scholarly journals Accompanying Symptoms in Vestibular Migraine

2019 ◽  
pp. 51-55
Author(s):  
Aline Turbino Neves Martins da Costa ◽  
Daniel Guedes Tomedi ◽  
Camila Naegeli Caverni ◽  
Larissa Mendonça Agessi ◽  
Rosemeire Rocha Fukue ◽  
...  
Keyword(s):  
Motion Sickness ◽  
Migraine With Aura ◽  
Age Of Onset ◽  
Vestibular Migraine ◽  
Tertiary Center ◽  
Associated Symptoms ◽  
The Mean ◽  
Accompanying Symptoms ◽  
A Prospective Study

Objective: The aim of this study was to classify the patients with vestibular migraine into the subgroups with and without aura, and to evaluate the occurrence of the accompanying symptoms of migraine in each subgroup. Methods: A prospective study performed at a tertiary center of vestibular migraine, with patients fulfilling definitive diagnostic criteria for vestibular migraine through International Classification of Headache Disorders ICHD-3 β. Patients were stratified in the subtypes with and without aura, and the accompanying symptoms were verified in each subgroup. Results: A total of 143 patients were included, 124 women and 19 men (86% and 13%, respectively). The mean age of onset of migraine in the patients ranged from 4 to 71 years (SD: 16.0) with a mean of 23 years, and an average headache frequency of 17 days per month (SD: 19.6), with a visual analog scale mean of 7.45 (SD: 1.88). Of the 143 patients evaluated, 101 (70%) had ICHD-3 β criteria for the diagnosis of migraine with aura. In patients with the migraine subgroup with aura, we found a higher relative risk for nausea 2,78 (CI: 0.15-1.0; p 0.04), vomiting, 2.65 (CI: 1.26-5.55; p 0.009), phonophobia 3,546 (1,647-7,637, p0,001), osmophobia 3,016 (1,219-7,462, p 0,014), kinesiophobia, 2,391 (1,128-5,071, p, 021), tinnitus 2,275 (1,062-4,873, 032), aural fullness 3,934 (1,519 - 10,192, p0,003), motion sickness associated with dizziness 3,924 (1,415 - 10,881, p0,006). Conclusion: In our center, migraine with aura was the most frequent subtype of migraine in patients with vestibular migraine. During the head attacks, some associated symptoms were more likely to occur in the aura subgroup, among them: nausea, vomiting, phonophobia, osmophobia, kinesiophobia, tinnitus, aural fullness and motion sickness accompanied by dizziness. In our sample, vestibular migraine associated with migraine with aura showed a higher risk of associated symptoms, suggesting that this subgroup is more severe, and with a more disabling disease.

The periodic syndrome in pediatric migraine sufferers

Cephalalgia ◽  
1983 ◽  
Vol 3 (1_suppl) ◽  
pp. 91-93 ◽  
Author(s):  
Giovanni Lanzi ◽  
Umberto Balottin ◽  
Elisa Fazzi ◽  
Francesca Burgio Rosano
Keyword(s):  
Motion Sickness ◽  
Age Of Onset ◽  
Periodic Syndrome ◽  
Age Group ◽  
Pediatric Age Group ◽  
Pediatric Migraine ◽  
Douleurs Abdominales ◽  
The Mean ◽  
Cyclic Vomiting

The present study takes into consideration some of the symptoms comprised in the Periodic Syndrome. These include motion-sickness, cyclic vomiting, recurrent abdominal pains and paroxysmal vertigo. Particular consideration is given to the chronological and long-term aspects of such symptoms. Among 247 migraine sufferers in the pediatric age group, 173 subjects who complained of at least one of these symptoms were chosen. Results of the data show that motion-sickness is the first to manifest itself (mean age of onset 2 years), and has a tendency to continue into the headache period; cyclic vomiting appears in the third year of life, and terminates sooner than the other symptoms. At the mean age of five years abdominal pains start, and at seven, paroxysmal vertigo. Headache is the final symptom in this group. The sequentiality of such disturbances in each subject leads to the assumption that the Periodic Syndrome is the expression of a single disorder which manifests itself polymorphously as a rather precisely timed process. Parmi les symptômes qui constituent le syndrome periodique de l'enfance, nous prenons en considération, dans cette étude, le mal d'auto, les vomissements cycliques, les douleurs abdominales récurrentes et les vertiges paroxystiques; nous en considérons particulièrement les aspects chronologiques et l'évolution à long terme. Il s'agit de 173 sujets, choisis parmi 247 migraineux en âge évolutif, qui ont présenté au moins un des symptômes que nous avons étudiés. L'analyse des données révèle que le mal d'auto est le premier qui se manifeste (au cours de la 2èMe année) et qu'il tend à continuer au-delà du moment où apparait la céphalée; au cours de la 3eMe année apparaissent les vomissements cycliques cui cessent plus tôt que les autres troubles; par la suite, vers l'âge de 5 ans, commencent les douleurs abdominales et vers 7 ans les vertiges paroxystiques; enfin apparait la céphalée. L'observation de la séquence de ces troubles chez les différents sujets nous amène à penser que le Syndrome périodique est l'expression d'un potentiel pathogène unique qui s'exprime à travers des aspects polymorphes selon une séquence temporelle assez précise. Fra i sintomi che costituiscono la Sindrome periodica dell'infanzia, nel presente studio prendiamo in esame il mal d'auto, i vomiti ciclici, i dolori addominali ricorrenti e le vertigini parossistiche, considerandone in particolare gli aspetti cronologici e di evoluzione a lungo termine. Si tratta di 173 soggetti, scelti fra 247 emicranici in età evolutiva che hanno lamentato almeno uno dei sintomi da noi considerati. Dall'analisi dei dati emerge che il mal d'auto si manifesta per primo (Il anno di vita) e tende a protrarsi oltre il momento d'insorgenza della cefalea; nel III anno compaiono i vomiti ciclici che si estinguono più precocemente degli altri disturbi; successivamente, verso i 5 anni, iniziano i dolori addominali e verso i 7 anni le vertigini parossistiche. Infine compare la cefalea. L'osservazione della sequenzialità di tali disturbi nei singoli soggetti ci fa pensare che la Sindrome periodica sia l'espressione di un unico potenziale patogeno che si estrinseca in aspetti polimorfi con una sequenza temporale abbastanza precisa.

A prospective study on osmophobia in migraine versus tension-type headache in a large series of attacks

Cephalalgia ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 337-346 ◽  
Author(s):  
Alberto Terrin ◽  
Federico Mainardi ◽  
Carlo Lisotto ◽  
Edoardo Mampreso ◽  
Matteo Fuccaro ◽  
...  
Keyword(s):  
Prospective Study ◽  
Diagnostic Criteria ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Headache Attack ◽  
Accompanying Symptoms ◽  
Type Headache ◽  
A Prospective Study

Background In literature, osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal of including osmophobia among accompanying symptoms, it was no longer mentioned in the ICHD 3rd edition. Methods We conducted a prospective study on 193 patients suffering from migraine without aura, migraine with aura, episodic tension-type headache or a combination of these. After a retrospective interview, each patient was asked to describe in detail osmophobia, when present, in the following four headache attacks. Results In all, 45.7% of migraine without aura attacks were associated with osmophobia, 67.2% of migraineurs reported osmophobia in at least a quarter of the attacks. No episodic tension-type headache attack was associated with osmophobia. It was associated with photophobia or phonophobia in 4.3% of migraine without aura attacks, and it was the only accompanying symptom in 4.7% of migraine without aura attacks. The inclusion of osmophobia in the ICHD-3 diagnostic criteria would enable a 9.0% increased diagnostic sensitivity. Conclusion Osmophobia is a specific clinical marker of migraine, easy to ascertain and able to disentangle the sometimes challenging differential diagnosis between migraine without aura and episodic tension-type headache. We recommend its inclusion among the diagnostic criteria for migraine as it increases sensitivity, showing absolute specificity.

scholarly journals Association of Benign Recurrent Vertigo and Migraine in 208 Patients

Cephalalgia ◽  
2009 ◽  
Vol 29 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Y-H Cha ◽  
H Lee ◽  
LS Santell ◽  
RW Baloh
Keyword(s):  
Migraine With Aura ◽  
Migraine Headache ◽  
Age Of Onset ◽  
International Classification ◽  
Headache Disorders ◽  
Migrainous Vertigo

The aim of this study was to determine the association of benign recurrent vertigo (BRV) and migraine, using standardized questionnaire-based interview of 208 patients with BRV recruited through a University Neurotology clinic. Of 208 patients with BRV, 180 (87%) met the International Classification of Headache Disorders 2004 criteria for migraine: 112 migraine with aura (62%) and 68 without aura (38%). Twenty-eight (13%) did not meet criteria for migraine. Among patients with migraine, 70% experienced headache, one or more auras, photophobia, or auditory symptoms with some or all of their vertigo attacks, meeting the criteria for definite migrainous vertigo. Thirty per cent never experienced migraine symptoms concurrent with vertigo attacks. These met criteria for probable migrainous vertigo. Among patients without migraine, 21% experienced either photophobia or auditory symptoms with some or all of their vertigo attacks; 79% experienced only isolated vertigo. The age of onset and duration of vertigo attacks did not differ significantly between patients with (34 ± 1.2 years) and patients without migraine (31 ± 3.0 years). In patients with migraine, the age of onset of migraine headache preceded the onset of vertigo attacks by an average of 14 years and aura preceded vertigo by 8 years. The most frequent duration of vertigo attacks was between 1 h and 1 day. Benign recurrent vertigo is highly associated with migraine, but a high proportion of patients with BRV and migraine never have migraine symptoms during their vertigo attacks. Other features such as age of onset and duration of vertigo are similar between patients with or without migraine.

Premonitory and Resolution Symptoms in Migraine: A Prospective Study in 100 Unselected Patients

Cephalalgia ◽  
2006 ◽  
Vol 26 (9) ◽  
pp. 1051-1060 ◽  
Author(s):  
E Quintela ◽  
J Castillo ◽  
P Muñoz ◽  
J Pascual
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Migraine With Aura ◽  
Severe Pain ◽  
Disability Assessment ◽  
General Physician ◽  
Assessment Scores ◽  
The Mean ◽  
A Prospective Study

The nosology of migraine premonitory (PS) and resolution (RS) symptoms was studied in 100 migraineurs consulting their general physician. They were asked to fill in, for three attacks, a PS and RS questionnaire. ‘True’ PS/RS were those experienced the day before (or the day after) the headache had started only if they were not present in a questionnaire completed in a pain-free period. True PS and RS were experienced by 84± and 80±, respectively, of subjects for the first attack. The mean and range (per patient) of PS were 6.8 and 0–21 and of RS 4.7 and 0–15. Anxiety, phonophobia, irritability, unhappiness and yawning were the commonest PS, whereas asthenia, tiredness, somnolence and concentration difficulties were the most common RS. Gender, age and Migraine Disability Assessment scores did not influence PS and RS. Both PS and RS were more frequent in migraine with aura subjects. Patients on preventatives showed a decreased frequency of PS and, to a lesser degree, of RS. Severity of headache was associated with a higher frequency of RS. Individual RS and especially PS were quite consistent after three attacks. Almost two-thirds of the symptoms were noticed in at least two out of three attacks, while more than a half of PS and more than a quarter of RS repeated in three out of three attacks. In conclusion, around 80± of unselected migraineurs experience RS and PS. Migraine with aura and severe pain are risk factors for experiencing PS and RS, while preventatives were protective, especially for PS.

scholarly journals Body mass index: different nutritional status according to WHO, OPAS and Lipschitz classifications in gastrointestinal cancer patients

2012 ◽  
Vol 49 (2) ◽  
pp. 169-171 ◽  
Author(s):  
Katia Barao ◽  
Nora Manoukian Forones
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
Gastrointestinal Cancer ◽  
Low Cost ◽  
The Body ◽  
Common Marker ◽  
The Mean ◽  
A Prospective Study

CONTEXT: The body mass index (BMI) is the most common marker used on diagnoses of the nutritional status. The great advantage of this index is the easy way to measure, the low cost, the good correlation with the fat mass and the association to morbidity and mortality. OBJECTIVE: To compare the BMI differences according to the WHO, OPAS and Lipschitz classification. METHODS: A prospective study on 352 patients with esophageal, gastric or colorectal cancer was done. The BMI was calculated and analyzed by the classification of WHO, Lipschitz and OPAS. RESULTS: The mean age was 62.1 ± 12.4 years and 59% of them had more than 59 years. The BMI had not difference between the genders in patients <59 years (P = 0.75), but over 59 years the BMI was higher in women (P<0.01). The percentage of undernourished was 7%, 18% and 21% (P<0.01) by WHO, Lipschitz and OPAS, respectively. The overweight/obesity was also different among the various classifications (P<0.01). CONCLUSIONS: Most of the patients with gastrointestinal cancer had more than 65 years. A different cut off must be used for this patients, because undernourished patients may be wrongly considered well nourished.

scholarly journals A Prospective Study on the Degree of Hyponatremia in Transurethral Resection of Prostate

2021 ◽  
pp. 639-644
Author(s):  
Maryam Fatima ◽  
Zainab Ali ◽  
Zubia Zafar
Keyword(s):  
Transurethral Resection ◽  
Transurethral Resection Of Prostate ◽  
Sodium Potassium ◽  
High Incidence ◽  
Turp Syndrome ◽  
Mean Size ◽  
The Mean ◽  
A Prospective Study ◽  
Duration Of Operation

Background: Systemic uptake of hypotonic fluid during irrigation performed at the time of Transurethral Resection of the Prostate (TURP) may cause electrolyte changes including sodium, potassium and calcium. The present study was aimed to assess the degree of sodium changes during Transurethral Resection of Prostate (TURP). Methods: 50 males aged 54 to 86 years, presented for TURP, were enrolled in the study with ASA classification of I to IV grades. Glycine 1.5% was used with height of irrigation kept at 60 cm. One day preoperatively and one hour postoperative, levels of serum sodium were measured for all the patients. Results: Spinal anaesthesia was given in 31 patients, whereas 19 patients were managed under general anaesthesia, with mean duration time being 72.42 ± 24.77min. The mean size of the resected prostate was 54.82 ± 25.04g. 58% patients developed mild hyponatremia, 4% had asymptomatic moderate hyponatremia and no patient developed severe hyponatremia or TURP Syndrome. The systemic diseases like hypertension, DM, or IHD found to be insignificant. Conclusion: TURP was associated with a high incidence of asymptomatic mild hyponatremia. Duration of operation was one of the most important factors.

Osteotomy for Correction of Premature Growth Plate Closure in 24 Dogs

1994 ◽  
Vol 07 (03) ◽  
pp. 129-135 ◽  
Author(s):  
C.W. Miller ◽  
P.W. Morgan
Keyword(s):  
Corrective Osteotomy ◽  
Functional Results ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Angular Deformity ◽  
Dynamic Correction ◽  
Age At Surgery ◽  
Limb Deformities ◽  
The Mean ◽  
A Prospective Study

SummaryTwenty-four dogs (27 limbs) were evaluated after surgery for correction of forelimb angular limb deformities. Partial ulnar ostectomies or definitive corrective osteotomies were performed depending upon the age of the dog. According to owner assessment nine of fourteen limbs were considered functionally good, or excellent, after partial ulnar ostectomies. Younger dogs appeared to have better functional results after dynamic correction with the mean age at surgery of dogs with good to excellent results being 6.5 months contrasted to the mean age at surgery of dogs with fair to poor results being 9.75 months. Ten of fourteen limbs were considered functionally good or excellent after definitive corrective osteotomy. One dog had definitive osteotomy after partial ulnar ostectomy in order to further correct a residual angular deformity. However, 58% of the limbs with radiographic follow-up had signs of degenerative joint disease (DJD). There were not significant differences between neither degree of angulation remaining after surgery and the functional result nor the degree of angulation remaining after surgery and the development of DJD. A prospective study is warranted to more objectively assess the efficacy of surgical correction of angular limb deformities in dogs.Twenty-four dogs were evaluated after surgery for correction of forelimb angular limb deformities. The results are described.

STUDY ON CLINICAL CHARACTERISTICS AND RESULT OF TREATMENT BENIGN VOCAL CORD TUMOR WITH RIGID LARYNGEAL ENDOSCOPIC SURGERY

2012 ◽  
pp. 58-65
Author(s):  
Duy Thai Truong ◽  
Van Dung Phan ◽  
Tu The Nguyen
Keyword(s):  
Vocal Cord ◽  
Endoscopic Surgery ◽  
Clinical Characteristics ◽  
University Hospital ◽  
High Rate ◽  
Treatment Rate ◽  
Reinke’S Edema ◽  
Vocal Nodules ◽  
A Prospective Study

Objective: Study on clinical characteristics and result of treatment benign vocal cord tumor with suspensive laryngeal endoscopic surgery. Materials and Methods: A prospective study was undertaken in 43 patients who had benign vocal cord tumor and performed a suspensive laryngeal endoscopic surgery at ENT Dept. of Hue University Hospital, from 3/2010 to 5/2011. Results: The most common was group was 31 - 45 (44.2%). There was no difference of gender. Moderate hoarness was 67.4%. Classification of benign laryngeal tumor: vocal nodules (13 cases), vocal cyst (18 cases), vocal polyp (10 cases) and Reinke’s edema (2 cases). The successful treatment rate of vocal benign tumor was 88.4%. Conclusions: Suspensive laryngeal endoscopic surgery was the best method to cure benign vocal cord tumor. The surgeon had a clear operative field, easy manoeuver, high rate of cure and less complication.

Effect of High Plane of Nutrition on Blood Biochemical Profile and Onset of Puberty in Prepubertal HF X Kankrej Crossbred Heifers

2019 ◽  
Vol 15 (02) ◽  
pp. 14-17
Author(s):  
K K Hadiya ◽  
A J Dhami ◽  
D V Chaudhari ◽  
P M Lunagariya
Keyword(s):  
Body Weight ◽  
Treatment Group ◽  
Plasma Levels ◽  
Age Of Onset ◽  
The Body ◽  
Monthly Interval ◽  
Control Group ◽  
Blood Biochemical ◽  
Lower Protein ◽  
The Mean

This study was initiated on 24 prepubertal Holstein x Kankrej crossbred heifers of nearly identical age (7-9 months) and body weight (130-140 kg) at University farm to evaluate the effect of high plane of nutrition on blood biochemical and minerals profile and the age at puberty. Twelve heifers were managed under routine farm feeding (control) and the rest 12 under ideal optimum feeding regime (treatment) that included extra 1 kg concentrate, 30 g min mix and ad-lib dry fodder. The body weight and ovarian ultrasonography together with blood sampling was carried out at monthly interval from 10 to 18 months of age to study the ovarian dynamics and blood biochemical changes. High plane of nutrition to growing heifers was beneficial in reducing the age of onset of puberty (by 2-3 months) compared to routine farm fed group. The mean plasma total protein and cholesterol concentrations showed a rising trend with significant variations from 10 to 16 months of age, where it got mostly stabilized indicating adult profile. The activity of enzymes GOT and GPT also rose gradually and significantly from 10 months till 14-15 months of age, and thereafter it remained more or less static till 18 months of age. The levels of both these enzymes were higher, with lower protein and cholesterol, in control than the treatment group from 15-16 months of age onwards. The mean plasma levels of both calcium and phosphorus increased gradually and significantly with advancing age till 16-17 months of age, with little higher values in supplemented than a control group. The plasma levels of zinc, iron, copper, and cobalt also showed rising trend with significant differences between 10th and 12th-14th months of age, and from 15th to 18th months of age the levels were statistically the same in all the groups with slightly higher values in the treatment group.

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