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Headache

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1. Melatonin Is Superior to Amitriptyline for Headache Prevention Based on the Proportion of Patients Who Improved >50% in Headache Frequency

Melatonin Is Superior to Amitriptyline for Headache Prevention Based on the Proportion of Patients Who Improved >50% in Headache Frequency UTCAT3159, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Melatonin Is Superior to Amitriptyline for Headache Prevention Based on the Proportion of Patients Who Improved >50% in Headache Frequency Clinical Question In adults with migraine headaches, is melatonin superior than (...) amitriptyline in preventing the frequency and intensity of migraine headaches? Clinical Bottom Line For patients with migraine headaches, melatonin 3 mg is better than placebo for migraine prevention, more tolerable than amitriptyline, and as effective as amitriptyline 25 mg. Tolerability measures included the incidences of adverse events, including those that led to the premature withdrawal from the study as well as those that were life threatening. Best Evidence (you may view more info by clicking

2017 UTHSCSA Dental School CAT Library

2. Acupuncture for migraine headaches

Acupuncture for migraine headaches Acupuncture for migraine headaches Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Acupuncture for migraine headaches View/ Open Date 2010-04 Format Metadata Abstract Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management

2019 Clinical Inquiries

3. Headache

Headache Evidence Maps - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4

2018 Trip Evidence Maps

10. Tension-type headache

Tension-type headache Tension-type headache - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Tension-type headache Last reviewed: February 2019 Last updated: July 2018 Summary Tension-type headaches can be either episodic or chronic. Stress and mental tension are common triggers. Symptoms include dull, non-pulsatile, bilateral, constricting pain (not severe); pericranial tenderness is common. Unlike migraine (...) , there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity. Usually responds to simple analgesics; preventative treatments have less evidence for their effectiveness. Non-drug therapies include relaxation, electromyographic biofeedback, cognitive behavioural therapy, and physiotherapy. Definition Tension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical

2018 BMJ Best Practice

11. Cluster headache

Cluster headache Cluster headache - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Cluster headache Last reviewed: February 2019 Last updated: July 2018 Summary Attack of severe pain localised to the unilateral orbital, supra-orbital, and/or temporal areas; lasts from 15 minutes to 3 hours. Occurs from once every other day to 8 times per day. Attacks occur at the same time period for several weeks (the cluster period (...) ); accompanied by ipsilateral autonomic signs. Most patients are restless or agitated during attacks compared to people with migraine who often report motion sensitivity during attacks. Pathophysiology is thought to result from hypothalamic activation with secondary trigeminal and autonomic activation. Cluster period attacks can be precipitated by alcohol, volatile smells, warm temperatures, and sleep. Diagnosis is based on International Headache Society 3-beta (IHS-3b) criteria. Medications for acute

2018 BMJ Best Practice

12. Migraine headache in adults

Migraine headache in adults Migraine headache in adults - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Migraine headache in adults Last reviewed: February 2019 Last updated: October 2018 Summary Migraine is a chronic, genetically determined, episodic, neurological disorder that usually presents in early-to-mid life. Patients complain of intermittent headache and associated symptoms, such as visual disturbance (...) in general are preferred over non-specific treatments. However, there are no trials directly comparing triptans. Complications include status migrainosus, migrainous infarction, chronic migraine, persistent aura without infarction and seizures, analgesic gastropathy, transformation of episodic to chronic migraine, and medication-overuse headache. Definition Migraine is a chronic, genetically determined, episodic neurological disorder that usually presents in early-to-mid life. Key features in the history

2018 BMJ Best Practice

13. Assessment of acute headache in adults

Assessment of acute headache in adults Assessment of acute headache in adults - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of acute headache in adults Last reviewed: February 2019 Last updated: June 2018 Summary Headache is pain localised to any part of the head, behind the eyes or ears, or in the upper neck. Headaches represent 2% of all emergency department visits. Ninety percent of men and 95 (...) % of women have at least one headache per year. Diagnostic clues should be derived primarily from history. Hallmark physical signs are often absent, and many physical findings are non-specific. The majority of patients presenting with acute headache have a benign diagnosis, but a high index of suspicion should be maintained for life-threatening causes of headache. Ramirez-Lassepas M, Espinosa CE, Cicero JJ, et al. Predictors of intracranial pathologic findings in patients who seek emergency care because

2018 BMJ Best Practice

14. Assessment of acute headache in children

Assessment of acute headache in children Assessment of acute headache in children - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of acute headache in children Last reviewed: February 2019 Last updated: June 2018 Summary Headaches are common in children, increasing in incidence from early childhood to adolescence. They account for 0.7% to 1.3% of all paediatric emergency department visits. Kan L (...) , Nagelberg J, Maytal J. Headaches in a pediatric emergency department: etiology, imaging, and treatment. Headache. 2000;40:25-29. http://www.ncbi.nlm.nih.gov/pubmed/10759899?tool=bestpractice.com Burton LJ, Quinn B, Pratt-Cheney JL, et al. Headache etiology in a pediatric emergency department. Pediatr Emerg Care. 1997;13:1-4. http://www.ncbi.nlm.nih.gov/pubmed/9061724?tool=bestpractice.com Headaches may be classified as primary or secondary. Headache Classification Committee of the International Headache

2018 BMJ Best Practice

15. Migraine headache in adults

Migraine headache in adults Migraine headache in adults - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Migraine headache in adults Last reviewed: February 2019 Last updated: October 2018 Summary Migraine is a chronic, genetically determined, episodic, neurological disorder that usually presents in early-to-mid life. Patients complain of intermittent headache and associated symptoms, such as visual disturbance (...) in general are preferred over non-specific treatments. However, there are no trials directly comparing triptans. Complications include status migrainosus, migrainous infarction, chronic migraine, persistent aura without infarction and seizures, analgesic gastropathy, transformation of episodic to chronic migraine, and medication-overuse headache. Definition Migraine is a chronic, genetically determined, episodic neurological disorder that usually presents in early-to-mid life. Key features in the history

2018 BMJ Best Practice

16. Migraine headache in children

Migraine headache in children Migraine headache in children - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Migraine headache in children Last reviewed: February 2019 Last updated: May 2018 Summary Migraine has a high prevalence in children (10%) and is a significant source of morbidity. Careful consideration of the broad differential diagnosis is important when evaluating a child with headache. The expectations (...) for the success of treatment should take account of the level to which psychological factors are contributing to symptoms. Not all treatments (acute or prophylactic) work for every patient. Spontaneous remission with increasing age may occur in 25% to 50% of children. Definition Migraine is defined by the International Headache Society (IHS) as a recurrent headache that occurs with or without aura and lasts for 2 to 48 hours. It is usually unilateral in nature, of gradual onset (15 to 30 minutes), pulsating

2018 BMJ Best Practice

17. Protocol for a comparison of therapies for cluster headache systematic review, updated meta-analysis, and network meta-analysis of medication effect by class (acute and preventative) and by headache subtype (episodic and chronic)

Protocol for a comparison of therapies for cluster headache systematic review, updated meta-analysis, and network meta-analysis of medication effect by class (acute and preventative) and by headache subtype (episodic and chronic) Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate

2019 PROSPERO

18. Migraine and Tension Headache

Migraine and Tension Headache ? 2018 Kaiser Foundation Health Plan of Washington. All rights reserved. 1 Migraine and Tension Headache Guideline Background 2 Diagnosis Red flag warning signs 2 Differential diagnosis 2 Imaging 3 Migraine versus tension headache 3 Medication overuse headache 3 Menstruation-related migraine 3 Tension Headache Acute treatment 4 Prophylaxis 5 Migraine Headache Acute treatment 6 Treatment of refractory migraine 7 Prophylaxis 8 Menstruation-related migraine (...) prophylaxis 11 Medication Overuse Headache Treatment 12 Evidence Summary 13 References 18 Clinician Lead and Guideline Development 21 Last guideline approval: April 2018 Guidelines are systematically developed statements to assist patients and providers in choosing appropriate health care for specific clinical conditions. While guidelines are useful aids to assist providers in determining appropriate practices for many patients with specific clinical problems or prevention issues, guidelines are not meant

2018 Kaiser Permanente Clinical Guidelines

19. Headache

Headache Top results for headache - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4 (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for headache The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted

2018 Trip Latest and Greatest

20. Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy)

Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy) TAKE-HOME MESSAGE Neither bed rest nor ?uid supplementation decreases the incidence of headache after dural puncture. Does Bed Rest or Fluid Supplementation Prevent Post–Dural Puncture Headache? EBEM Commentators Michael D. April, MD, DPhil Brit Long, MD Department of Emergency Medicine San Antonio Uniformed Services Health Education Consortium Fort Sam Houston, TX Results The review included 24 trials (...) with 2,996 participants. Of these, 12 trials provided moderate- quality evidence of increased incidence of post–dural puncture headache with bed rest compared with immediate mobi- lization (RR 1.24; 95% CI 1.04 to 1.48). Furthermore, 18 trials similarly provided moderate- quality evidence that bed rest increased incidence of any head- ache compared with immediate mobilization (RR 1.16; 95% CI 1.02 to 1.32). Subgroup analyses based on indication for dural puncture, including diagnostic lumbar puncture

2018 Annals of Emergency Medicine Systematic Review Snapshots

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