Cervicogenic headache is a chronic hemicranial pain, usually occurring daily. This randomized, double-blind, placebo-controlled trial evaluated the effectiveness of nerve stimulator-guided occipital nerve blockade in the treatment of cervicogenic headache. The reduction in analgesic consumption was the primary outcome measure. Fifty adult patients diagnosed with cervicogenic headache were rando...

BACKGROUND Migraines are a neurological disease, of which the most common symptom is an intense and disabling episodic headache. Many persons experience sensory hyper excitability manifested by photophobia, phonophobia and osmophobia. This study was planned to investigate the prevalence of osmophobia in migranous and episodic tension type headache (ETTH). MATERIALS AND METHODS A semi-structur...

We conducted a retrospective analysis of the records of 1348 patients regularly treated at the headache clinic of Department of Neurology of Santa Casa de São Paulo, Brazil. Sixty-two patients reported history of daily and persistent headache. From the 62 patients selected, only 21 (group 1) could be diagnosed with new daily-persistent headache (NDPH) according to the International Headache Soc...

OBJECTIVE To study the pattern of migraine, and to show the effect of age and duration of illness on the evolution of migraine symptoms. METHODS A review of 200 migraine cases (attending the outpatient neurology clinic at Rezgary Teaching Hospital, and Kurdistan Private Neurology Clinic) was carried out during the period between October 2007 to May 2008. Case definition of migraine was accord...

Introduction. Posterior Reversible Encephalopathy Syndrome (PRES) is an increasingly recognized clinical and radiological entity with a wide spectrum of symptoms. Its mechanism depends on failure of the blood-brain barrier due to high systemic blood pressure (BP) and loss of integrity of vascular endothelium related with different triggers. Methods. We aim to report a case of PRES induced by ar...

OBJECTIVE The objective of this study is to compare the efficacy and tolerability of intravenous valproic acid (iVPA) with intramuscular metoclopramide + subcutaneous (SQ) sumatriptan for prolonged acute migraine. BACKGROUND Intravenous valproic acid has been explored as a possible treatment of acute migraine. Sumatriptan and newer generation triptans are also effective for migraine. However,...

A 52-year-old male on chronic prednisone for polymyalgia rheumatica presented with a subacute history of headaches, nausea, phonophobia, intermittent diplopia and gait instability. He was hospitalized 2 weeks prior to presentation with extensive evaluations only notable for leptomeningeal inflammation on MRI. His symptoms progressively worsened and he developed aphasia. He was transferred to ou...

Objective: Determine the frequency of migraine, its triggering factors and assessment impact on daily life among medical students ofa private college in Lahore, Pakistan. Settings: First to final year MBBS Fatima Memorial College Medicine, Lahore Period: February April, 2019. Material & Methods: In a total 708 students, 118 were identified, as having experienced headache for past one year. ...

Introduction A thunderclap headache is a severe that starts suddenly and may be sign of condition can life threatening. Objective To present case rare cause headache. Case presentation 37-year-old female patient was admitted in the neurological emergence service private hospital city São Paulo. She had sudden, explosive, pulsatile headache, with photophobia phonophobia. The examination no focal...

IntroductionHeadache is a common symptom among patients on hemodialysis, occurring in up to 70%. Dialysis headache defined by the International Classification of Headache Disorders (ICHD-3) as with no specific characteristics, during and caused which resolves spontaneously within 72 hours after session has ended. There consensus its pathophysiology or triggering factors. ObjectiveTo evaluate pr...