scholarly journals Use of muscle relaxants and neurostimulation of treminal system in treatment of chronic daily headache

2020 ◽  
pp. 5-9
Author(s):  
A. E. Barulin ◽  
O. V. Kurushina ◽  
B. M. Kalinchenko

The article is devoted to the urgent problem of practical medicine – the treatment of primary cephalgia. The prevalence of chronic tension headache among the population of European countries is extremely high. Primary headaches are on the list of the most common causes of disability in all over the world. At the same time, existing treatment methods are often not able to completely cure this pain syndrome. In this work, the authors conducted a study on a new approach in the treatment of chronic daily headache: a combination of the non-pharmacological approach – stimulation of the trigeminal system using the Cefaly and the medication – the use of Kalmirex myorelaxant.In 61 patients with chronic daily headache, the effectiveness of the proposed approach was shown both in the relief of pain and in positive changes in the psychoemotional status and quality of life of patients.

2019 ◽  
Vol 224 ◽  
pp. 04009 ◽  
Author(s):  
Aleksandr Zelensky ◽  
Evgenii Semenishchev ◽  
Aleksandr Gavlicky ◽  
Irina Tolstova ◽  
V. Frantc

The development of machine vision systems is based on the analysis of visual information recorded by sensitive matrices. This information is most often distorted by the presence of interfering factors represented by a noise component. The common causes of the noise include imperfect sensors, dust and aerosols, used ADCs, electromagnetic interference, and others. The presence of these noise components reduces the quality of the subsequent analysis. To implement systems that allow operating in the presence of a noise, a new approach, which allows parallel processing of data obtained in various electromagnetic ranges, has been proposed. The primary area of application of the approach are machine vision systems used in complex robotic cells. The use of additional data obtained by a group of sensors allows the formation of arrays of usefull information that provide successfull optimization of operations. The set of test data shows the applicability of the proposed approach to combined images in machine vision systems.


2007 ◽  
Vol 65 (4b) ◽  
pp. 1126-1129 ◽  
Author(s):  
José Carlos Busto Galego ◽  
Avelina Maria Moraes ◽  
José Antonio Cordeiro ◽  
Waldir Antonio Tognola

OBJECTIVE: To evaluate the stress presence and its influence in the quality of life of patients with chronic daily headache (CDH). METHOD: A hundred patients with at least 18 years old, with primary headache with duration greater than 4 hours a day, and frequency of 15 or more days monthly for at least three months were studied. Lipp's Inventory of Stress Symptoms and the Medical Outcomes Study Short Form (SF-36) were used. RESULTS: Stress was observed in 90% of the patients; nearly half of them was in the phase almost exhaustion. Patients with stress when compared with the ones with no stress presented significantly lower scores in all the domains of SF-36; except in physical functioning. The resistance phase presented scores significantly higher than almost exhaustion; except for bodily pain. CONCLUSION: The majority of the patients presented stress with significant reduction in their quality of life. Consequently, the stress could be related with both the development and the maintenance of CDH.


GYNECOLOGY ◽  
2021 ◽  
Vol 23 (3) ◽  
Author(s):  
Nataliya A. Buralkina ◽  
Zalina K. Batyrova ◽  
Zaira K. Kumykova

Primary dysmenorrhea is one of the most common causes of pelvic pain in women. It can reduce quality of life and interfere with daily activities. The use of combined oral contraceptives in young women with primary dysmenorrhea is an effective and safe treatment option. The article presents a clinical case of the effective use of combined oral contraceptives containing drospirenone in a young woman with primary dysmenorrhea and severe pain syndrome, which is not relieved by analgesics and antispasmodics and significantly reduces the patient's quality of life.


Author(s):  
Shashi S. Seshia ◽  
Shuu-Jiun Wang ◽  
Ishaq Abu-Arafeh ◽  
Andrew D. Hershey ◽  
Vincenzo Guidetti ◽  
...  

AbstractChronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.


Neurology ◽  
2004 ◽  
Vol 62 (8) ◽  
pp. 1338-1342 ◽  
Author(s):  
R. Colas ◽  
P. Munoz ◽  
R. Temprano ◽  
C. Gomez ◽  
J. Pascual

2018 ◽  
Vol 26 (3) ◽  
pp. 417-429
Author(s):  
Natalia D. Sorokina ◽  
Sergey S. Pertsov ◽  
Gennady V. Selitsky

Transcranial magnetic stimulation (TMS) is one of the nonpharmacological methods to affect the central nervous system. This approach allows a noninvasive stimulation of the cerebral cortex. The method is based on the ability of magnetic fields to penetrate the bone and muscle structures. The induced magnetic field depolarizes the neuronal membrane, and the generated action potential propagates through the conducting pathways. In the review, the biophysical effects of TMS, as well as its neural, immune, mediator and macro effects are analyzed. The main contraindications to TMS and its side effects are considered. Nonpharmacological treatment of tension headache (TH) and migraine is a promising direction, since the incidence of these types of primary headaches reaches 40-65 and 11-22%, respectively. In the article the current state of study of various modes and durations of TMS procedure, and the site of exposure in TH and migraine are considered. In recent years there is noted an increase in the number of evidence-based randomized, placebo-controlled studies on the effectiveness of TMS in migraine therapy. Much attention is given to evaluation of the effect of TMS in migraine. There is much evidence of the positive effect of this procedure. However, the amount of examined volunteers does not provide the highest level of evidence. Experiments on animals and use of functional neurovisualization techniques contribute to understanding of the mechanisms of TMS effect. Active participation of physiologists, neurophysiologists and biophysicists in these research works will permit evaluation of the effectiveness of TMS in nonpharmacological treatment of patients with pain syndrome. This approach will improve the working capacity and quality of life in TH and migraine.


2020 ◽  
Vol 12 (4) ◽  
pp. 73-78
Author(s):  
V. V. Osipova ◽  
K. V. Skorobogatykh ◽  
A. R. Artemenko ◽  
A. V. Sergeev

The paper deals with the actual problem of managing patients with drug-induced headache (DIH) in patients with primary headaches. It describes a clinical case of extremely severe DIH in a patient with chronic tension headache (TH). The paper analyzes the typical and atypical manifestations of DIH and discusses the role of prolonged stress in the development of TH. Special attention is paid to the problems with therapy and compliance during a long-term follow-up of the patient. Based on the clinical features of pain syndrome in the described patient, the authors suggest for the first time that the use of extremely high number of daily doses of combined narcotic analgesics for many years can result in recurrent DIH statuses. The paper discusses whether it is expedient to introduce the concept “DIH severity” and whether an additional clinical parameter “the number of doses of painkillers per month” can be of informative value, which has not been proposed yet in the literature. All the issues given in the paper are conjectural and are raised by the authors for further investigation of the DIH problem.


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