Giant arachnoid cyst in adult presented with secondary epileptiform activity

Background: Current studies contain controversies regarding indications and preferable surgical techniques for arachnoid cysts. Case Description: In this paper we present case report of giant arachnoid cyst of right frontal lobe in young left-handed adult with headache, MRI sings of brain compression and epileptiform activity on EEG, treated by microsurgical cystostomy. Conclusion: We add a case of young adult with tension headaches and possible sub-clinical seizures due to arachnoid cyst, whose symptoms disappeared after surgical management of the cyst, including normalization of EEG.

Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture

The purpose of this study was to investigate the effect of flexion exercise of the deep cervical muscles on headache and sleep disorders in patients with tension headaches and forward head posture. A total of 32 patients with tension headaches and forward head posture were randomly assigned to two groups: an experimental group (n = 16) and a control group (n = 16). The experimental group performed cervical deep muscle flexion exercises for 4 weeks, whereas the control group performed stretching exercises for the same period. The Henry Ford Hospital Headache Disability Inventory (HDI) was used for headache assessment, and the Korean version of the Pittsburgh Sleep Quality Index (PSQI-K) was used for sleep disorder assessment. The experimental group showed a significant reduction in both HDI and PSQI-K score after 4 weeks of intervention (p < 0.001), while no significant difference was found in the control group (p > 0.05). On comparing the experimental and control groups, we found a significant difference in changes in the HDI and PSQI-K between the groups (p < 0.05). The results indicate that flexion exercise of the deep cervical muscles in patients with tension headache and forward head posture will improve the quality of life and activities of daily life by mitigating headaches and sleep disorders.

Images in anesthesiology: three safe, simple, and inexpensive methods to administer the sphenopalatine ganglion block

The sphenopalatine ganglion (SPG) block is a simple and valuable technique that was discovered over a century ago, but, unfortunately, very few anesthesiology providers are familiar with this block. After some of our recent publications, physicians from different countries have reached out to us requesting more specifics on how we perform our version of the block. In this report, we provide a brief history of the block and demonstrate our three effective, simple, readily available, and inexpensive methodologies with images. We are proud to share that our three SPG block techniques have so far effectively relieved patients of chronic migraines, acute migraines, tension headaches, moderate-to-severe back pain, and post-dural puncture headaches.

PERBANDINGAN KEJADIAN NYERI KEPALA TEGANG OTOT (TENSION TYPE HEADACHE / TTH) ANTARA PENGGUNA KOMPUTER DAN MIKROSKOP PADA PEKERJA

Computers and microscopes are tools used by workers at PT. NPCB, in the quality control and screening section. When working using the tool within> 4 hours can cause tension headaches in the muscles. This study aims to determine the comparison of the incidence of muscle tension headaches between computer users and microscopes. This type of research is quantitative and analytic with the cross-sectional approach. Respondents are 33 people who use computers and 34 microscopy users at PT. NPCB Batam City in 2019. Computer users and microscope users are measured on their headache scale using the VAS questionnaire. Data were analyzed univariately and bivariate. Bivariate analysis records the frequency distribution of each variable. Bivariate analysis using the chi-square test. From the chi-square test results showed no significant difference in the incidence of muscle tension headaches between computer users and microscope users with a significance value (Pearson value) of 0.957 (p> 0.05). The comparison of the VAS value of Computer and Microscope users is 4.73: 4.41 with a p-value of 0.523. Based on this study it can be concluded that there is no significant difference in the incidence of muscle tension headaches between computer users and microscopes.

Emotion Regulation Difficulties and Repetitive Negative Thinking in Patients With Tension Headaches and Migraine

Background: Tension and migraine headaches are the most prevalent types of headaches. Some emotional and psychological factors are associated with these headaches. Objectives: To elucidate the nature of individual differences in emotion regulation and repetitive negative thinking among patients with tension headaches and migraine and compare it with normal subjects. Materials & Methods: In this cross-sectional, comparative study, the participants consisted of patients with tension headaches and migraine referring to the two neurology clinics in Isfahan City, Iran from 2019 to 2020. A diverse sample of patients (n =240) completed the difficulties in emotional regulation scale and perseverative thinking questionnaire. The Chi-square tests, Fisher’s exact test, GLM (generalized linear model), Tukey post hoc test, and LSD (least significant difference) test were used to analyze the obtained data in SPSS V. 21. Results: The results indicated that patients with a high level of repetitive negative thinking reported increased difficulties in emotional regulation and impulse control, limited access to emotion regulation strategies, and lack of emotional clarity (P<0.05). Moreover, the tension headaches group showed a higher level of difficulties in emotional regulation and repetitive negative thinking than the migraine and control groups (P<0.001). Conclusion: Weak emotional regulation and repetitive negative thinking are associated with migraine and, especially tension headaches. Therefore, therapeutic plans based on emotion regulation and thinking problems should be considered as a complementary and necessary treatment for these types of headaches.

HUBUNGAN PENGGUNAAN KOMPUTER DENGAN KEJADIAN NYERI KEPALA TIPE TEGANG PADA PEKERJA

In the current era of globalization, humans always interact with technological developments. One result of the development of technology is the use of computers. The use of computers that are not under the ergonomic position causes effects on health, one of them is tension-type headaches. In the United States, 1-4% of patients coming to the Emergency Care Unit complain of headache, 90% of them are tension-type headaches. The proportion of migraine and other headache syndromes in the hospital. Harapan Bunda in 2011 and RS. Camatha Sahidya in Batam in Batam was 5% and 0.7% respectively. Whereas the incidence of tension headaches in 5 puskesmas in Batam in 2014 ranged from 0.5% - 1.3%. The proportion of tension headaches at the BIP Clinic in the January-April 2018 period is 1.5%. Tension-type headaches that occur continuously can cause barriers to daily activities. The purpose of this study is to determine the relationship of computer use with the incidence of tension-type headaches in workers. This research uses a descriptive-analytic method with a cross-sectional approach. The sampling technique is purposive sampling. Of 97 respondents who visited the clinical BIP that met the criteria, it was found that computer user respondents experienced tension-type headaches of 18 people (42.9%) and not tension-type headaches of 24 people (57.1%). Whereas the respondents who were not computer users experienced tension-type headaches of 10 people (18.2%), and non-tension-type headaches of 45 people (81.8%). Bivariate chi-square analysis showed that p = 0.008 (p <0.05). This means that Ha is accepted and H0 is rejected.

Tension headache. State of the problem, new aspects of etiopathogenesis, neuroimaging possibilities, non-drug treatment methods (review)

The prospects for the use of functional magnetic resonance imaging methods in the diagnosis of cognitive and neuropsychiatric disorders in patients with tension headaches are quite wide, as they allow a more detailed study of the pathogenesis of the above disorders. To date, the effectiveness of osteopathy in the treatment of patients with tension headaches has been shown. It remains an open question to develop a generally accepted method of diagnosis and treatment, including the use of complementary therapies, neuroimaging objectification and determination of the state of functional connections of the brain for more accurate diagnosis and prediction of treatment effectiveness. The present review summarizes the current ideas about the etiopathogenesis of tension headache (including the study of the functional connections of the brain) and available data on the clinical efficacy of osteopathic correction.