Tanaka ◽  
J. Maruyama ◽  
H. Takahashi ◽  
H. Kitagishi ◽  
...  
Keyword(s):  
Side Effects ◽  
Suicide Attempt ◽  
Psychiatric Side Effects

Interferon-α Influences Tryptophan Metabolism without Inducing Psychiatric Side Effects

2007 ◽  
Vol 55 (3-4) ◽  
pp. 225-231 ◽  
Author(s):  
Marjolein Bannink ◽  
Durk Fekkes ◽  
Arthur R. Van Gool ◽  
Wim H.J. Kruit ◽  
Stefan Sleijfer ◽  
...  
Keyword(s):  
Side Effects ◽  
Tryptophan Metabolism ◽  
Interferon Α ◽  
Psychiatric Side Effects

Period Sex: Beneficial or not

2021 ◽  
pp. 357-358
Author(s):  
Nandini Nandini
Keyword(s):  
Side Effects ◽  
Menstrual Cycle

Having period does not mean sex is not an option. It comes with some benefits and some side effects. This is the question of many people’s that having sex before, after and during menstruation is safe of not? People feel shy to discuss about this topic. Period is a part of the menstrual cycle when a woman bleeds from her vagina for a few days. You may feel more sexually aroused during your period time.

P41 Psychiatric side effects of bilateral deep brain stimulation for movement disorders

Basal Ganglia ◽  
2011 ◽  
Vol 1 (2) ◽  
pp. 120-121
Author(s):  
M.O. Pinsker ◽  
F. Amtage ◽  
M. Berger ◽  
G. Nikkhah ◽  
L. Tebartz van Elst
Keyword(s):  
Deep Brain Stimulation ◽  
Side Effects ◽  
Brain Stimulation ◽  
Movement Disorders ◽  
Psychiatric Side Effects ◽  
Deep Brain

Psychiatric Side Effects

2019 ◽  
pp. 83-87
Author(s):  
Joshua Schimmel ◽  
Evren Burakgazi-Dalkilic ◽  
Hatice Burakgazi-Yilmaz
Keyword(s):  
Side Effects ◽  
Psychiatric Side Effects

scholarly journals Relapsing Tumefactive Demyelination: A Case Report

2018 ◽  
Vol 47 (2) ◽  
pp. 193
Author(s):  
Ibrahim Omerhodžić ◽  
Almir Džurlić ◽  
Dino Lisica ◽  
Nevena Mahmutbegović ◽  
Maida Nikšić ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Female Patient ◽  
Demyelinating Disease ◽  
Diagnostic Procedures ◽  
Young Female ◽  
Diagnostic Challenge ◽  
Fresh Frozen ◽  
The Central Nervous System ◽  
Tumorlike Lesion

<p><strong>Objective. </strong>We present a case of relapsing tumefactive demyelination in a young female patient, that posed a real diagnostic challenge, with a heterogeneous clinical picture, atypical for multiple sclerosis (MS) presentation, and neuroradiological manifestations with a high suspicion of neoplastic diseases.</p><p><strong>Case Report</strong>. An 18-year old female patient presented to our Neurosurgical Out-patients’ Clinic with symptoms atypical for multiple sclerosis, unremarkable neurological deficit, one tumefactive lesion on MRI, followed by relapse and another two lesions within a period of six months. We decided to perform biopsy of the tumefactive lesion with compressive effect. Serological and clinical data were negative for MS, and the patient did not respond well to corticosteroid therapy. Fresh frozen tumor tissue aroused a strong suspicion of gemistocytic astrocytoma, so total resection was done, but the definitive pathohistological examination confirmed tumefactive demyelination.</p><p><strong>Conclusion</strong>. For clinicians, it is important to consider demyelinating disease in the differential diagnosis of a tumorlike lesion of the central nervous system, in order to avoid invasive and potentially harmful diagnostic procedures, especially in younger patients.</p>

Psychiatric side effects induced by supraphysiological doses of combinations of anabolic steroids correlate to the severity of abuse

2006 ◽  
Vol 21 (8) ◽  
pp. 551-562 ◽  
Author(s):  
Thomas A. Pagonis ◽  
Nikiforos V. Angelopoulos ◽  
George N. Koukoulis ◽  
Christos S. Hadjichristodoulou
Keyword(s):  
Side Effects ◽  
Anabolic Steroids ◽  
Linear Regression Analysis ◽  
Control Group ◽  
Time Interval ◽  
Psychological Consequences ◽  
Psychometric Instruments ◽  
Wide Range ◽  
Significant Difference ◽  
Psychiatric Side Effects

AbstractObjectiveThe objective of our study was to evaluate the psychological consequences of real-world AAS use in athletes abusing such agents, in comparison with a placebo and control group of comparable athletes, while correlating the severity of abuse with the side effects observed. The hypothesis tested by the study was that the use of AAS induces a wide range of psychological side effects whose impact and emergence is dependent upon the severity of the abuse.DesignThe study includes a substantial group of AAS abusing athletes and two more groups demographically similar to the first, one composed of athletes not using any substance and a placebo group. All athletes were stratified according to the severity of AAS abuse. Psychometric instruments were applied to all athletes in specific time intervals, dependent to the AAS abusers' regimens, providing us with a final psychological profile that was to be compared to the pre-study profile. All results were comparable (within and between groups) for statistically significant differences and correlated to the severity of the abuse. Homogeneity of all groups was safeguarded by random doping controls, monitoring of drug levels and analysis of all self obtained drugs by method of liquid chromatography/mass spectrometry. All athletes were provided with a common exercise and dietary regime, so common training and nutritional conditions were achieved.MethodsWe studied a cohort of 320 body-building, amateur and recreational athletes, of whom 160 were active users of AAS (group C), 80 users administering placebo drugs (group B) and 80 not abusing any substance (Group A). Group C athletes were stratified according to AAS abuse parameters, thus providing us with three subgroups of “light, medium and heavy abuse”. Athletes of groups A and B were included in a “no abuse” subgroup. The psychometric instruments used were the Symptoms Check List-90 (SCL-90) and the Hostility and Direction of Hostility Questionnaire (HDHQ). The psychometric evaluations took place within a time interval of 13 months. Statistical analysis was performed by using the Mann–Whitney/Wilcoxon two-sample non-parametric test (Kruskal–Wallis test for two groups) for data that were not normally distributed and Linear regression analysis was used to ascertain the correlation between severity of use and escalation of side effects.ResultsThe study showed a statistically significant increase in all psychometric subscales recorded in group C, and no statistically significant difference in group C and A. There was a significant increase in the scorings of group C for all subscales of SCL-90 and HDHQ. Correlation of abuse severity and side effects showed that there was a statistical significant increase in Δ values of all SCL-90 and HDHQ subscales that escalated from light abuse to medium and heavy abuse/consumption patterns.ConclusionsThe results of the study suggest that the wide range of psychiatric side effects induced by the use of AAS is correlated to the severity of abuse and the force of these side effects intensifies as the abuse escalates.

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