摘要:

SYNOPSISWe report a series of 11 patients who developed headaches during intracranial endovascular procedures performed for the treatment of arteriovenous malformations (10 cases) or aneurysms (1 case).Headache was precipitated either by balloon inflation (3 cases) or by embolization (8 cases), and had a very constant pattern. In all cases the pain started suddenly, reaching maximum intensity at once. Headache was focal, unilateral, ipsilateral to the occluded artery, nonthrobbing and short‐lasting (usually less than 10 minutes). It was not associated with gastrointestinal, autonomic, or aura‐like symptoms. Headache localization depended upon the catheterized artery, being constant for each of the major vascular territories. Yet, in all patients pain was felt in the cutaneous territory of the ophthalmic division of the trigeminal nerve.The occurrence of headache was not associated with cortical deficit nor cortical irritation (assessed both clinically and by the EEG) and therefore seems to be directly related to the stimulation of the arterial wall. This type of pain can be used as a model of pure vascular headache. Its study can contribute not only to understand the pattern of intracranial vascular innervation but also to understand or to refute the vascular components of migra

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305227.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISMRI using gadolinium contrast material can demonstrate lesions in cranial nerves. Tumors and Inflammatory lesions have been described.1,2There is little published information on MRI of cranial nerve in patients with migraine headache with ophthalmoplegia.3We present a case of ophthalmoplegic migraine with a cranial nerve abnormality which was subsequently shown to improve as the patient clinically improved. Implications from this finding are discussed in relation to the pathophysiology of ophthalmoplegic migraine.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305234.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISWe report a case of angina presenting as headache in a 59‐year‐old man. Headaches were relieved by nitroglycerin and were reproduced by occlusion of the first obtuse marginal artery during angioplasty. Headaches resolved after successful angioplasty. The temporal relationship between coronary artery occlusion and the headache suggests that headache angina is due to referred pain rather than a generalized vaso‐spastic dis

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305238.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISBenign cough headache (BCH) presents as an intermittent, usually bilateral, severe bursting or explosive pain brought on by coughing. Some of the known conditions which can mimic the pain experienced in BCH are subarachnoid hemorrhage, increased intracranial pressure, intracranial tumors, and even toothache. Careful evaluation must be carried out in order to differentiate between these conditions. A case of BCH which presented as a toothache is reported. The evaluation for exertional headaches, and for headaches brought on by coughing, is discussed.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305240.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISThis paper describes the development, construct and discriminant validity, and incremental utility of a headache self‐efficacy scale. The Headache Self‐Efficacy Scale is a 51 item scale designed specifically for recurrent headache sufferers. It assesses individuals' belief that they are able to do the things necessary to prevent a moderately painful headache when confronted with personally relevant headache precipitants. High self‐efficacy was associated with less depression, anxiety, and physical symptoms, and less use of passive coping strategies (P<.01), even when headache frequency, intensity and chronicity were controlled statistically. Self‐efficacy also explained unique variance in psychological and somatic symptoms beyond that explained by locus of control and general self‐efficacy. These findings suggest that adaptation to headaches is influenced by self‐efficacy beliefs, and that the assessment of self‐efficacy may provide useful information in the evaluation of recurrent heada

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305244.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISThe responses in cervicogenic headache to four different agents have been studied. Nitroglycerin was given sublingually to 27 patients. Eighteen patients got more than 20% increase of their headache. Of those with any headache increase at all, 12 got bilateral and 12 unilateral pain. The typical late cluster headache response to nitroglycerin was not seen in cervicogenic headache. The provocative effect of nitroglycerin seemed less marked in cervicogenic than in cluster headache. Oxygen inhalation, a frequently used treatment for cluster headache, was given to 14 patients with cervicogenic headache. In general, the effect seemed uncertain and probably clearly inferior to the effect in cluster headache. Ergotamine treatment (given to 13 patients) also seemed to be of little avail in cervicogenic headache. Morphine injections given to 11 cervicogenic headache patients resulted in “marked” improvement in 4, but complete pain freedom was only seen in 2 cases. In our opinion, the present results add further evidence to the view that different etiologic and pathogenetic factors underlie cervicogenic headache and cluster heada

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305249.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISA follow‐up study of 123 patients with episodic cluster headaches and of 9 patients with chronic cluster headaches was undertaken after 10–25 years, (mean 14.7 and 13.9 years respectively). This shows a significant but low remission rate for both episodic and chronic cluster headache. It confirms the observation that some patients change from episodic to chronic pattern, and that occasionally chronic clusters may become episo

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305253.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

摘要:

SYNOPSISFour cases of idiopathic stabbing headache subjectively perceived as lasting several seconds are reported. The classification of the International Headache Society suggests that these headaches typically last “a fraction of a second”. The perception of such brief pains may be difficult to quantitate and, therefore, the duration of the headache should not be used as a strict diagnostic crite

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305257.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305264.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1993.hed3305273.x

出版商:Blackwell Science Inc    

年代:1993

数据来源: WILEY