摘要:

SYNOPSISSpontaneous internal carotid artery (ICA) dissection is not an infrequent cause of headache and acute neurologic deficits in the younger population. Angiography has been the imaging modality of choice for both diagnosis and follow‐up. The use of magnetic resonance imaging, (MRI), in conjunction with angiography, is described in three patients shown to have ICA dissection. Our clinical findings suggest that MRI may provide a less expensive, non‐invasive, diagnostic and particularly a follow up modality in patients with headache and signs suggestive of ICA dissect

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101012.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

摘要:

SYNOPSISIn a questionnaire survey of inpatient polysubstance abusers it was found that cocaine relieved migraine‐type headaches much more often in chronic headache sufferers than in those with only occasional headaches (p<.05). However, cocaine could also bring on headaches after several hours, both in chronic headache sufferers and in those not subject to headaches. The fasts that cocaine may relieve headache immediately, and also may precipitate headaches several hours after use, suggests that the well‐known vasoconstrictive actions of cocaine may be responsible. Migraineurs seem more susceptible to some of these effects of cocaine than are people without chronic headac

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101017.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

摘要:

SYNOPSISHemicrania continua (HC) is a headache entity completely responsive to indomethacin. Since 1984, 18 cases have been described, 15 females and 3 males, i.e. a F:M ratio of 5.0. The finding of a female preponderance, like that in chronic paroxysmal hemicrania, is a new observation. HC is, in general, a unilateral headache in the sense that it sets in on one side and subsequently sticks to this side. In two case, both sides might possibly be involved, when the pain was at its maximum. In another (somewhat dubious) case the headache was bilateral. The pain was continuous from the beginning in 8 of 18 cases (early stage ratio continuous: non‐continuous = 0.8). Over time, the headache developed a continuous character in 16 of the 18 cases, producing a "continuous: non‐continuous ratio" of 8:1. The intensity of pain generally was moderate and was not reported as excruciatingly severe by any patient. The autonomic involvement from a clinical point of view, was clearly less pronounced than that of other unilateral headaches, such as cluster headache and chronic paroxysmal hemicra

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101020.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

摘要:

SYNOPSISPrevious headache studies have been unable to verify the presumed presence of headache. Attempting to correct this design fault, the present study assessed four psychophysiological measures (frontalis EMG, temporal BVP, temporal and finger skin temperature) and salient subjective measures in 13 migraineurs, eight muscle‐contraction headache sufferers, and 13 age‐matched normals. All subjects submitted to two 30‐minute sessions of quiet monitoring, and for the headache subjects, one of the sessions was headache active. A bogus, but convincing preliminary ”assessmentldquo; revealed insufficient headache activity in the headache active session, forcing subjects to reschedule that session in the future when a strong headache was present. A parallel manipulation was employed with the normal subjects. A MANOVA failed to discriminate within‐ or between‐group differences on the psychophysiological measures. Self‐reported pain was uncorrelated with the psychophysiological indices. These results cast further doubt on the validity of the psychophysiological measures employed in this study, the same ones routinely endorsed by headache researchers and therapists. We discuss problems of recruitment, compliance, and attrition in basic head

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101027.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

摘要:

SYNOPSISIn an initial attempt to examine relationships between family functioning and chronic headache disorders, the present study examined: a) family structure characteristics, b) family functioning, and c) family pain modeling. Subjects completed an assessment battery consisting of several measures of family functioning. Analyses showed that migraine sufferers (N = 42) as compared to headache‐free controls (N=59) were more likely to describe their families as emphasizing clear organization, structure, rules, and overall control, but less likely to encourage emotional expression. No differences were found between tension headache subjects (N = 43) and headache‐free controls. While only an initial exploration of the importance of family characteristics in chronic headache, these results suggest that there are important differences in headache subjects' (particularly migraine) reports of family environment and function

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101035.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

摘要:

SYNOPSIS“Whole body composition” was investigated in 30 people subject to alcohol‐induced migraine. The control group was 30 people matched for age, sex, height and weight, who were not subject to migraine and who consumed moderate amounts of alcohol. The following were evaluated: anthropometric data, alcohol intake in grams per day, total body water, fat‐free mass, fat mass, and body mass index (kg/m2). Two methods of measurement were used: skin fold thickness evaluation, and bioelectric impedance assay (BIA). BIA is a non‐invasive method based on the principle that lean tissues conduct a low frequency alternating current of electricity better than do fatty tissues.Body mass index was increased in the alcohol‐induced migraine patients (p<0.04), as was fat mass, (p<0.03) as evaluated by skin fold measurements. Bioelectric impedance assay demonstrated a slight total body water increase in alcohol‐induced migraine patients (p<0.07).Possibly, if this total body water increase was reflected at the neuronal level, the bioelectric properties of the migrainous brain may be altered, thus creating a hypothetical link with the phenomenon of spreadi

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101041.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101049.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101051a.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101054.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1991.hed3101057_a.x

出版商:Blackwell Science Inc    

年代:1991

数据来源: WILEY