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Headache in Pregnancy

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21. Headache

. Secondary headache can be caused by disorders of the neck, and by head and neck trauma. A detailed discussion of the diagnosis and management of secondary headache disorders is beyond the scope of this guideline. Some information is provided in Section 1: Headache Diagnosis and Investigation and Section 6: Other Headache Disorders. ? Cervicogenic headache should be considered in patients with neck pain and occipital head pain, with or without pain radiation to other head regions (or face), when pain (...) and do not necessarily indicate a neck disorder as cause of the headache. EO (GDG) ? Post traumatic headache should be diagnosed when a new headache disorder begins within seven days of a head injury. These may occur even after a mild head injury. If the headache persists for more than three months, it is termed a “persistent headache attributed to head trauma.” EO (GDG) ? Temporomandibular disorder should be considered in patients with headache and/or facial pain who have painful jaw clicking, jaw

2016 Accelerating Change Transformation Team

22. 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

23. Top 10 Most Read in May: Women’s experiences of breastfeeding beyond infancy, the birth sex ratio following the 2016 United States presidential election, and the validation of a clinical examination to differentiate a cervicogenic source of headache

and found that the sex ratio was lower in the months following the presidential election than in the months preceding the election. Another new entry is Getsoian et al. with the validation of a clinical examination to differentiate a cervicogenic source of headache at number four. Neck pain is associated with cervicogenic headaches but is also commonly reported in other types of headaches. Diagnostic blocks are currently used to determine whether cervical musculoskeletal dysfunction is the source (...) of the pain. In this study the authors c onfirmed the validity of of a pattern of three physical signs (reduced cervical extension, painful cervical joint dysfunction, and impaired muscle function) to identify a cervical source of headache and neck pain. The other new entries include a systematic review protocol from Pappal et al. to determine the incidence of accidental awareness with recall for mechanically ventilated patients under anaesthesia at number 5. A cohort study investigating whether

2020 BMJ Open Blog

24. 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

25. Neuromodulation for the Acute and Preventive Therapy of Migraine and Cluster Headache. Full Text available with Trip Pro

as safe and effective acute and preventive treatment options. In this review, we focus on neuromodulation devices that have been studied for migraine and cluster headache, with special attention to those that have gained food and drug administration (FDA) clearance. We will also explore how these devices can be used in patients who might have limited pharmacologic options, including the elderly, children, and pregnant women.© 2019 American Headache Society. (...) Neuromodulation for the Acute and Preventive Therapy of Migraine and Cluster Headache. Headache disorders are among the most common and disabling medical conditions worldwide. Pharmacologic acute and preventive treatments are often insufficient and poorly tolerated, and the majority of patients are unable to adhere to their migraine treatments due to these issues. With improvements in our understanding of migraine and cluster headache pathophysiology, neuromodulation devices have been developed

2019 Headache

26. A 32-Year-Old Woman With Miscarriage, Headache, Hepatitis, and Pulmonary Disease. Full Text available with Trip Pro

A 32-Year-Old Woman With Miscarriage, Headache, Hepatitis, and Pulmonary Disease. A 32-year-old Nigerian woman, who became pregnant after undergoing in vitro fertilization, was admitted with nausea and abdominal pain. She had a history of two miscarriages and infertility because of tubal blockage treated by salpingectomy. One week prior, she presented to an outside hospital with premature rupture of membranes resulting in stillborn delivery of twins. Endometrial cultures from dilatation

2019 Chest

27. Effect of pre-administration with aminophylline on the occurrence of post-dural puncture headache in women undergoing caesarean section by combined spinal-epidural anaesthesia. Full Text available with Trip Pro

Effect of pre-administration with aminophylline on the occurrence of post-dural puncture headache in women undergoing caesarean section by combined spinal-epidural anaesthesia. To investigate the effect of the pre-administration with aminophylline on the occurrence of post-dural puncture headache (PDPH) in women undergoing caesarean section by combined spinal-epidural anaesthesia (CSEA).The study enrolled women undergoing elective caesarean sections with CSEA and randomly allocated them (...) aminophylline administration.A total of 120 patients aged 24-38 years (pregnancy range, 38-42 weeks) were randomly allocated into two groups ( n = 60). The incidence of PDPH in group A was significantly lower than group C (two of 59 [3.4%] versus 10 of 58 [17.2%], respectively). There were no related side-effects within 24 h after aminophylline administration in group A.Intraoperative intravenous infusion of 250 mg aminophylline reduced the incidence of PDPH after caesarean section under CSEA with no side

2018 The Journal of international medical research Controlled trial quality: uncertain

28. Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. Full Text available with Trip Pro

: (1) systemic symptoms including fever; (2) neoplasm history; (3) neurologic deficit (including decreased consciousness); (4) sudden or abrupt onset; (5) older age (onset after 65 years); (6) pattern change or recent onset of new headache; (7) positional headache; (8) precipitated by sneezing, coughing, or exercise; (9) papilledema; (10) progressive headache and atypical presentations; (11) pregnancy or puerperium; (12) painful eye with autonomic features; (13) posttraumatic onset of headache; (14 (...) Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. A minority of headache patients have a secondary headache disorder. The medical literature presents and promotes red flags to increase the likelihood of identifying a secondary etiology. In this review, we aim to discuss the incidence and prevalence of secondary headaches as well as the data on sensitivity, specificity, and predictive value of red flags for secondary headaches. We review the following red flags

2018 Neurology

29. Prediction of Post-dural Puncture Headache in Parturients Undergoing Elective Caesarean Section

a compensatory reflex vasodilatation occur in the same pain sensitive blood vessels and this result in pain. The association of common risk factors like female gender, particularly females during pregnancy, age groups of 20 - 40 years, a prior history of chronic headache, and a lower body mass index expose the patient to PDPH. The identification of factors that predict the likelihood of PDPH is important so that measures can be taken to minimize this painful complication resulting from spinal anesthesia (...) develops between 5 and 14 days after the technique however it may immediately occur after dural puncture but it is rare and should pay attention of the physician to alternative causes. The pain is increased by head movement, upright posture and relieved by lying down. It resolves either spontaneously within 7 days or within 48 h after effective treatment which is usually consists of fluid therapy, analgesics, sumatriptan and caffeine. Epidural blood patch remained the gold standard therapy

2018 Clinical Trials

30. Primary Headache and Psychological Factors, Mental Functioning and Attachment Modalities.

is concerned. WHO estimates that 1.7-4% of the global adult population is affected by headache for at least 15 days a month. Headaches are disabling, for patients (pain, suffering, fatigue, unavailability ...) but also for society (socio-economic cost as frequent work stoppages and drug costs). They are a public health problem. In 2002, the High Authority of Health published its recommendations for the diagnosis and management of migraine patients. In addition, the French Society for Migraine and Headache (...) table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Centre Hospitalier Universitaire de Besancon: psychological factors Additional relevant MeSH terms: Layout table for MeSH terms Headache Headache Disorders Headache Disorders, Primary Pain Neurologic Manifestations Signs and Symptoms Brain Diseases Central Nervous System Diseases Nervous System Diseases

2018 Clinical Trials

31. A Comparative Efficacy Trial of IV Acetaminophen Versus IV Ketorolac for Emergency Department Treatment of Generalized Headache

research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 65 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Age 18 to 65 years Presenting chief complaint of headache, migraine, tension headache, cluster headache, or headache not otherwise specified Report of pain 4 using a standard 11-point numerical scale (0 to 10; 0=no pain and 10=worst (...) possible pain) Exclusion Criteria: Age < 18 years or > 65 years Inability to provide informed consent Physical or mental disability hindering adequate response to assessment of pain Hemodynamic instability/medical condition requiring acute life-saving medical intervention Documented or suspected pregnancy or currently breastfeeding Known brain mass, intracranial hemorrhage, skull fracture Known allergy, hypersensitivity, or prior adverse reaction to acetaminophen, NSAIDs, diphenhydramine

2018 Clinical Trials

32. Two Fluid Strategies for Prevention of Post-dural Puncture Headache

Go to Primary Outcome Measures : Incidence of post-dural puncture headache [ Time Frame: 48 hours ] the number of patients who develop post-dural puncture headache defined as pain scale above 4 Secondary Outcome Measures : incidence of post-spinal hypotension [ Time Frame: 60 minutes ] number of patients who develop hypotension defined as decrease of systolic blood pressure by more than 20% from the baseline reading after subarachnoid block Wong-Baker faces pain scale [ Time Frame: 48 hours (...) Criteria: History of migraine headache Hypertensive disorders of pregnancy Cardiac morbidities, Baseline systolic blood pressure < 100 mmHg Contraindication of regional anesthesia. Patients with more than one single attempt for spinal block Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its

2018 Clinical Trials

33. Testing myWHI: Online Self-help Programs for Headaches

of four headache days during 4 weeks that they are asked to use an electronic headache diary Exclusion criteria: health care professional has not ruled out any underlying medical condition related to their headaches (e.g., head trauma, meningitis) are pregnant, planning to get pregnant (in the next 4 to 6 months), or breastfeeding, as hormonal changes are known to exert potent influences on migraine headaches have an impairment which compromises their ability to give informed consent having been (...) Testing myWHI: Online Self-help Programs for Headaches Testing myWHI: Online Self-help Programs for Headaches - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Testing myWHI: Online Self-help Programs

2018 Clinical Trials

34. PACAP27 Headache Properties in Migraine Without Aura Patients

either Intra Uterine Device (IUD), birth control pills, surgical sterilization of the woman or depot progestogen. Exclusion Criteria: Tension Type headache for more than 5 days the month on average in the last year. All other primary headaches . Headache later than 48 hours before trial start. Daily intake of any medicine other than oral contraception. Ingestion of any form of medicinal product later than 4 times the plasma half-life substance (on trial day), except for oral contraception. Pregnant (...) Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Migraine Disorders Headache Migraine without Aura Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Pain Neurologic Manifestations Signs and Symptoms Pituitary Adenylate Cyclase-Activating Polypeptide Growth Substances Physiological Effects

2018 Clinical Trials

35. Using the S100B Protein for Emergency Headache Management Care

/10 Blood sample can be taken within 1 hour following the emergency admission VAS > 6 or Glasgow < 8 Signed and dated informed consent by patient, or trusted person, or family Exclusion Criteria: Patient presenting headache after head trauma Pregnant or breastfeeding women Patient with a pathology causing the elevation of PS100B's rate such as Alzheimer's disease, Creuzfeld-Jacob's disease, Multiple Sclerosis, cerebral tumour, trisomy 21, melanoma (diabetes excluded) Patient covered by social (...) negative predictive value headache intracranial hemorrhage Additional relevant MeSH terms: Layout table for MeSH terms Emergencies Hemorrhage Headache Migraine Disorders Disease Attributes Pathologic Processes Pain Neurologic Manifestations Signs and Symptoms Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases

2018 Clinical Trials

36. Salivary Inflammatory Markers in Tension Type Headache and Migraine

International Classification of Headache Disorders, 3rd edition (beta version) Exclusion Criteria: abnormal plasma CRP, Interleukin-1β and Interleukin-6 levels (>10 mg/L) smoking cigarettes > 1 pack/day; current pregnancy, lactation, or hormonal contraceptive use alcohol or substance abuse drug use such as anticoagulants, statins, or hormonal drugs anti-inflammatory therapy other primary or secondary headaches major psychiatric disease oral health problems. Contacts and Locations Go to Information from (...) headaches CRP Interleukin1β Interleukin6 markers Additional relevant MeSH terms: Layout table for MeSH terms Migraine Disorders Headache Tension-Type Headache Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Pain Neurologic Manifestations Signs and Symptoms

2018 Clinical Trials

37. Effectiveness of Dry Needling of the Sternocleidomastoid in Patients With Cervicogenic Headaches

of this study is to determine whether individuals with cervicogenic headache respond favorably to a program of manual therapy in combination with dry needling of the major muscle between chest bone and the head (sternocleidomastoid muscle) compared to manual therapy directed to the upper body quadrant alone. The researchers will conduct a randomized clinical trial to assess the effectiveness of a manual therapy and dry needling approach (group 1) vs. manual therapy only. (group 2) Study Design Go to Layout (...) spine Chiropractic, Physical Therapy, or Acupuncture treatment for their neck pain in the last 6-months Workers compensation or pending legal action regarding their headaches Insufficient English language skills to complete all questionnaires Inability to comply with treatment and follow-up schedule Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information

2018 Clinical Trials

38. A Study to Describe Pain Intensity, Pain Relief and Safety of Neosaldina in the Treatment of Tension-type Headaches (TTH) in Healthy Participants

A Study to Describe Pain Intensity, Pain Relief and Safety of Neosaldina in the Treatment of Tension-type Headaches (TTH) in Healthy Participants A Study to Describe Pain Intensity, Pain Relief and Safety of Neosaldina in the Treatment of Tension-type Headaches (TTH) in Healthy Participants - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save (...) this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. A Study to Describe Pain Intensity, Pain Relief and Safety of Neosaldina in the Treatment of Tension-type Headaches (TTH) in Healthy Participants The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk

2018 Clinical Trials

39. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head

rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head (TOPiCS-rTMS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03691272 Recruitment Status : Active

2018 Clinical Trials

40. Ondansetron 8 mg and 4 mg with normal saline against post-operative headache and nausea/vomiting after spinal anesthesia: a randomized double-blind trial Full Text available with Trip Pro

Ondansetron 8 mg and 4 mg with normal saline against post-operative headache and nausea/vomiting after spinal anesthesia: a randomized double-blind trial The study aims to evaluate the efficacy of ondansetron in preventing post-spinal headache, considering the high prevalence of the headache in pregnant women and the common use of the adjuvants for prophylaxis against post-operative nausea and vomiting (PONV). This double-blind clinical trial included the 195 patients who were referred (...) to Taleghani Hospital (in Arak, Iran) for cesarean section (C/S) under spinal anesthesia, and then the subjects were assigned to three equally sized groups using block randomization. Participants in the first, second, and control groups received 8 mg, 4 mg of ondansetron, and normal saline, respectively, 5 minutes before surgery. A final volume of 5 cc was prepared by adding normal saline. Participants were examined for headache one week after surgery, and then data analysis was performed using SPSS 20

2018 Medical gas research Controlled trial quality: predicted high

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