摘要:

SYNOPSISTranscutaneous electrical stimulation (TENS) has been used extensively for many types of pain but only rarely for headache. The object of this study was to judge the efficacy of TENS against placebo. Contrary to popular use, TENS (and placebo) were applied in a rigid manner, probably prejudicial to maximum effectiveness.62 patients with migraine or muscle contraction headache, or both, were studied using TENS equipment of low amperage and high frequency. One of three modalities was chosen at random for each patient: TENS just above the patient's ability to perceive the stimuli (perceived stimuli), TENS just below the perception threshold (subliminal stimuli), and electrodes applied without electrical stimulation (placebo). Degree of improvement was judged by the patient using a scale of pain from 1 to 10. Following treatment with TENS perceived by the patient, 55% of patients noted improvement as compared to 18% after application of placebo; a significant difference (p<.025 chi‐square test). Subliminal TENS was not statistically better than placeb

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501012.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISSix hundred headache patients were questioned systematically about factors which precipitated, aggravated or relieved headache, their personal well‐being, symptoms of muscularcontraction, and other features thought to be associated with headache (migraine in the immediate family, ice cream headache, icepick‐like pains, symptoms of orthostatic hypotension, travel sickness, and allergies). These items were analysed in relation to the clinical diagnosis (classical migraine, common migraine, tension‐vascular, tension or cluster headache), to two sets of migrainous features (symptoms of common migraine and neurological disturbances during headache), as well as the time course of headache (episodic, constant dull with more severe episodes, or constant). Differences between cluster and noncluster headache in age and sex distribution, precipitating and relieving factors, and family history of migraine supported the view that cluster headache is a distinct entity. The results of other analyses emphasized the continuum between migraine, tension‐vascular and tension headache. Indications of neurovascular involvement both during and between headache episodes were most apparent toward the migraine end of the headache spectrum, whereas psychological factors and symptoms of muscular contraction were associated morefrequentlywith constant than with episodically‐recurring

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501016.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISIn two exploratory studies it was attempted to develop psychophysiological and self‐report criteria for differentiating MCH and psychogenic headache. Subjects diagnosed as having muscle contraction headaches were assigned to low and high EMG groups following measurement of the frontalis muscle in a headache state. It was hypothesized that the low EMG group would display characteristics of psychogenic pain disorders. In the first study, nine subjects with high EMG, nine subjects with low EMG and nine control subjects participated. The results show that basal levels in a non‐headache and headache state for the high EMG group were significantly different than the low EMG group, which were similar to control subjects. The low EMG group's self‐report data were consistent with the hypothesis of a psychogenic disorder. The second study determined if changes in EMG activity across headache and pain‐free states was a reliable effect by assessing frontalis EMG in three independent groups in two headache and two non‐headache states. The results showed systematic changes in EMG in headache and non‐headache states only for the high EMG group. These results suggest that accurate classification of headache disorders may alleviate some of the contradictory data in the headache

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501023.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISAtypical facial pain is a syndrome of chronic facial pain affecting mainly young women who are often emotionally disturbed. Current opinion favors a psychogenic cause for it, but no causal relationship has been established: not all those affected are emotionally disturbed and no single psychiatric disorder predominates among those who are. Early reports of the syndrome in fact described a migraine‐like disorder in which either episodic facial pain or episodic exacerbations of chronic pain were associated with arterial tenderness, a variety of autonomic symptoms and signs and sometimes a response to treatment with vasoconstrictors. Painful dilation of craniofacial arteries may cause atypical facial pai

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501030.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISTo ascertain the diagnostic value of thermography in cluster headache, a large group of cluster patients was studied and compared to non‐cluster headache groups, The latter groups included classical, hemiplegic and common migraine. Unexpectedly, a distinctive thermographic pattern pathognomic of cluster headache was revealed.An asymmetric ipsilaterally decreased supraorbital temperature distribution was found in 67% to 75% of patients with cluster headache, classical migraine and hemiplegic migraine. This finding occurred with significantly less frequency in the common migraine group.Thirty‐two out of 130 (25%) of cluster patients and eight out of 58 (14%) of classical and hemiplegic migraine groups displayed a specific facial temperature pattern best described as a “chai” pattern, the Hebrew word for “life.” Doppler blood flow velocity examination confirmed the vascular nature of this pattern as formed by supraorbital and superficial temporal arteries and their anastomotic vessels. The chai pattern was not evident in any of the 462 common migraine patients.The chai pattern was designated a “chai” sign when occurring contralaterally, and as such, was found to occur with significantly greater frequency in the cluster headache group when compared to the combined classical and hemiplegic

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501033.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISPlasma levels of immunoreactiveb‐endorphin were found to be lower in patients with classical migraine than in patients with common migraine or chronic daily vascular headache or the control group. A role forb‐endorphin in the mechanism of the neurological dysfunction in classical migraine is sugges

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501037.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISCommon migraine has been related to both dysfunction of the autonomic nervous system (A.N.S.) in the regulation of cerebral vasomotor tonicity and to neurotic and depressive tendencies. In the present study 86 normal healthy controls and 50 patients with common migraine were studied in order to determine whether tonic or phasic central autonomic nervous system dysfunction was concomitant with migraine during a headache‐free, medication‐free interval. pupillometry was employed to measure relevant parameters of sympathetic and parasympathetic activity at rest and during the cold pressor test. Concomitantly, measurements of neuroticism, anxiety and depression were also obtained.Migraineurs were not identifiably different from controls with respect to tonic sympathetic or parasympathetic activity nor were they distinguishable on measures of supranuclear inhibition. However, 70% of migraineurs manifested phasic hyposympathetic activity in response to the cold pressor test. These migraineurs also demonstrated more neurotic and depressive tendencies. The physiological dysfunction was shown to differentiate the groups of migraineurs after personality variables were statistically controlled by a covariance multiple regression analysis.Results of the study are discussed in relationship to cerebral blood flow and permeability of the cerebral vasculat

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501040.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

摘要:

SYNOPSISThe present study evaluated the use of the Millon Behavioral Health Inventory (MBHI) in predicting response to a behavioral treatment program for headache reduction. A secondary goal was to also assess whether the MBHI could significantly differentiate among headache patients, patients with other types of chronic pain, and normal subjects. Twenty‐three chronic headache sufferers were administered a behavioral treatment program which consisted of 16, one‐hour weekly sessions. During the course of the treatment program, subjects were requested to keep daily records of four measures which later served as the treatment‐outcome indices: (1) daily number of headaches, (2) duration of headaches, (3) intensity of headaches, (4) medications taken. Results demonstrated that a number of MBHI scales significantly predicted response to treatment. Also, it was found that the MBHI significantly differentiated the chronic headache patients from the normal controlsandpatients with other forms of chronic

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501049.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501055.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1985.hed2501061.x

出版商:Blackwell Science Inc    

年代:1985

数据来源: WILEY