Objective.—To determine the prevalence of neck pain at the time of migraine treatment relative to the prevalence of nausea, a defining associated symptom of migraine. Methods.—This is a prospective, observational cross-sectional study of 113 migraineurs, ranging in attack frequency from episodic to chronic migraine. Subjects were examined by headache medicine specialists to confirm the diagnosi...

background: greater occipital never block has been shown to be an effective treatment in patients with cluster or tension type headache but there are very few studies investigating its effect in patients with chronic migraine. this study was to determine the effectiveness of greater occipital never block on headache in patients with chronic migraine. we designed an interventional before-after s...

Chronic migraine is a relatively new concept in the headache world. Until recently, the biased view in many headache specialist centres was that chronic migraine was usually due to medication overuse and improved once patients were detoxified (1). Large population-based studies, however, identified patients with chronic migraine without medication overuse (2–5). With such a recent addition to t...

1 Neurologist at Hospital Santa Clara E.S.E., Bogotá, Colombia; 2 Neurologist at Hospital El Tunal, E.S.E. and Clinica Carlos Lleras Restrepo, Bogotá, Colombia; 3 Resident of Clinical Neurology at the Universidad Nacional de Colombia, Bogotá, Colombia; 4 Neurologist at Clinica Carlos Lleras Restrepo, Bogotá, Colombia; 5 Neurologist at Clinica Carlos Lleras Restrepo; Assistant Professor at the U...

OBJECTIVE To determine dosing and side effects of dihydroergotamine as they affect outcomes in primary headache disorders. METHODS We audited our use of dihydroergotamine for inpatient management of disabling primary headache, focusing on the commonly treated problems. RESULTS Of patients interviewed, 114 had chronic migraine, 38 had cluster headache, and 11 had new daily persistent headach...