scholarly journals Role of a dentist in comprehensive management of a comatose patient with post traumatic head injury and neuropathological chewing

2014 ◽  
Vol 20 (2) ◽  
pp. 146 ◽  
Author(s):  
Aditi Nanda ◽  
Dheeraj Koli ◽  
Sapna Daksh ◽  
Mahesh Verma ◽  
Sunanda Sharma
2021 ◽  
Author(s):  
Mike Christian Papenhoff ◽  
Marcel Dudda

Abstract Background: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.


2015 ◽  
Vol 2 (2) ◽  
pp. 195 ◽  
Author(s):  
Pradeep Balmiki ◽  
Anjeev Chourasia ◽  
Ishwar Chourasia

2014 ◽  
Author(s):  
Gideon Mlawa ◽  
Eswari Chinnasamy ◽  
Darshi Sivakumaran ◽  
Gul Bano

1968 ◽  
Vol 10 ◽  
pp. 238-239
Author(s):  
Norio KOBAYASHI ◽  
Keizo SAKAMOTO ◽  
Chikara KASHIMOTO ◽  
Takao MITSUNO

2021 ◽  
Author(s):  
Mike Papenhoff ◽  
Marcel Dudda

Abstract Introduction: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.


2017 ◽  
Vol 2 (1) ◽  
pp. 102-105
Author(s):  
Alok Atreya ◽  
T Kanchan ◽  
BG Karmacharya

IntroductionHead is a vulnerable area in human body and also a favorable site for assaults which is easily accessible by assailant's raised arms. ObjectiveThe objective of this study was to evaluate the socio demographic spectrum, severity, radiological findings and outcome of victims assaulted to the head. Furthermore, the study aims to correlate such findings to the role of alcohol use in Nepalese context. MethodologyThis longitudinal prospective study includes victims of traumatic head injury as a result of physical assault who were admitted in the Neurosurgery Unit of Manipal Teaching Hospital Pokhara, Nepal from 1st January to 31st December 2015. ResultsIntentional head injury accounted to 17.40% of all head injury cases admitted during the study period. Among them 48 (76.19%) were males and 15 (23.81%) were females. The minimum age of the patient was 15 years and maximum was 84 years with a mean age of 33.89±14.67 years. Most of the victims of physical assault belonged to the age group of 21 to 30 years. Blunt object was the most commonly used for assault. Loss of consciousness was associated only with 49.21% of cases and 14.29% cases had bleeding from ear and/or nose. More than 75% of the cases had significant radiological finding in the form of fracture and/or intracranial lesion. Majority of the victims during the study were treated conservatively and were discharged with advice. Alcohol use was involved in 36.51% cases of intentional head injuries.  ConclusionIntentional injuries under the influence of alcohol use are totally preventable public health concerns. It can be ascertained that reducing availability and improving the environment in which alcohol is sold and consumed can result in a dramatic reduction in violent crimes.Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 102-105


2004 ◽  
Vol 25 (4) ◽  
pp. 333-337 ◽  
Author(s):  
Keiko Kinuya ◽  
Kiyoshi Kakuda ◽  
Koji Nobata ◽  
Sotaro Sakai ◽  
Kenji Yamamoto ◽  
...  

Cephalalgia ◽  
2008 ◽  
Vol 28 (9) ◽  
pp. 991-993 ◽  
Author(s):  
S Jacob ◽  
AR Saha ◽  
YA Rajabally

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare headache syndrome classified among the trigeminal autonomic cephalalgias. It is usually idiopathic, although infrequent secondary forms have been described. Recently the term short-lasting unilateral headache with cranial autonomic symptoms (SUNA) has been defined by the International Headache Society (ICHD-2) as similar to SUNCT with less prominent or absent conjunctival injection and lacrimation. We report two patients with paroxysmal orbito-fronto-temporal pains, phenotypically suggesting SUNA, occurring after traumatic head injury.


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