摘要:

SYNOPSISThe etiology and pathogenesis of cluster headache remain largely unknown. Some previous studies have focused on personality characteristics in cluster headache. However, no consistent personality profile has been found. The present study applied two personality inventories, the Karolinska Scales of Personality (KSP) and the Heart and Lifestyle Type A Measure (HALTAM), that have not previously been used in the context of cluster headache. A correlation has been suggested between left‐handedness and early learning difficulties, and cluster headache.12 Thus, these variables were included and measured by inventory techniques.Forty‐nine out of 51 consecutive male patients with episodic cluster headache participated in the present study. As compared to controls, the cluster headache patients were significantly more anxiety‐prone (higher scores in the KSP Somatic anxiety and Muscular tension subscales), less successfully socialized (low scores in the KSP Socialization scale), and had a more hostile attitude towards others (higher scores in the HALTAM Hostility scale). No relationships between left‐handedness or early learning difficulties, and cluster headache disease were found. The implications of the personality differences for the etiology of cluster headache disease are di

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203119.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISTwenty‐eight cluster headache patients were examined either in emission (n=10), in the interparoxysmal period (“cluster phase”) (n=12), or during spontaneously occurring (n=7), or nitroglycerin provoked (n=7) attacks. Fourteen healthy controls participated in the study. Oxygen saturation (SaO2), end‐tidal CO2(PCO2), and respiratory rate (R.R.) were recorded for the controls and the patients during the different phases of cluster headache. Both PCO2and SaO2tended to be lower during the interparoxysmal period of the cluster phase when compared to the control group or to the remission. During both nitroglycerin‐provoked and spontaneous attacks, PCO2and SaO2tended to respectively decease and increase, both when compared with the “cluster phase” and with the period immediately prior to attack (“pre‐attack”). Hence the “pre‐attack” state may, on an average, be characterized by a slight hypoxia and a slight hyperventilation. Marked, clinically observable hyperventilation was present only in the occasional cluster headache patient.There was no SaO2decrease from the “cluster phase” (inter‐paroxysmal period) to the period immediately preceding the attack (“pre‐attack”), and SaO2“dips” preceding an attack were only observed in one cluster headache patient. As demonstratedpreviouslyby our group, a considerable lowering of SaO2(i.e. partly to £83%) does only exceptionally lead to attack (Zhao et al, 1990). This observation combined with the evidence presented hereinmay seemto indicate that the slight pre‐attack oxygen desaturation probably is too small to be a symptom‐producing factor in cluster headache ‐ be it in the spontaneously occurring or in the induced attack. Slight O2desaturation and hyperventilation may, however, be subtle reflections of an und

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203126.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISIn the last few years a fundamental role for magnesium in establishing the threshold for migraine attacks and involvement in the pathophysiologic mechanisms related to its onset has become evident. We measured serum and salivary magnesium levels in juvenile migraine patients (with and without aura) and in a group of healthy young individuals by atomic absorption spectrophotometry. Migraineurs were studied in migraine‐free (interictal) periods and during attacks. In comparison with normal subjects, migraine patients had lower levels of serum and salivary magnesium interictally. Serum magnesium levels tended to be further reduced during attacks. With respect to the values of interictal periods we observed a reduction, not statistically significant, of salivary magnesium levels for both migraine groups. Serum, and to a lesser extent salivary magnesium level reduction, could be an expression, at the peripheral level, of reduced cerebral magnesium levels which would contribute, at least in part, to defining the threshold for migraine attack

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203132.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISThis article reviews the technique and physics relevant to a functional understanding of transcranial doppler. The frequently contradictory findings in migraine are reviewed. Several studies suggest increased flow velocities are common in the interictal period. There are disparate findings between studies of the ictal period. In cluster headache, there appear to be more easily reproduced changes between and during cluster attacks.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203136.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISOver two years, 92 patients were treated in the office for 146 severe headache episodes. Headaches were aborted using four different intravenous regimens containing 0.5 or 1 mg. of dihydroergotamine and 3.5, 5, or 10 mg. of prochlorperazine. The speed and rate of response were directly proportional to the prochlorperazine dose used. High prochlorperazine doses (10 mg.) aborted the most headaches (95%) in the shortest time, but caused more sedation and akathesia. Low doses (3.5 mg.) aborted less headaches (89%) and responses were delayed; but, on the other hand, sedation was minimal and akathesia mild and uncommon. Dihydroergotamine given alone caused intolerable side effects; but, when it was given with prochlorperazine, efficacy was enhanced and side effects were greatly reduced. Aborting headaches in the office can be reliably achieved with minimal side effects by administering an intravenous mixture containing 1 mg. of dihydroergotamine and 3.5 mg. of prochlorperazine.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203143.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISResults of 20 consecutive cases referred for post‐traumatic headache (PT‐HA) to a psychological practice were assessed for both psychiatric and neurological diagnoses. Nineteen of the 20 cases (95%) had a diagnosable psychiatric disorder, with 15 presenting with a post‐traumatic stress disorder. Prior headache history was reported for only 25% of the referred patients, while a prior psychiatric disorder was found for 7 (35%) of the cases. Findings suggest that consideration of a psychiatric disorder should be made for PT‐HA p

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203147.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

摘要:

SYNOPSISThe long‐term effects of relaxation training for pediatric headache disorders was determined for 17 of 20 original participants from a prospective control‐group experimental design study with random assignment to antogenic relaxation, progressive relaxation, autogenic plus progressive relaxation, or waiting list control groups. Long‐term follow‐up data were obtained at an average of 51 months post‐treatment.All participants reported some increases in headache activity. Participants in the three relaxation treatment groups, however, had significantly more headache‐free days and less severe headache compared to the control group. There were no significant effects of treatment for headache duration, medication intake and rest time due to headache.Twelve of the 13 treated participants indicated relaxation training was effective in relieving headaches, with 7 reporting they practiced relaxation exercises within the past month. The results generally support the long‐term benefits of relaxation in reducing headaches originating

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203152.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203157.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203159.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1992.hed3203161.x

出版商:Blackwell Science Inc    

年代:1992

数据来源: WILEY