Chronic migraine affects 2 % of the population and has substantial impact on quality of life and considerable burden on healthcare resources. 50-80 % patients with chronic migraine have excessive consumption of analgesic medications. Withdrawal of analgesics is often advised before commencing preventive treatments. However, some headache experts recommend preventive treatments alongside analges...

Background: Neurologic literature on therapeutic effect of subcutaneous corticosteroids in patients with migrainous chronic daily headache is scarce. The aim of this research is to assess the therapeutic effects of this management in such patients.Methods: Consecutive patients with migrainous chronic daily headache enrolled a prospective before-after therapeutic study during 2010-2013. Methylpr...

Migraine headaches are a common, debilitating syndrome causing untold suffering and loss of productivity. A review of the literature indicates that high levels of blood lipids and high levels of free fatty acids are among the important factors involved in triggering migraine headaches. Under these conditions, platelet aggregability, which is associated with decreased serotonin and heightened pr...

CONTEXT Cluster headache is an excruciatingly painful primary headache syndrome, with attacks of unilateral pain and cranial autonomic symptoms. The current licensed treatment for acute attacks is subcutaneous sumatriptan. OBJECTIVE To ascertain whether high-flow inhaled oxygen was superior to placebo in the acute treatment of cluster headache. DESIGN, SETTING, AND PATIENTS A double-blind, ...

Patients suffering from cervicogenic headache (CeH) are commonly treated with spinal manipulative therapy. We have analyzed the quality and the outcomes of published, randomized, controlled trials assessing the effectiveness of spinal manipulation in CeH. Among 121 relevant articles, only two met all the inclusion criteria. Methodological quality scores were 8/10 and 7/10 points. Only one of th...

No matter how well-prepared you may feel, once seated before the doctor you may find yourself unable to speak or rambling on without saying what you meant . . . to the frustration of all, and often with little or nothing gained by the visit’s conclusion. This is particularly true for disorders such as headache, wherein the medical problem is largely subjective in nature and a concise, accurate ...

background programs to improve the pain and health status in illnesses with pain such as headache are still in their infancy. mindfulness-based stress reduction (mbsr) is a new psychotherapy that appears to be effective in treating chronic pain. objectives this study evaluated efficacy of mbsr in improving pain severity and mindful awareness in patients with tension headache. conclusions mbsr c...

This prospective cohort study determined the incidence and risk factors for development of postdural puncture headache (PDPH) in children after lumbar puncture (LP). Eighty-six children were enrolled. LPs were performed with use of 22-gauge spinal needles with the bevel oriented parallel to the long axis of the spine. Follow-up telephone interviews and patients' diary of symptoms were collected...

Cavum septum pellucidum (CSP) and cavum Vergae (CV) are unusual variants and usually asymptomatic, but their expansion or inside lesions can produce symptoms by mass effect. A 46-year-old female Taiwanese worker presented with chronic daily headaches for eight years. Magnetic resonance imaging revealed coexistent CSP and CV. She declined surgical drainage recommended by a neurosurgeon and thus ...