摘要:

SYNOPSISAlthough it has long been appreciated that migrainous aura symptoms can occur without headache, it is less well known that headache often follows apparently embolic transient ischaemic attacks. It is suggested that these two diagnoses may originate with similar, if not identical, mechanisms, and that a predisposition to spreading depression may underly those clinical features usually considered characteristic of migraine.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705240.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705244.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISWe undertook a double‐blind, placebo controlled study to determine the effectiveness of fenoprofen calcium in the prophylaxis of migraine. One hundred and ten patients were treated with fenoprofen 200 mg. TID (35 patients), fenoprofen 600 mg. TID (39 patients), or matching placebo (36 patients), for 12 weeks, following a four week placebo baseline phase. Migraine frequency, severity, duration, and need for relief medication were recorded using headache diaries. Greater than 50% improvement in headache unit index was observed in 22% of patients on fenoprofen 200 mg. TID (p<0.05) and 36% of patients on fenoprofen 600 mg. TID (p<0.005). Fenoprofen 600 mg. resulted in 50% or greater reduction in corrected headache unit index in 59% of patients (p<0.005) and relief medication index in 55% (p<0.001), Gastrointestinal side effects were reported in 13.5% of patients, and fatigue was noted in 4% of patients treated with fenoprofen 600 mg. TID. We conclude that fenoprofen is safe and effective in the prophylaxis of migrain

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705246.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISFollowing consumption of a somewhat more than usual amount of coffee, and on a background of only scant food intake that day, a physically‐fit 31 year old male engaged in unusually strenuous running. About an hour after cessation of exercise, he developed, for the first time in his life, symptoms consistent with a migraine prodrome (as a researcher in migraine, the subject was familiar with the symptoms of migraine, though he himself was not a migraine sufferer). No head pain followed. The roles of caffeine, hypoglycemia, and exercise, alone and in combination, require investigation in the evaluation of other cases of exercise‐induced migraine. Also, the occurrence of exercise‐induced prodromes, without headache, may not be correctly interpreted by some subjects unfamiliar with the multiple potential manifestations of mig

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705250.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISA thirty‐four‐year‐old male, with a ten‐year history of typical common migraine, had, on three occasions, typical migraine headaches which were associated with vomiting. During each of these episodes, atrial fibrillation was documented. Cardiac rhythm was normal between episodes. In this case, we feel that the atrial fibrillation was secondary to an increase in vagal tone resulting from vomiting. We doubt that the migraine itself was responsible for the atrial fibrillation. We propose that the association of migraine and atrial fibrillation be treated by control of vomiting. Where vomiting is hard to control, then atropine given on a prophylactic basis may also be helpful, as atropine is shown to be effective in the prophylaxis of atrial fibrillation when it is secondary to an increase in vag

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705252.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISThe purpose of this study was first, to examine the efficacy of adding a cognitive therapy component to traditional relaxation training; and second, to examine the feasibility and cost‐effectiveness of administering these treatments in a largely self‐ad‐ministered format for headache patients. Twenty‐five muscle contraction headache sufferers were assigned to one of three treatment conditions, which provided either relaxation training alone or relaxation training in combination with cognitive therapy. Procedures were delivered utilizing either a therapist‐ad‐ministered office‐based format, or a largely self‐administered format designed to provide significantly less therapist contact than the office‐based procedure. At one‐month post‐treatment, patients in all 3 conditions exhibited significant decreases in headache activity, with no significant differences between the groups, although then appeared to be a slight advantage for the cognitive groups and for groups with increased therapist contact. Patients in all 3 groups evidenced significantly greater use of relaxation and cognitive strategies at post‐treatment, with the combined treatment groups showing slightly greater use of the latter. Additionally, all 3 groups decreased their use of traditional medical strategies. There were no significant differences in cost‐effectiveness among the 3 groups. However, overall this study suggests that largely self‐administered treatments can result in significant improvements in headache, while substantially reducing the total

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705254.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISThe retrospective estimation of duration of an event appears to depend upon the amount of information processed within a given interval. Little information processing leads to under‐estimation of duration while an increase in the amount of information processed raises the duration estimate of the interval. During chronic recurring headache, patients usually exhibit automatic responses directed toward avoiding stress in general and sensory stimulation in particular. This reduction of information processing would be expected to lead to under‐estimation of duration of the headache. When headache free, the estimates of duration should increase. These hypotheses were tested in three experiments. In the first experiment, 38 patients with primary headache (migraine, muscle contraction, or mixed headaches) were asked to estimate the duration of a respiratory biofeedback session. Patients with headache at the time of the session gave significantly lower estimates of the duration of the session than patients without headache. The second experiment was similar to the first, but used electromyographic (EMG) biofeedback in 44 patients. Those patients with headache again tended to underestimate the du ration of the biofeedback session to a greater degree than patients without symptoms. A third experiment with 23 primary headache patients showed a tendency to overestimate the duration of a reading task during headache free intervals as compared with 30 normal controls. The perceived shortened duration of an experience during headache may have clinical implications. Normal time perspective, which usually shortens the subjective duration of previous events, may be enhanced by this additional bias. The perception of much shorter intervals between past drug intake and headache relief would tend to create the impression of loss of drug efficiency for the present headache, leading to increased frequency and dosage of medication. The misperceived shortening of the latencies of therapeutic effect in previous headaches may be one of the causes of drug ab

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705261.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISThis transverse statistical study deals with a series of 412 patients with migraine ranging between less than one year and more than thirty years of evolution. The chronological and clinical characteristics and the therapeutic results vary with the duration of the condition. In long standing migraine, there are less typical migrainous characteristics (prodromes, hemicranias). Classic migraine has a shorter evolution than common migraine. Menopause seems to have an ameliorating effect on migraine. Whatever the duration of migraine neurotic conditions are the most common pathological previous history. Even in long‐standing migraine, the erget derivatives are the most efficient antimigrainous drug

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705266.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

摘要:

SYNOPSISInformation on the prevalence of headache in an ambulatory elderly population was collected from 1,284 participants in a health screening program in Dunedin, Florida. Association between headache and possible risk factors including age, sex, reported symptoms and diseases, drug use, physical characteristics, and sleep patterns were studied. Eleven percent of women and 5 percent of men reported frequent headaches. There was no relationship between age and reported headache in this elderly population. The most commonly reported positions for headache were frontal (35.2 percent) and all over (29.7 percent). In women there was a significant correlation between headache and the total number of other diseases and symptoms reported (p<0.0001). However, in men, there was no such correlation. Numerous specific symptoms were found to be associated with headache in women including: temporary loss of vision, expressive aphasia, and feeling that others do not care. In men, headache was significantly correlated only with paroxysmal nocturnal dyspnea, feeling lonely, and feeling depressed, Subjects who slept less than seven hours a day reported a greater prevalence of headache (13.5 percent) than those who slept more than seven hours (8.1 percent) (p<0.01). There was no correlation of headache with systolic or diastolic blood pressure, coffee, alcohol or tobacco use, or the amount of time spent watching television. Elderly headache sufferers, in summary, often have other conditions coexisting with and/or contributing to the headaches. Some of these conditions may respond to psychological or medical intervention.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705272.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1987.hed2705277.x

出版商:Blackwell Science Inc    

年代:1987

数据来源: WILEY