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Headache in Pregnancy

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101. Olanzapine for Acute Headaches

Volunteers: Yes Criteria Inclusion Criteria: Adult patient between 18-65 years of age presenting to the emergency department with acute primary headache Patient approved for inclusion by primary attending physician in the emergency department Exclusion Criteria: Age < 18 or > 65 Pregnancy Known allergy to olanzapine Known QT prolongation or underlying condition that places patient at risk for QT prolongation Inability to give written consent (intoxication, altered mental status) Headache of organic (...) Olanzapine for Acute Headaches Olanzapine for Acute 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. Olanzapine for Acute Headaches (Olanzapine) The safety and scientific validity of this study

2016 Clinical Trials

102. Sleep in Cluster Headache: Sleep Parameters in- and Outside a Cluster Bout

Population Episodic cluster headache patients diagnosed according to International Classification of Headache disorders III beta (ICHD III beta) Criteria Inclusion Criteria: Age between 18 and 65 years of age Episodic cluster headache according to ICHD-III beta Ability to differentiate attacks of other primary headaches from cluster headache. 1-8 daily attacks Cluster bouts normally lasting more than 2 weeks Exclusion Criteria: Treatment with psychiatric medication other than lithium. Pregnancy (...) Sleep in Cluster Headache: Sleep Parameters in- and Outside a Cluster Bout Sleep in Cluster Headache: Sleep Parameters in- and Outside a Cluster Bout - 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. Sleep

2016 Clinical Trials

103. Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru. (Full text)

attending prenatal care clinics in Lima, Peru. Suicidal ideation and depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale during early pregnancy. Migraine classification (including migraine and probable migraine) was based on International Classification of Headache Disorders-III beta criteria. Multivariable logistic regression analyses were performed to estimate odds ratios (OR) and 95% confidence intervals (95% CI).Suicidal ideation was more common among those with migraine (...) with increased odds of suicidal ideation in pregnant women even when controlling for depression. These findings support the consideration of screening women with comorbid migraine and depression for suicidal behavior during pregnancy.© 2016 American Headache Society.

2016 Headache PubMed

104. Thunderclap Headache Secondary to Pneumocephalus Following Epidural Anesthesia (Full text)

pneumocephalus pregnancy thunderclap headache 2016 7 2 6 0 2016 7 2 6 0 2016 7 2 6 1 ppublish 27366299 10.1177/1941874416632047 10.1177_1941874416632047 PMC4906556 Anaesthesist. 2003 Sep;52(9):798-800 14504806 JAMA. 2003 Mar 19;289(11):1430-3 12636467 Acta Anaesthesiol Scand. 2014 Aug;58(7):858-66 24961586 Continuum (Minneap Minn). 2014 Feb;20(1 Neurology of Pregnancy):128-47 24492815 Obstet Gynecol. 2006 Sep;108(3 Pt 2):795-8 17018506 (...) Thunderclap Headache Secondary to Pneumocephalus Following Epidural Anesthesia 27366299 2016 07 01 2018 11 13 1941-8744 6 3 2016 Jul The Neurohospitalist Neurohospitalist Thunderclap Headache Secondary to Pneumocephalus Following Epidural Anesthesia. 132-3 10.1177/1941874416632047 Avila J David JD Washington University School of Medicine, Department of Neurology, St Louis, MO, USA. eng Journal Article 2016 02 16 United States Neurohospitalist 101558199 1941-8744 epidural anesthesia

2016 The Neurohospitalist PubMed

105. Headache Red Flag

Headache Red Flag Headache Red Flag 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 Red Flag Headache Red Flag Aka: Headache (...) Red Flag , Thunderclap Headache II. Interpretation: Red Flags imply serious cause See See III. Findings: Headache, Severe and incapacitating First or worst of patient's life ( , , ) Age over 40 to 50 years old and no prior history or of s Especially onset after age 40-50 years Mass lesion Progressive in frequency or severity CNS mass lesion Sudden onset reaching severe, maximal intensity within minutes to under one hour (Thunderclap Headache) (or other such as from AV malformation) Cerebral venous

2018 FP Notebook

106. Migraine Headache Prophylaxis

Migraine Headache Prophylaxis Migraine Headache Prophylaxis 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 Migraine Headache (...) Prophylaxis Migraine Headache Prophylaxis Aka: Migraine Headache Prophylaxis , Migraine Prophylaxis From Related Chapters II. Epidemiology Of the 38% of episodic patients in whom prophylaxis is indicated, less than half are taking prophylaxis III. Indications: Frequent Migraine Headaches frequency s per month: 4 or more OR days per month: 8 or more Consider in any patient desiring Migraine Prophylaxis to reduce frequency duration Prolonged s >2 days with response to Debilitating despite acute abortive

2018 FP Notebook

107. Headache-Related Neuroimaging

Neuroimaging Headache-Related Neuroimaging Aka: Headache-Related Neuroimaging , Neuroimaging in Headache II. Indications s III. Protocol: Imaging selection Immunocompromised with and without contrast suspected in age >60 years with and without contrast Requires starting s and obtaining temporal artery biopsy Suspected or without contrast Start antibiotics and obtain Pregnancy and severe (preferred) or Suspected carotid dissection with severe unilateral with and without contrast and MRA of the head and neck (...) Headache-Related Neuroimaging Headache-Related Neuroimaging 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-Related

2018 FP Notebook

108. Idiopathic intracranial hypertension presenting as postpartum headache (Full text)

forth. Idiopathic intracranial hypertension (IIH) is a rare cause of postpartum headache. It is usually associated with papilledema, headache, and elevated intracranial pressure without any focal neurologic abnormality in an otherwise healthy person. It is more commonly seen in obese women of reproductive age group, but rare during pregnancy and postpartum. We present a case of IIH who presented to us 18 days after cesarean section with severe headache and was successfully managed. (...) Idiopathic intracranial hypertension presenting as postpartum headache Postpartum headache is described as headache and neck or shoulder pain during the first 6 weeks after delivery. Common causes of headache in the puerperium are migraine headache and tension headache; other causes include pre-eclampsia/eclampsia, post-dural puncture headache, cortical vein thrombosis, subarachnoid hemorrhage, posterior reversible leukoencephalopathy syndrome, brain tumor, cerebral ischemia, meningitis, and so

2016 Neurosciences PubMed

109. Treating pain during pregnancy and breast feeding

, nursing and public health challenge. References 1 Coluzzi F, Valensise H, Sacco M, Allegri M Chronic pain management in pregnancy and lactation. Minerva Anestesiol. 2014 Feb;80(2):211-24. 2 Narayan B, Nelson-Piercy C. Medical problems in pregnancy. Clin Med (Lond). 2016 Dec;16(Suppl 6):s110-s116. 3 Tepper D. Pregnancy and lactation–migraine management. Headache. 2015 Apr;55(4):607-8. (Visited 376 times, 1 visits today) , , , , , Tagged , , , , Post navigation . 17 December 2018 EBN Opinion 17 December (...) Treating pain during pregnancy and breast feeding Treating pain during pregnancy and breast feeding | Evidence-Based Nursing blog by This week’s EBN Twitter Chat on Weds 19 th April at 8-9pm UK time will focus on pain during pregnancy, how important and difficult is to treat pain during pregnancy and breast feeding. The Twitter Chat will be hosted by Dr Massimo Allegri, Assistant Professor in Anesthesia Intensive Care and Pain Medicine at the University of Parma (Italy),@allegri_massimo

2017 Evidence-Based Nursing blog

110. SMFM State of Pregnancy Monograph

. Pregnancy after liver transplantation g. Pancreatitis h. Wilson’s disease7. Hematologic diseases a. Maternal anemia and hemoglobinopathies b. Sickle cell disease c. von Willebrand disease d. Thrombotic thrombocytopenia purpura/hemolytic uremic syndrome e. Care of the Jehovah’s Witness pregnant woman 8. Renal disease (includes renal transplantation) 9. Neurologic diseases: a. Seizure disorders b. Headache c. AV malformation/ berry aneurysm d. Multiple sclerosis e. Pseudotumor cerebri f. Myasthenia gravis (...) SMFM State of Pregnancy Monograph SMFM State of Pregnancy MonographF irst recognized by the American Board of Obstetrics and Gynecologists in 1973, the subspecialty of Maternal-Fetal Medicine (MFM) grew from a need to care for increasingly complicated pregnancies and from emerging technologies that provided greater opportunity to evaluate and treat problems involving the fetus. MFM subspecialists are the leaders in high- risk obstetric care and serve as consultants to other obstetric care

2015 Society for Maternal-Fetal Medicine

111. Clinical practice guideline for care in pregnancy and puerperium

with persistent headache after epidural analgesia should be referred to the appropriate anaesthesiology service for proper assessment and treatment.CPG FOR CARE IN PREGNANCY AND PUERPERIUM 33 Weak We suggest not administering intramuscular adrenocorticotropic hormone (ACTH), oral caffeine or subcutaneous sumatriptan for the treatment of post-LP headache. Weak We suggest not administering an epidural blood patch for the treatment of post- LP headache as first-line treatment. Treatments for low back pain v (...) Clinical practice guideline for care in pregnancy and puerperium CPG FOR CARE IN PREGNANCY AND PUERPERIUM a Clinical Practice Guideline for Care in Pregnancy and Puerperium CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS MINISTRY OF HEALTH, SOCIAL SERVICES AND EQUALITY CONSEJERÍA DE IGUALDAD, SALUD Y POLÍTICAS SOCIALESClinical Practice Guideline for Care in Pregnancy and Puerperium MINISTERIO DE SANIDAD, SERVICIOS SOCIALES E IGUALDAD MINISTERIO DE ECONOMÍA Y COMPETITIVIDAD CLINICAL PRACTICE

2014 GuiaSalud

112. Effects of Sodium Hyaluronate on Symptoms and Quality of Life in Women Affected by Pregnancy Rhinitis: A Pilot Study. (PubMed)

(QOL) during pregnancy were investigated by administering a questionnaire and carrying out an otorhinolaryngoiatric visit.A significant reduction in the intensity of headache, snoring and insomnia in the Group A compared to the Group B were demonstrated. In the Group A, a significant lower presence of amount of secretions (Group A 0.88, 95% CI 0.57-1.18 vs. Group B 2.00, 95% CI 1.69-2.31, p < 0.001), turbinate hypertrophy (Group A 1.70, 95% CI 1.46-1.94 vs. Group B 2.53, 95% CI 2.29-2.77, p < 0.001 (...) Effects of Sodium Hyaluronate on Symptoms and Quality of Life in Women Affected by Pregnancy Rhinitis: A Pilot Study. To investigate sodium hyaluronate (SH) efficacy in the treatment of pregnancy rhinitis.A single-center, prospective, open-label, 2 parallel-group study was carried out. Pregnant women affected by pregnancy rhinitis were randomly assigned to 1 of 2 groups: Group A was treated with SH, while Group B did not receive any treatment. Pregnancy rhinitis symptoms and quality of life

2018 Gynecologic and obstetric investigation

113. Spontaneous pregnancy after full recovery from hypopituitarism caused by lymphocytic hypophysitis (Full text)

Spontaneous pregnancy after full recovery from hypopituitarism caused by lymphocytic hypophysitis Lymphocytic hypophysitis (LyH) has been known to be associated with pregnancy. We herein report the case of a 33-year-old woman who underwent vaginal delivery without massive bleeding at 40 weeks of gestation. Because of the presence of headache and terrible fatigue after childbirth, she visited our hospital. Severe hyponatremia (Na, 118 mEq/L) and visual field abnormality was noted upon (...) and had almost normal pituitary function. Second, after recovery from LyH, she was able to undergo spontaneous pregnancy and deliver a baby. We believe that reporting incidences of spontaneous pregnancy after complete normalization of pituitary function in patients with LyH is of great significance.Females are more affected by LyH than males given its strong association with pregnancy.LyH possesses characteristic findings on pituitary MRI.Glucocorticoid therapy for LyH has been recommended

2018 Endocrinology, diabetes & metabolism case reports PubMed

114. Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. (Full text)

Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. This study was designed to identify the services provided by community pharmacists in Kuwait and their views regarding self-care in pregnancy and lactation. In addition, it determined the pharmacists' recommendations for treatment of pregnancy-related and breast feeding-related ailments.Cross-sectional questionnaire-based survey.Community pharmacies in Kuwait.207 pharmacies were (...) randomly selected from the Ministry of Health database. One registered pharmacist was approached from each pharmacy. One hundred and ninety-two (92.8%) pharmacists agreed to participate and completed a self-administered questionnaire.The proportions of pharmacists offering particular advice for health conditions in pregnancy and lactation, pharmacists' recommendations for common and specific ailments during pregnancy and breast feeding, and pharmacists' views about self-care in pregnancy and breast

2018 BMJ open PubMed

115. Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study. (Full text)

educational levels. When asked to spontaneously mention the danger signs, more than half of the participants (n = 222, 57.8%) were able to mention only one to three danger signs. Only 104 (31%) had correct knowledge of at least four danger signs and nine (2.7%) were not able to mention any item. The most commonly known pregnancy danger signs were vaginal bleeding (81%); swelling of the fingers, face, and legs (46%); and severe headache (44%). Older women were 1.6 times more likely to have knowledge (...) Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study. Tanzania is among the countries with a high maternal mortality ratio. However, it remains unclear how information and education on danger signs of pregnancy translate into appropriate actions when a woman recognizes danger signs. This study aimed to determine women's knowledge of obstetric danger signs during pregnancy and their subsequent healthcare

2018 BMC Pregnancy and Childbirth PubMed

116. Characteristics of menstrual versus non-menstrual migraine during pregnancy: a longitudinal population-based study (Full text)

Characteristics of menstrual versus non-menstrual migraine during pregnancy: a longitudinal population-based study Migraine is a common headache disorder that affects mostly women. In half of these, migraine is menstrually associated, and ranges from completely asymptomatic to frequent pain throughout pregnancy.The aim of the study was to define the pattern (frequency, intensity, analgesics use) of migrainous headaches among women with and without menstural migraine (MM) during pregnancy (...) , and define how hormonally-related factors affect its intensity.The analysis was based upon data from 280 women, 18.6% of them having a self-reported MM. Women with MM described a higher headache intensity during early pregnancy and postpartum compared those without MM, but both groups showed improvement during the second half of pregnancy and directly after delivery. Hormonal factors and pre-menstrual syndrome had no effect upon headache frequency, but may affect headache intensity.Individual treatment

2018 The journal of headache and pain PubMed

117. Clinical Report of Probable Catastrophic Antiphospholipid Syndrome in Pregnancy (Full text)

Clinical Report of Probable Catastrophic Antiphospholipid Syndrome in Pregnancy Catastrophic APS (CAPS) is a rare but life-threatening form of APS defined as multiorgan thrombosis affecting a minimum of three organs with confirmation by histopathology of small vessel occlusions in at least one organ or tissue. The development of CAPS in pregnancy poses many diagnostic challenges as a result of its broad range of clinical presentations and its overlap with other obstetric complications (...) and microangiopathic diseases. Because of the high associated mortality rate, prompt recognition and treatment are paramount.A twenty-five-year-old G3P0111 with a history of multiple thromboembolisms presented at 21 weeks and 3 days of gestation with complaints of right upper quadrant pain, visual disturbances, headache, and syncopal episodes. Laboratory evaluation demonstrated microangiopathic disease with hemolysis (confirmed on peripheral smear), elevated liver enzymes, and abnormal 24-hour urine protein

2018 Case reports in obstetrics and gynecology PubMed

118. Developed diplopia due to a pituitary macroadenoma during pregnancy (Full text)

Developed diplopia due to a pituitary macroadenoma during pregnancy Physiologic pituitary enlargement is common during normal pregnancy. However, symptoms such as diplopia, blurred vision and headache resulting from physiologic pituitary enlargement are very rare during pregnancy. A 43-year-old woman complained of sudden headache and left eye ptosis at 36th weeks of gestation. An magnetic resonance imaging (MRI) demonstrated the pituitary enlargement and a macroadenoma without a compressing (...) of the optic chiasm, but with an extension to the left cavernous sinus. 48 hours after the prescription of the bromocriptine, we had a spectacular evolution with disappearance of the headache and a total regression of the ptosis. We report a case of visual loss due to the physiologic pituitary enlargement or to the macroadenoma during pregnancy, which regressed after the prescription of bromocroptine.

2018 The Pan African medical journal PubMed

119. Acute Fatty Liver of Pregnancy: A Thorough Examination of a Harmful Obstetrical Syndrome and Its Counterparts (Full text)

Acute Fatty Liver of Pregnancy: A Thorough Examination of a Harmful Obstetrical Syndrome and Its Counterparts Diagnosed in one of every 20,000 deliveries, acute fatty liver of pregnancy (AFLP) was considered to be a deadly disease for many years. However, advancements in the clinical and surgical management of pregnant mothers have lead to a drastic decrease in maternal morbidity and mortality. The corresponding case recounts a 23-year-old gravida 2 para 1 (G2P1) at 38 weeks gestational age (GA (...) ) with no relevant past medical or family medical history that presented to the emergency department (ED) with a five-day history of nausea, protracted vomiting, hypertension, and new-onset headache. Being late in the third trimester, preeclampsia was the top differential diagnosis while awaiting additional laboratory work-up. The work-up later revealed elevated liver function tests and bilirubin plus an abnormal coagulation profile with low fibrinogen. The differential was then shifted to AFLP versus hemolysis

2018 Cureus PubMed

120. A rare presentation of pheochromocytoma in pregnancy: a case report (Full text)

A rare presentation of pheochromocytoma in pregnancy: a case report Early diagnosis of pheochromocytoma and its proper management can lessen its mortality and morbidity. This case report describes a 24-year-old pregnant woman with an unusual presentation of pheochromocytoma.An Iranian 24-year-old primigravid woman from Kordistan province was referred to our center with left flank pain at 37 weeks of gestation. She had a history of gestational diabetes mellitus since the 12th week of gestation (...) which was managed by insulin administration. She also had a history of pulsatile bi-temporal headache for 2 years prior to her referral to us. She underwent complete abdominal and pelvic ultrasound imaging for her flank pain. This examination revealed a heterogeneous mass of 119 × 87 × 79 mm above her left kidney, highly suspicious of being an adrenal-originating tumor. Subsequently, we consulted an endocrinologist. She underwent abdominopelvic magnetic resonance imaging and her 24-hour urine

2018 Journal of medical case reports PubMed

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