How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

11,107 results for

Headache in Pregnancy

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Tiny Tips: “SNOOP MEETS Pregnancy” Headache mnemonic

Tiny Tips: “SNOOP MEETS PregnancyHeadache mnemonic Tiny Tips: “SNOOP MEETS PregnancyHeadache mnemonic - CanadiEM Tiny Tips: “SNOOP MEETS PregnancyHeadache mnemonic In , by Sean Patrick September 8, 2017 Many must-not-miss diagnoses manifest as a secondary headache. Though the DDx list is quite large, the pertinent questions that must be asked on history can be remembered using the mnemonic “SNOOP MEETS Pregnancy” 1 , 2 Below you’ll find the cues associated with each letter, the symptoms (...) : Idiopathic intracranial hypertension, Carotid or vertebral artery dissection, SAH Exposure Hx DDx: Illicit drug use, Toxins, CO poisoning Trauma Hx DDx: Trauma Secondary risk factors = HIV, cancer DDx: Meningitis, Brain abscess, Metastases Pregnancy DDx: Pre-eclampsia, Venous sinus thrombosis, Pituitary apoplexy, Carotid dissection This post was copyedited by Sean McIntosh. References 1. Donohoe C. The role of the physical examination in the evaluation of headache. Med Clin North Am . 2013;97(2):197-216

2017 CandiEM

2. Metoclopramide and Diphenhydramine: A Randomized Controlled Trial of a Treatment for Headache in Pregnancy when Acetaminophen Alone Is Ineffective (MAD Headache Study). (Abstract)

Metoclopramide and Diphenhydramine: A Randomized Controlled Trial of a Treatment for Headache in Pregnancy when Acetaminophen Alone Is Ineffective (MAD Headache Study).  We investigated whether metoclopramide administered with diphenhydramine (MAD) relieves headache in pregnant women when acetaminophen alone is ineffective, using codeine for comparison. Normotensive pregnant women in the second or third trimester were randomized to MAD intravenously (10 mg and 25 mg, respectively) or codeine (...) orally (30 mg) for headache after 650 to 1,000 mg of acetaminophen failed to relieve their headaches. Headache severity (pain score 0-10) was noted at intervals over 24 hours. The primary outcome was reduction in pain score 6 hours after medication administration. A sample size calculation of 35 patients per group was based on estimated reduction in headache pain score by at least two points, with an α of 0.05 and a power of 80%. No difference was seen in the primary outcome. MAD pain scores were

2018 American journal of perinatology Controlled trial quality: predicted high

3. gammaCore for cluster headache

gammaCore for cluster headache gammaCore for cluster headache gammaCore for cluster headache Medtech innovation briefing Published: 22 October 2018 nice.org.uk/guidance/mib162 pathways Summary Summary The technology technology described in this briefing is gammaCore. It is used as a daily preventative measure for cluster headache and can be used to treat pain during a headache. The inno innovativ vative aspects e aspects compared with other vagus nerve stimulators is that gammaCore is applied (...) current for 2 minutes at a time. The aim is to modify pain signals by stimulating the vagus nerve through the skin of the neck. gammaCore can be used daily to help prevent cluster headache or when the person feels a cluster headache beginning. The device is small and portable and, after brief training, can be used anywhere that is convenient. Innovations gammaCore differs from other vagus nerve stimulators in being applied to the skin of the neck rather than implanted by a surgical procedure. Current

2018 National Institute for Health and Clinical Excellence - Advice

4. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section Full Text available with Trip Pro

A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section A 32-year-old pregnant woman in her 39th week of pregnancy presented at the emergency room complaining of sudden-onset dizziness with gaze disturbance and was admitted to our hospital. Her past medical history included hypertension, diabetes mellitus and infarction (...) in the right medulla oblongata 18 months prior to this event. Magnetic resonance (MR) angiography showed multiple irregular stenosis of the intracranial arterial system. Although MR images revealed no fresh ischemic or hemorrhagic lesions, she was diagnosed with reversible cerebral vasoconstriction syndrome (RVCS) associated with pregnancy. Cesarean section immediately resolved the headache-free ischemic RCVS. The postpartum course of the patient was uneventful as well as that of her baby. Follow-up MR

2018 Oxford Medical Case Reports

5. Headache

with visual or sensory symptoms—collectively known as an aura—that arise most often before the head pain but that may occur during or afterward (see the image below). Migraine is most common in women 2014 18. 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: August 2018 Last updated: May 2018 Important updates European (...) or tightening quality; mild-to-moderate intensity; not aggravated by routine physical activity. Episodes of headache are not associated with nausea (...) or vomiting. Photophobia or phonophobia, but not both, may be present. Headache that is not caused by other conditions, such as a pyrexial illness or medication overuse. The cause of TTH is not fully understood. It has been shown to be associated with the presence of myofascial trigger points, and abnormal central processing of pain (causing increased pain

2018 Trip Latest and Greatest

6. Migraine and Tension Headache

and treatment. Populations excluded from this guideline include pregnant women and children aged 13 years and younger. Note: KPWA and national guidelines advise against the use of opioids and butalbital-containing medications (e.g., fiorinal, fioricet) for treatment of headaches. Diagnosis Red flag warning signs For patients with a rapidly accelerating course, a recent history of head injury, or focal neurologic findings, consult with a neurologist or neurosurgeon. Use the SNOOP mnemonic to identify red (...) with sumatriptan 85/naproxen sodium 500 in (truly) episodic migraine: what's neck pain got to do with it? Postgrad Med. 2014 Mar;126(2):86-90. Créac'h C, Frappe P, Cancade M, et al. In-patient versus out-patient withdrawal programmes for medication overuse headache: a 2- year randomized trial. Cephalalgia. 2011 Aug;31(11):1189-1198. Cull RE. Investigation of late-onset migraine. Scott Med J. 1995 Apr;40(2):50-52. Deitch K, Kuhfahl K, Kinzler D, et al. A Randomized, Double-blind Comparison of Single Dose

2018 Kaiser Permanente Clinical Guidelines

7. Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women. Full Text available with Trip Pro

Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women. Little is known about women's use of health services affected by headache or migraine during pregnancy. This paper directly addresses the research gap reporting on the healthcare utilization among Australian pregnant women experiencing headache or migraine.In this retrospective observational study, data on 1,835 Australian (...) of healthcare practitioners for their headache or migraine. General practitioners (37.8%) were the most commonly consulted providers of pregnant women for their headache or migraine. Women with headache or migraine during pregnancy had worse health-related quality of life than those without. Education level and private health insurance status of pregnant women are the predictors of the use of healthcare practitioners for their management of headache or migraine (both p < 0.05).Headache or migraine during

2018 Complementary Therapies In Medicine

8. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

to the ED, the differential diagnosis is extensive and inclusive of multiple life- 107 threatening etiologies. 7-9 Additional clinical findings such as fever, severe back pain, or other factors may warrant 108 further additional diagnostic testing. 10 This clinical policy also excludes the specific discussion of acute headache 109 in the pregnant women and postpartum woman, for whom the list of differential diagnoses of acute headache is 110 further expanded. 111 This policy is an update of the 2008 (...) the following clinical questions: (1) In the adult emergency department patient presenting with acute headache, are 60 there risk-stratification strategies that reliably identify the need for emergent neuroimaging? (2) In the adult 61 emergency department patient treated for acute primary headache, are nonopioids preferred to opioid medications? 62 (3) In the adult emergency department patient presenting with acute headache, does a normal noncontrast head 63 computed tomography scan performed within 6 hours

2019 American College of Emergency Physicians

9. gammaCore for cluster headache

is provided with each new RFID card. Additional gel can be provided at no extra cost. Inno Innovativ vative e aspects aspects gammaCore is currently the only technology that uses non-invasive stimulation of the vagus nerve to treat cluster headache. Intended Intended use use The instructions for using gammaCore state that gammaCore should be used regularly throughout the day to prevent cluster headache attacks and acutely to reduce pain during an attack. gammaCore is intended to be self-administered (...) . In all other studies gammaCore was used in addition to standard of care treatments. The studies show that gammaCore can reduce the frequency of The studies show that gammaCore can reduce the frequency of cluster headache attacks and the intensity of pain during an cluster headache attacks and the intensity of pain during an attack attack 3.3 The evidence for gammaCore comprises a small number of studies which include comparative, non-comparative and observational studies. The external gammaCore

2019 National Institute for Health and Clinical Excellence - Medical technologies

10. Headache

: New headache in pregnant woman. Radiologic Procedure Rating Comments RRL* MRI head without IV contrast 8 MRI is the modality of choice, however use of CT depends on local availability. O CT head without IV contrast 7 Use of CT depends on local availability and is helpful if there is a high suspicion for acute intracranial hemorrhage. ??? MR venography head without IV contrast 6 O MRA head without IV contrast 6 O MRI head without and with IV contrast 5 Pregnancy is a relative contraindication (...) are relatively similar with 83%–99% sensitivity and specificity [62]. MRA of the neck is most commonly performed with gadolinium contrast, whereas MRA of the head is most commonly performed without contrast. MRA of the brain with contrast is generally indicated if embolization coils or intracranial stents have been placed [63]. Headache of Trigeminal Autonomic Origin Trigeminal autonomic cephalgia is a group of primary headache disorders characterized by pain in unilateral trigeminal distribution

2019 American College of Radiology

11. Headache

hours prior to headache Aura (25%) - onset one hour before headache begins; visual, auditory and motor issues Headache phase Postdrome - feeling of exhaustion, and sudden head movement can cause transient pain Cluster headache Rarest form of headache Onset age 25-50 years old Will have several attacks over a period of time, and then goes into remission for months or years Severe unilateral, orbital or temporal pain Each attack lasts 15 minutes to three hours May also cause tearing, nasal congestion (...) , birth control, corticosteroids, hormone replacement therapy, decongestants, SSRIs) Withdrawal from medications (e.g. opioids, caffeine, benzodiazepines, SSRIs, psychotropics) Uncontrolled hypertension Shingles and post-herpetic neuralgia – head and facial pain near area of herpetic eruption Sinusitis, otitis media or a dental abscess may cause headache symptoms; suspect if pain is localized to structures in the head and neck (e.g. eyes, ears, sinuses, temporomandibular joint, teeth or neck) : Can

2018 medSask

12. CRACKCast E103 – Headache Disorders

on the IHSC (international headache society classification) Primary Secondary “Organic, identifiable, distinct pathologic process” Others: Migraine Cluster Tension H/A attributed to trauma or injury to the head or neck Cranial or cervical vascular disorder Nonvascular intracranial disorder A substance or its withdrawal Infection Disorder of homeostasis Headache or facial pain attributed to disorder of cranium, neck, Eyes, ears, nose, sinuses, teeth, mouth, or other facial or cranial structures PAINFUL (...) CRANIAL NEUROPATHIES, OTHER FACIAL PAINS, AND OTHER HEADACHES Other benign primary headaches Headache attributed to psychiatric disorder 2) What are the IHSC for migraine without aura (common migraine) and migraine with aura (classic migraine) 80% of migraines are without an aura. Migraine with aura is primarily characterized by the transient focal neurological symptoms that usually precede or sometimes accompany the headache. Some patients also experience a premonitory phase, occurring hours or days

2017 CandiEM

13. Headache and pregnancy: a systematic review. Full Text available with Trip Pro

. It is especially important to identify "red flag symptoms" suggesting that headache is a symptom of a serious disease. In order to exclude a secondary headache additional studies can be necessary: electroencephalography, ultrasound of the vessels of the head and neck, brain MRI and MR angiography with contrast ophthalmoscopy and lumbar puncture. During pregnancy and breastfeeding the preferred therapeutic strategy for the treatment of primary headaches should always be a non-pharmacological one. Treatment (...) Headache and pregnancy: a systematic review. This systematic review summarizes the existing data on headache and pregnancy with a scope on clinical headache phenotypes, treatment of headaches in pregnancy and effects of headache medications on the child during pregnancy and breastfeeding, headache related complications, and diagnostics of headache in pregnancy. Headache during pregnancy can be both primary and secondary, and in the last case can be a symptom of a life-threatening condition

2017 The journal of headache and pain

14. Systematic review of randomized controlled trials of headache treatment in pregnancy

Systematic review of randomized controlled trials of headache treatment in pregnancy 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 and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites

2019 PROSPERO

15. Headaches in over 12s: diagnosis and management

-type headache, migraine or cluster headache according to the headache features in the table. [2012] [2012] Headache Headache feature feature T T ension-type headache ension-type headache Migr Migraine (with or aine (with or without aur without aura) a) Cluster headache Cluster headache Pain location 1 Bilateral Unilateral or bilateral Unilateral (around the eye, above the eye and along the side of the head/face) Headaches in over 12s: diagnosis and management (CG150) © NICE 2019. All rights (...) Chronic migr migraine aine 6 6 (with or (with or without without aur aura) a) Episodic Episodic cluster cluster headache headache Chronic Chronic cluster cluster headache headache 1 Headache pain can be felt in the head, face or neck. 2 See recommendations 1.2.2, 1.2.3 and 1.2.4 for further information on diagnosis of migraine with aura. 3 The frequency of recurrent headaches during a cluster headache bout. 4 The pain-free period between cluster headache bouts. 5 Chronic migraine and chronic tension

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

16. Headache in Pregnancy

Headache in Pregnancy Headache in Pregnancy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Headache in Pregnancy Headache (...) in Pregnancy Aka: Headache in Pregnancy , Migraine in Pregnancy , Antepartum Headache , Postpartum Headache From Related Chapters II. Types: Primary Headaches Improves with pregnancy in up to 70% of patients Some cases of first occur in first trimester Associated with aura III. Differential Diagnosis: Secondary Headaches in Antepartum Period See for other causes See s ( ) Consider after 20 weeks IV. Differential Diagnosis: Secondary Headaches in Postpartum Period (Postpartum Headache) See for other causes

2018 FP Notebook

17. "THINK Trial: Treatment of Headache With IntraNasal Ketamine: A Randomized Controlled Trial Evaluating the Efficacy of Intranasal Ketamine Versus Standard Therapy in the Management of Primary Headache Syndromes in the Emergency Department"

IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Studies a U.S. FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: No Additional relevant MeSH terms: Layout table for MeSH terms Emergencies Headache Headache Disorders Disease Attributes Pathologic Processes Pain Neurologic Manifestations Signs and Symptoms Brain Diseases Central Nervous System Diseases Nervous System Diseases Dexamethasone Dexamethasone acetate (...) "THINK Trial: Treatment of Headache With IntraNasal Ketamine: A Randomized Controlled Trial Evaluating the Efficacy of Intranasal Ketamine Versus Standard Therapy in the Management of Primary Headache Syndromes in the Emergency Department" "THINK Trial: Treatment of Headache With IntraNasal Ketamine: A Randomized Controlled Trial Evaluating the Efficacy of Intranasal Ketamine Versus Standard Therapy in the Management of Primary Headache Syndromes in the Emergency Department" - Full Text View

2017 Clinical Trials

18. Characteristics and diagnoses of acute headache in pregnant women – a retrospective cross-sectional study Full Text available with Trip Pro

Characteristics and diagnoses of acute headache in pregnant women – a retrospective cross-sectional study Acute headache is one of the most frequent neurological symptoms in pregnant women. The early diagnosis of underlying secondary conditions has a major influence on patient outcome, especially in emergency settings. However, at the time being no well-established guideline for diagnostic evaluation of acute headache during pregnancy exists. In this study, we aimed to characterize acute (...) headache in pregnant women concerning demographic, clinical, and diagnostic features, and to determine predictors of secondary headache.We analysed retrospectively the data of 151 pregnant women receiving neurological consultation due to acute headache at the Charité Berlin between 2010 and 2016. To assess risk factors for secondary headache in these patients we compared multiple anamnestic and clinical features of the primary and secondary headache group.57.6% of the patients were diagnosed

2017 The journal of headache and pain

19. Guideline for primary care management of headache in adults

presenting with headache for the first time or those with a change in headache pattern Explore the following important elements of the headache history: Headache onset (thunderclap, head or neck trauma), previous attacks (progression of symptoms), duration of attacks (< 3 hours, > 4 hours, continuous), days per month with headache Pain location (unilateral, bilateral, associated neck pain, etc) Headache-associated symptoms (nausea, vomiting, photophobia, conjunctival injection, rhinorrhea, etc (...) and nearly 1 million men experience migraine. About 90% of migraine sufferers report moderate to severe pain, with 75% reporting impaired function and 33% requiring bed rest during an attack. The economic effects of headache are also substantial. It is estimated that headache accounts for 20% of work absences. Vast quantities of over-the-counter medications are taken for headache disorders, and treatment is often suboptimal. , Although most migraine sufferers use acute treatment to relieve

2015 Institute of Health Economics

20. Migraine and Other Headache Disorders: ACOG Clinical Updates In Women's Health Care Primary and Preventive Care Review Summary Volume XVIII, Number 4. (Abstract)

and possible medication change may be necessary. Women also have unique risks for secondary headache during pregnancy, particularly pregnant women with a history of migraine. Therefore, a large portion of this monograph is devoted to evaluation, management, and drug safety in pregnant or breastfeeding women. (...) Migraine and Other Headache Disorders: ACOG Clinical Updates In Women's Health Care Primary and Preventive Care Review Summary Volume XVIII, Number 4. Migraine is a common headache disorder for which women are likely to seek care. This primary headache disorder, which often may be debilitating, has a higher prevalence in women than in men that is likely related to times of hormonal changes throughout the reproductive life cycle, such as menarche, pregnancy, postpartum period, lactation

2019 Obstetrics and Gynecology

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>