The management of patients with headaches is a major component of every paediatric practice. In a nationally representative sample of Canadian adolescents, it was found that 26.6% of those 12 to 13 years of age and 31.2% of those 14 to 15 years of age reported that they experienced headaches at least once per week.The diagnosis of headaches in children and adolescents is established through a h...

Maria Joana Osorio, MD Poonam Bhatia, MD Giulio Zuccoli, MD Deborah Holder, MD SECTION 1 A 14-year-old girl presented to the neurology clinic complaining of headaches. She described her headaches as mild (intensity 3/10), holocranial, and pounding in character. There was no nausea or vomiting, or photophobia or phonophobia. The patient described in detail a sequence of symptoms from the onset o...

Topiramate appears to be useful in the prophy-laxis of several types of headache as these case histories illustrate. Patient 1.— A 42-year-old woman presented with recurring headaches since aged 8. She has severe headaches about two times per month described as a generalized throbbing with nausea and occasional vomiting lasting up to 3 or 4 days, but she does not experience aura, or light or no...

C headache due to a space occupying lesion is very rarely an isolated symptom and there are invariably accompanying neurological signs Abstract This article aims to provide a practical guide to the common causes of headache and their assessment in children. Contrary to popular belief, headaches are very common in children. The primary headache disorders, which include migraine and tension-type ...

The neurovascular theory does is contrary to the vascular theory and instead suggest the vasodilation is a phenomenon that is a associated with trigeminal nerve axon activation from triggering mechanisms. This then releases neuropeptides such as substance P, neurokinin A, and CGRP (a potent vasodilator) from axon terminals near the meningeal and other blood vessels. This then produces an inflam...

The case of a man with a 34 year history of episodic cluster headaches is described. At the peak of a cluster the headaches occurred up to twenty times a day. The headaches were unresponsive to conventional therapy but were dramatically abolished by indomethacin. This effect of indomethacin was confirmed in a double-blind placebo-controlled trial.

conclusions this biobehavioral-based multimodal physical rehabilitation treatment combining mt, tpe and mcte produced a substantial reduction in pain intensity, pain catastrophizing, disability and the impact of headaches on patient’s life. case presentation a 34-year-old woman was known to have chronic tth. initially, the patient presented moderate headaches 5 days per week, mechanical neck pa...

OBJECTIVES The aim of this study was to investigate the role of the chemokine receptor CX3CR1 in headaches and migraine. METHODS Distribution of 2 polymorphisms of the chemokine receptor CX3CR1 (V249I and T280M) was determined in a population-based sample of 1179 elderly individuals. RESULTS Heterozygotes for both CX3CR1 polymorphisms had a reduced risk of recurrent headaches, with an odds ...