Headache - Symptom | ScienceGate

Patients may have headache due to pathological issues occurring in the cervical spine and resulting in compression of the vertebral artery passing nearby. This comes along with disturbed blood supply to the brain. The aim of this study is to offer reliable grounds, and evaluate osteopathic correction when treating headache of tension (HAT) caused by a dysfunction of the temporomandibular joint (TMJ). A comprehensive examination involved 26 patients aged 18 to 65. The study outcomes allow recommending to include soft osteopathic techniques in the set of therapeutic measures. In order to make osteopathic treatment available for patients with HAT caused by the TMJ dysfunction, computed tomography (CT) of the TMJ and cranio-cervical junction is a typical choice. Given the high efficiency of the combined work of an osteopath joining effort with an orthopedic dentist and an orthodontist who has a good command of neuromuscular correction approaches, it appears a feasible option to use such combined treatment in patients with the TMJ dysfunction-caused HAT. To improve the quality of osteopathic correction and maintain the positive outcome we recommend using a supporting teeth protector — an elastopositioning corrector or TMJ trainer. This enables to decompress the TMJ.

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Perceptive analysis of nasal surgery outcomes for headache

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20174312 ◽

2017 ◽

Vol 3 (4) ◽

pp. 948

Author(s):

Sreenivas C. ◽

Sanjeev Kumar Awasthi

Keyword(s):

Prospective Study ◽

Middle Turbinate ◽

Medical Practitioner ◽

Sinus Surgery ◽

Common Symptom ◽

Age Group ◽

Surgical Methods ◽

Headache Symptom ◽

A Prospective Study ◽

Patient Centric

Background: Headache is the most common symptom requiring visit to a medical practitioner, sinus headache is one of the sub types of headache. Sinus related headaches are curable by surgical methods with a view to restore the functions of the maxilla-ethmo-turbinal ventilation. In this background we conducted a prospective study to investigate the perceptive relief of symptom of proven rhinosinugenic headache in patients undergoing functional endoscopic sinus surgery with septoplasty.Methods: Prospective study, done at a command hospital, Bangalore, a tertiary PG Teaching Hospital during 2010-2011. Even though 200 patients enrolled for the study, only 98 subjects could be assessed at the end of 1 year duration. A patient centric subjective perceptional questionnaire was given preoperatively and then postoperatively on definitive intervals and the patient’s subjective score was tabulated. Results: Rhinosinugenic headache is common amongst 36.73% of the population in the age group of 20 to 30 years age group, followed by 25.5% in the 41 to 50 years age group. Gender distribution- 56% of females in the age group of 31 to 50 years are suffering from headache, and 28% of women in the age group of 31 to 40 years. The most common endoscopic findings were bulla ethmoidalis with a prevalence of 37.75%, followed by middle turbinate anomalies of 31.63%.Conclusions: Endoscopy could not pick up any finding in 8.16% of the study group which was picked up by the non-contrast computerized tomography, perceptive analysis– there was an overall improvement of patient centric headache symptom alleviation of 98% after FESS with septoplasty.

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The Headache Symptom

Archives of Neurology ◽

10.1001/archneur.1985.04060030091014 ◽

1985 ◽

Vol 42 (3) ◽

pp. 273 ◽

Cited By ~ 18

Author(s):

Dewey K. Ziegler

Keyword(s):

Headache Symptom

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Relationships Among Migrainous, Vascular and Orthostatic Symptoms

Cephalalgia ◽

10.1046/j.1468-2982.1982.0203157.x ◽

1982 ◽

Vol 2 (3) ◽

pp. 157-161 ◽

Cited By ~ 8

Author(s):

Peter D. Drummond

Keyword(s):

University Students ◽

Neurological Symptoms ◽

Vascular Involvement ◽

Gastrointestinal Disturbance ◽

Symptom Questionnaire ◽

Undergraduate University Students ◽

Headache Symptom ◽

Orthostatic Symptoms ◽

Cerebral Vascular

A headache symptom questionnaire was filled out by 766 undergraduate university students and 258 reported one or more headaches per month. Headaches characterized by one or more of the main migrainous symptoms (unilateral pain, gastrointestinal disturbance and focal neurological symptoms) were reported to be more severe, pulsatile, of longer duration, and associated with facial pallor and signs of cerebral vascular instability more frequently than headaches accompanied by few or none of the major migrainous symptoms. Additionally, hunger was reported to trigger headaches associated with migrainous symptoms more frequently than non-migrainous headaches. The results are consistent with the proposal that vascular involvement is one of the factors underlying a continuum of headache with migraine as one extreme.

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Headache is associated with aberrant cerebral blood flow in chronic tinnitus revealed by perfusion functional MRI

10.21203/rs.3.rs-19894/v1 ◽

2020 ◽

Author(s):

Yu-Chen Chen ◽

Jinghua Hu ◽

Jinluan Cui ◽

Song’an Shang ◽

Wei Yong ◽

...

Keyword(s):

Blood Flow ◽

Cerebral Blood Flow ◽

Sex Education ◽

Arterial Spin Labeling ◽

Superior Temporal Gyrus ◽

Chronic Tinnitus ◽

Significant Interaction Effect ◽

Hearing Thresholds ◽

Tinnitus Distress ◽

Headache Symptom

Abstract Background: Chronic tinnitus is often accompanied with headache symptom that will affect the cerebral blood flow (CBF) and exacerbate the tinnitus distress. However, the potential relationship between headache and tinnitus remains unclear. This study will investigate whether aberrant CBF patterns exist in chronic tinnitus patients and examine the influence of headache on CBF alterations in chronic tinnitus. Methods: Participants included chronic tinnitus patients (n=45) and non-tinnitus controls (n=50), matched for age, sex, education, and hearing thresholds. CBF images were collected and analyzed using arterial spin labeling (ASL) perfusion functional magnetic resonance imaging (fMRI). Regions with major CBF differences between tinnitus patients and non-tinnitus controls were first detected. The interaction effects between headache and tinnitus for CBF alterations were further examined. Correlation analyses illustrated the association between CBF values and tinnitus severity as well as between CBF and degree of headache.Results: Compared with non-tinnitus controls, chronic tinnitus patients exhibited decreased CBF, primarily in right superior temporal gyrus (STG), bilateral middle frontal gyrus (MFG), and left superior frontal gyrus (SFG); decreased CBF in these regions was correlated with tinnitus distress. There was a significant interaction effect between headache and tinnitus for CBF in right STG and MFG. Moreover, the degree of headache correlated negatively with CBF in tinnitus patients.Conclusions: Chronic tinnitus patients exhibited reduced CBF in the auditory and prefrontal cortex. Headache may facilitate a CBF decrease in the setting of tinnitus, which may underlie the neuropathological mechanisms of chronic tinnitus comorbid with headache.

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Self-motion perception is sensitized in vestibular migraine: pathophysiologic and clinical implications

Scientific Reports ◽

10.1038/s41598-019-50803-y ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 6

Author(s):

Susan King ◽

Adrian J. Priesol ◽

Shmuel E. Davidi ◽

Daniel M. Merfeld ◽

Farzad Ehtemam ◽

...

Keyword(s):

Time Constant ◽

Symptom Severity ◽

Vestibular Nuclei ◽

Vestibular Migraine ◽

Velocity Storage ◽

Otolith Organs ◽

Storage Mechanism ◽

Vestibulo Ocular Reflex ◽

Headache Symptom ◽

Self Motion

Abstract Vestibular migraine (VM) is the most common cause of spontaneous vertigo but remains poorly understood. We investigated the hypothesis that central vestibular pathways are sensitized in VM by measuring self-motion perceptual thresholds in patients and control subjects and by characterizing the vestibulo-ocular reflex (VOR) and vestibular and headache symptom severity. VM patients were abnormally sensitive to roll tilt, which co-modulates semicircular canal and otolith organ activity, but not to motions that activate the canals or otolith organs in isolation, implying sensitization of canal-otolith integration. When tilt thresholds were considered together with vestibular symptom severity or VOR dynamics, VM patients segregated into two clusters. Thresholds in one cluster correlated positively with symptoms and with the VOR time constant; thresholds in the second cluster were uniformly low and independent of symptoms and the time constant. The VM threshold abnormality showed a frequency-dependence that paralleled the brain stem velocity storage mechanism. These results support a pathogenic model where vestibular symptoms emanate from the vestibular nuclei, which are sensitized by migraine-related brainstem regions and simultaneously suppressed by inhibitory feedback from the cerebellar nodulus and uvula, the site of canal-otolith integration. This conceptual framework elucidates VM pathophysiology and could potentially facilitate its diagnosis and treatment.

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Headache in Ischemic Cerebrovascular Disease. Part II: Mechanisms and Predictive Value

Cephalalgia ◽

10.1111/j.1468-2982.1992.00341.x ◽

1992 ◽

Vol 12 (6) ◽

pp. 341-344 ◽

Cited By ~ 16

Author(s):

Panayiotis Mitsias ◽

Nabih M Ramadan

Keyword(s):

Cerebrovascular Disease ◽

Predictive Value ◽

Clinical Characteristics ◽

Vascular Territory ◽

Ischemic Cerebrovascular Disease ◽

Head Pain ◽

Stroke Type ◽

Headache Symptom

In part I, the prevalence and clinical characteristics of headache in ischemic cerebrovascular disease were reviewed. In this part, we describe the potential mechanisms of head pain and the value of the headache symptom as a predictor of stroke type, location and vascular territory.

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