摘要:

SYNOPSISPhotoplethysmography was used to record pulsations from the superficial temporal artery and supraorbital region in 23 patients suffering from cluster headaches, in 10 patients between bouts of headache, and in 10 control subjects. Pulsations were measured before and after the administration of 0.9 mg nitroglycerin sublingually, at the onset and height of cluster attacks and after inhalation of 100% oxygen for 10 minutes. Following nitroglycerin administration, increases in superficial temporal artery pulsations were greater on the symptomatic than on the nonsymptomatic side in patients who later developed headache. This persisted during cluster headache. By contrast, the increase in superficial temporal artery pulsations was greater on the nonsymptomatic side in patients who did not develop headache. The cause of this paradoxical response is unclear. Inhalation of oxygen produced significantly greater reduction of supraorbital pulsations on the symptomatic side in patients with headache. Decreases in both arterial territories following oxygen inhalation were significantly greater during cluster headache than between bouts or than in control subjects.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502070.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISFive patients suffering from cluster headache underwent simultaneous recordings of the pneumogram, ECG, and systemic arterialpressurebefore and during attacks.The polygraphic investigations showed the following: systolic and diastolic blood pressure increased during attacks; mean heart rate decreased or increased; mean respiratory rate decreased or remainedunchanged. Standard deviations and coefficients of variation of all three measures calculated during attacks were higher than those recorded before attacks. The polygraphic recordings showed that during attacks there were phasic cardiovascular changes characterized by an increase and subsequent decrease in arterial pressure and heart rate, synchronous with the respiratory movements.Cardiovascular reflex function was assessed in two patients prior to and during attacks: Valsalva maneuver was normal be fore and during attacks; beat‐to‐beat variation of heart rate and heart rate variability during deep breathing showed higher values during attacks compared with values beforehand.The findings of this study suggest a central disturbance of vagus‐sympathetic equili

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502075.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISThis study compared physiological reactivity to stress of subjects who frequently experience tension headaches and subjects who rarely get headaches. Physiological measures were Frontal and Trapezius muscle tension and Heart Rate. Subjects prone to headaches and subjects not prone to headaches did not differ on any variable, although there was a trend for subjects who were prone to headaches to have the highest Frontal muscle tension levels. For further analyses, subjects prone to headaches were separated into two groups: Subjects with headache during the psychophysiological assessment and subjects who were headache‐free during the assessment. Only subjects who were prone to tension headaches and who were actually experiencing a headache at the assessment had significantly higher Frontal muscle tension than controls who were not prone to headaches. These results suggest greater attention needs to be paid to the subjects' current headache state in research on the psychophysiology of headach

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502079.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISThe decreased frequency of headache in the aged is generally acknowledged. Thus in a general population, Waters (1975) reported 74% men and 92% women suffering from headaches and ranging between 21 and 34 years, while in a group aged 75 years or more, he reported only 21% men and 55% women. Likewise Newland et al (1978) mentioned 88% men and 96.7% women ranging between 21 and 34 years suffering from headaches and only 45.5% men and 52.7% women aged 75 years or more. Our previous study18dealed with a group of 1990 headache sufferers (H.S.), who consulted for isolated headache among whom we noticed a low percentage (about 5%) of individuals over 65.This decrease of headaches in aged people is difficult to explain and there are few studies concerning headaches in the elderly. Prospective studies were carried out in poorly homogeneous groups examined by written questionnaires,3,4,5,6.less accurate than a direct examination. Conversely, this present study deals with a group of hospitalized patients, more homogeneous as regards the age, examined and followed up very closely. There are still no studies tending to compare H.S. and non‐headache sufferers (N.H.) and dealing with the difference or relationship between them. The aim of this work is an epidemiological and clinical analysis within a group of old people and then a comparison between this group and another of N.S. to determine if the life conditions and the socio‐professional environment have any influence on the occurrence of headac

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502085.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISTo clarify the actual components of headache syndromes and their possible association with other types of pain and psychological traits, 177 patients subject to severe intermittent headaches were studied. Data used were derived from (a) a de tailed headache questionnaire, (b) a second questionnaire concerning the occurrence of other pain and of feelings of good or ill health, (c) the Cornell Medical Index. A stepwise regression analysis was run for each headache characteristic using data from the pain questionnaire and the Cornell Medical Index as independent variables. Interesting associations of variables were (1) increased frequency of headache with male sex and increased duration of headache with female, (2) inability to carry on work load during headache, headache preceded by spots before the eyes, weakness of arm or leg preceding headache were all positively associated with history of fainting. Neither vomiting with headache, nor unilaterality of pain was associated with any other pain variables. Also of note was the fact that there was no evidence by testing of increased psychological disturbance in patients with back pain. The results suggest that the “tension headache‐neurosis” concept is dubious, that autonomic instability as evidenced by fainting is indeed important in some headache syndromes, and that new headache syndromes need to be de

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502090.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISInvolvement of the sympathetic nervous system in the pathogenesis of migraine attack has long been hypothesized, on the basis of anatomical, clinical and biochemical data.A double‐blind placebo‐controlled randomized study was carried out on 2 groups of 20 patients each: the first was affected by common migraine, the second by tension headache. Clonidine and mianserine effects were evaluated by testing the threshold of histamine‐induced migraine, the intensity of induced pain and the migraine attacks' characteristics, after 90 days' preventive treatment. Hamilton Rating Scale for Depression was administered to evaluate anxiety and depression during the treatment. A long‐term preventive effect on migraine incidence was registered using bot

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502095.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISSeveral previous investigations have suggested a positive relationship between anxiety symptoms and headaches. Twenty patients with anxiety symptoms severe enough to warrant a psychiatric diagnosis of anxiety disorder were questioned about headaches. The number of anxiety disorder patients afflicted with headaches was not different from that reported by 49 non‐ill control

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502101.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISCluster headache pain is thought to arise from vasodilatation, but a neural origin of the pain has never been completely excluded. Some patients with cluster headache have complained of subjective diminution of sensation over the ipsilateral forehead. This is hard to quantitate and is often variable. Besides, ablation of trigeminal sensory pathways has been re sorted to for relief of pain in some intractable cases.The present study was undertaken to quantitatively assess the sensitivity of the cornea in cluster patients. Fifteen cluster headache patients were the subjects of this study. Measurement of the corneal sensitivity was undertaken using a Cochet‐Bonnet Aesthesiometer. There was no difference between the affected and the unaffected eye. There was no difference in the sensitivity when testing was done during the cluster period and later on when the patients were in remission. It is concluded from this study that there is no objective evidence for involvement of trigeminal sensory pathways in patients with cluster headach

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502104.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISClomipramine, metoprolol, or placebo was administered to 36 migraine patients in a double‐blind crossover study. The patients were randomly assigned to one of the following five treatment groups: group 1 (clomipramine followed by placebo), group 2 (placebo followed by clomipramine), group 3 (metoprolol followed by placebo), group 4 (placebo followed by metoprolol), and group 5 (clomipramine followed by metoprolol). Dosage form was the same in all groups. The study de sign consisted of a 6‐week baseline period, administration of first drug for 4 weeks, a 4‐week washout period, administration of second drug for 4 weeks, and a 6‐week followup period. Headache variables such as attack frequency as well as headache intensity and duration were recorded daily in diaries. The data were evaluated by time series analysis (ARIMA). Only metoprolol significantly reduced attack frequency and headache duration. Adverse reactions to clomipramine were severe. Our results showed metoprolol to be an effective antimigrai

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502107.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2502115.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY