摘要:

SYNOPSISTwo adults presented with new‐onset migrainous‐type visual disturbances and had angiographically demonstrated filling defects near the torcular Herophili. Neither patient had a visual field deficit nor cerebral computed tomography evidence of an occipital infarction. The association of migraine‐like visual phenomena with cerebral venous thrombosis may provide insight into the pathogenesis of mig

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902082.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISThere have been some recent reports proposing that muscle contraction headache (MCH) and migraine are similar and may have a common etiology. It has been hypothesized that derangement of the autonomic nervous system (ANS) plays an important role in the pathogenesis of migraine. However, reports on the ANS function in MCH have rarely been submitted. Therefore, in this report, MCH patients were investigated as well as migraine patients. The cardiovascular reflex responses by orthostatic test, isometric work test and the pulse rate (R‐R interval) variation in fifteen MCH patients and fifteen migraine patients were recorded during headache‐free intervals. The plasma norepinephrine (NE) levels were also measured throughout the orthostatic tests. Fifteen healthy subjects served as the age‐matched control group. In the MCH group and the migraine group, blood pressure immediately after going from the supine to the erect position decreased more significantly than in the control group. The basal NE level was significantly low in both the MCH group and the migraine group, in comparison with the control group. MCH patients as well as migraine patients showed cardiovascular sympathetic hypofun

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902086.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISMany dietary factors have been implicated as possible precipitants of headache. There have been recent differences of opinion with regard to the effect of the artificial sweetener aspartame as a precipitant of headache. To assess the importance of aspartame as a dietary factor in headache, 190 consecutive patients of the Montefiore Medical Center Headache Unit were questioned about the effect of alcohol, carbohydrates and aspartame in triggering their headaches. Of the 171 patients who fully completed the survey, 49.7 percent reported alcohol as a precipitating factor, compared to 8.2 percent reporting aspartame and 2.3 percent reporting carbohydrates.Patients with migraine were significantly more likely to report alcohol as a triggering factor and also reported aspartame as a precipitant three times more often than those having other types of headache. The conflicting results of two recent placebo‐control studies of aspartame and headache are discussed.We conclude that aspartame may be an important dietary trigger of headache in some peopl

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902090.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISSometimes the relaxation after stress may trigger a migraine attack. This is the principle that underlies that particular variant of migraine called “weekend headache”.We hypothesize the presence in weekend headache prone subjects of a particular psychological background, different from that of common migraine sufferers. In order to detect possible differences supporting our hypothesis, we studied 104 new outpatients: 46 patients suffering from headache only on weekends (23 males and 23 females) and 58 matched common migraineurs (26 males and 32 females) with no weekend predilection.The psychological assessment was performed using the following psychometric tools: MMPI, BDI, STAI X1‐X2 . A clinical assessment of each patient was also carried out. Significant differences were found after statistically analyzing the test results. Most of the MMPI scales were found to be more elevated in both male and female weekend headache sufferers. From a clinical point of view, the weekend headache attacks proved to be similar to those of common migraine, but with a significantly higher incidence of concomitant symptoms.Our study confirms the important role that psychological factors play in the pathogenesis and clinical development of migraine and leads us to conclude that a psychic tension component is associated with the vascular one in weekend hea

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902093.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISOccasionally patients with headache present with the complaint of “a really good one. ” This paper examines three cases of patients with migraine who often referred to their headaches as “good.”When the patients were asked what made the headaches good, they immediately tried to clarify their terminology as “just a figure of speech” that really meant bad. Further exploration usually revealed the headache symptoms had indeed been “good” in a relative sense, in that it had somehow served to help the patient avoid a more unpleasant emotional situation. The headache may have allowed a “time out” or a forced period of rest in a hectic schedule, resolved a conflict for the patient in an acceptable way by becoming sick, or represented a suppressed or repressed affect, usually anger.When headaches are described as good, there may very well be something in the patient's

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902100.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISIt has long been assumed that the origin of pain in 'muscle‐contraction headache' lies in the peri‐cranial muscles, especially in the frontales. Pain, it is assumed, is experienced when the muscles are in spasm. It is further assumed that learned reductions in muscle tone between headache episodes will reduce the probability of future pain episodes.In this experiment, details are given of EMG measures made on the frontal, occipital, and neck muscles of separate groups of migraine and tension headache subjects. The measures were made before the onset of head pain and later when the same subjects reported pain. As part of the experiment, subjects were exposed to an experimental stressor during the pain‐free period, and these results were compared with those of a group of non‐headache subjects. Results showed that the headache groups did not differ on any of the pre‐headache measures. Neck muscle levels varied markedly when compared with control subjects who had comparatively low levels reactive to an experimental stressor. When the data taken during the headache phase were analysed according to diagnosis, the occipital muscle output was found to be significantly lower in the migraine group and higher in the tens

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902103.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISA patient with severe cluster headaches was treated in a hyperbaric chamber on two occasions. Her symptoms had been refractory to other treatment modalities including conventional oxygen therapy. On both occasions her pain was promptly relieved while breathing 100% oxygen at two atmospheres of pressure. This is the first known reported case of a cluster headache treated with hyperbaric oxygen. A prospective study is needed to substantiate the efficacy of this treatment modality for cluster headaches.

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902109.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

摘要:

SYNOPSISResearch on the short‐term effects of psychological interventions in migraine indicates improvement rates of 50 percent. Yet long‐term follow‐ups are scarce: the studies extending to three years provide evidence for the maintenance of effects, but these studies evaluate the benefits of rather complex psychological treatments and the samples include other types of headache.We compared the effects of single‐method psychological interventions upon migraine. The study reports results obtained from 24 patients three years after completion of relaxation training, which is a psychophysiological regimen, and stress‐coping training, which is a cognitive‐behavioral regimen. Results for the complete sample, excluding data biased by confounding factors, provide clear evidence of the preservation of effects in migraine. Relaxation training (RT) and stress‐coping training (SCT) were equally effective and both groups exhibited little medication consumption since completion of training. Among the secondary effects, SCT was found to improve assertiveness and active problem solving, and to decrease depressive reaction. The study yielded two predictor variables‐little external stress for relaxation training, and high self motivation for stress‐coping training‐that accounted for more than 50 percent of the effect variance in the respective groups.Although more research is needed to substantiate our findings, the results suggest that, thus far, there is little reason to favor multimodal training or more complex psychological treatments over single‐method psychological interventions in migraine. Also, our results do not support the assumed superiority of cognitive‐behavioral treatment over psychophysiological treatment. Research on factors predicting long‐term effects of psychological interventions in migraine may profit from considering separate variables on skill rehearsal and skill employment (instead of employing a global measure of home practice), and from a measure for post

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902111.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902122_1.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1989.hed2902122_2.x

出版商:Blackwell Science Inc    

年代:1989

数据来源: WILEY