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Medication Causes of Headache

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61. Nerve blocks in paediatric and adolescent headache disorders. (PubMed)

Nerve blocks in paediatric and adolescent headache disorders. Headaches in children and adolescents are common, causing debilitating symptoms in many. Treatment of headache disorders can be complex and standard lifestyle changes as well as oral medications may offer inadequate relief. The purpose of this article is to review the mechanism of action, efficacy and technique of peripheral nerve blocks (PNBs) and the role they play in treating paediatric headache disorders.Evidence for the use (...) of PNBs in youth is limited. However, available studies show evidence of benefit in both primary and secondary headache disorders. Variability exists in the type of block, medication choice, volume infused and frequency of this treatment. There are no serious side effects associated with PNBs.PNBs are well tolerated and effective as adjunctive therapy for many disabling paediatric headache disorders. The technique can be easily learned by frontline and specialty practitioners. Prospective placebo

2018 Current Opinion in Pediatrics

62. Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. (PubMed)

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 (...) ) pathology of the immune system such as HIV; (15) painkiller overuse or new drug at onset of headache. Using the systematic SNNOOP10 list to screen new headache patients will presumably increase the likelihood of detecting a secondary cause. The lack of prospective epidemiologic studies on red flags and the low incidence of many secondary headaches leave many questions unanswered and call for large prospective studies. A validated screening tool could reduce unneeded neuroimaging and costs.© 2018

2018 Neurology

63. The Feasibility and Efficacy of Ultrasound-Guided C2 Nerve Root Coblation for Cervicogenic Headache. (PubMed)

The Feasibility and Efficacy of Ultrasound-Guided C2 Nerve Root Coblation for Cervicogenic Headache. The cervicogenic headache is a syndrome caused by dysfunction of the upper cervical spine and its component bony, disc, and/or soft tissue elements. The C2 nerve root may play a pivotal role in cervicogenic headache. In this retrospective study, we evaluated the feasibility and efficacy of ultrasound-guided C2 nerve root coblation in managing 26 patients with cervicogenic headache.The data were (...) collected retrospectively by reviewing the patient's medical records and pain questionnaires.A total of 109 patients with cervicogenic headache sustained for at least six months were identified. Of those patients, 26 had a visual analog scale score ≥6 and subsequently underwent an ultrasound-guided C2 nerve root coblation.All 26 patients had >50% pain relief one day after coblation. Twenty-three of the 26 patients (92.31%) had a decrease in their pain score of 50% or more at 24-week follow-up. The mean

2018 Pain Medicine

64. Medication Causes of Headache

Medication Causes of Headache Medication Causes of Headache 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 Medication Causes (...) of Headache Medication Causes of Headache Aka: Medication Causes of Headache , Substance-Induced Headache , Headaches due to Medication II. Causes: Headaches related to medication or substance use Chemicals Foods Monosodium glutamate Nitrite Processed meats and fish Food coloring Preservatives Anti-infective agents Amphotericin B Trimethoprim-Sulfamethoxazole ( , ) Cardiovascular agents s ( , ) ( ) Gastrointestinal Agents ( ) ( ) ( ) s and Anti-Inflammatory agents Propoxyphene Pentazocine s s (associated

2015 FP Notebook

65. Primary Care Management of Headache in Adults

is a vasoconstrictor, it should not be used in patients with cerebrovascular or cardiovascular disease. SR (G4) X Opioids Opioid analgesics (e.g., codeine, tramadol) and combination analgesics containing opioids are not recommended for routine use for the treatment of migraine because of their potential for causing medication-overuse headache. Opioids may be necessary when other medications are contraindicated or ineffective, or as a rescue medication when the patient’s usual medication has failed. CS (G4) + RCT (...) - programs/hta/aagap/headache) may be helpful to monitor the effect of prophylactic therapy. If multiple trials of prophylactic drug monotherapy have not been successful, preventive drug combinations and/or referral to a headache specialist should be considered. ? Indications for Migraine Preventive Medication Consider migraine pharmacological prophylactic therapy in the following situations: 1. Recurrent migraine attacks are causing significant disability despite optimal acute drug therapy. Prophylaxis

2012 Toward Optimized Practice

66. Medication Overuse Headache (MOH) and an Innovative Approach

Medication Overuse Headache (MOH) and an Innovative Approach Medication Overuse Headache (MOH) and an Innovative Approach - 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. Medication Overuse Headache (MOH (...) Technology (ICT) system that allows patients with a chronic condition to receive continuous and personalized treatment. The whole system is based on an advanced, "all in one" Alerting and Decision Support System that follows patients from the diagnosis and supports the physician in managing the therapy, controlling relevant events impacting on patient safety and activating specific procedures if selected thresholds are exceeded. In the frame of chronic neurological disorders, Medication Overuse Headache

2015 Clinical Trials

67. CRACKCast E189 – Air Medical Transport

hypoxia causes headache, nausea, drowsiness, fatigue, unconsciousness, and death. Henry’s law The mass of gas absorbed by a liquid is directly proportional to the partial pressure of the gas above the liquid. Sudden decompression at altitude may result in dysbaric injuries. In scuba diving, rapid ascent can result in gas to come out of solution within the bloodstream, resulting in decompression sickness. From Rosen’s table 191.1 [2] What are four potential body cavities affected by Boyle’s law (...) levels decline (due to the steep oxyhemoglobin desaturation curve) – classic scenario is the patient with angina due to cardiac ischemia. When it comes to the pressure changes, as you remember from Boyle’s law people with air cavities in their body that can’t be equalized may notice an up to 30% increase in gas volume at altitude. This is an issue in situations such as: pneumothoraces, inflated medical devices, etc. Most diversions are caused by cardiac (e.g. cardiac ischemia), neurologic (seizures

2018 CandiEM

68. CRACKCast E164 – Plants, Mushrooms, and Herbal Medications

; Exclusion of other causes Systemic features Liver necrosis Occasional degeneration of skeletal & cardiac muscle fibers Micturition difficulty Muscle: Cramps; Cardiac change This post was uploaded and copy-edited by Andrew Guy (Visited 642 times, 1 visits today) Chris Lipp is one of the founding Fathers for CrackCast. He currently divides his time as an EM Physician in Calgary (SHC/FMC) and in Sports Medicine. His interests are in endurance sports, exercise as medicine, and wilderness medical education (...) CRACKCast E164 – Plants, Mushrooms, and Herbal Medications CRACKCast E164 – Plants, Mushrooms, and Herbal Medications - CanadiEM CRACKCast E164 – Plants, Mushrooms, and Herbal Medications In by Chris Lipp March 26, 2018 This episode of CRACKCast covers Rosen’s 9th Edition Chapter 158, Plants, Mushrooms, and Herbal Medications. Most of these ingestions occur in children, and much more commonly in the developing world. However, many of these species and herbals are available in North America

2018 CandiEM

69. CRACKCast E178 – Co-Morbird Medical Emergencies During Pregnancy

these conditions balancing risks to both mother and fetus. Shownotes – Key Concepts The physiologic demands of pregnancy may cause previously occult medical conditions to become apparent and known problems to deteriorate rapidly. The physiologic adjustments of pregnancy alter the normal ranges for certain laboratory values. The adjusted values need to be considered in the interpretation of results. The possibility of pregnancy should be considered in the differential diagnosis of certain conditions, including (...) new-onset seizures or status epilepticus (eclampsia), glucose intolerance (GDM), persistent vomiting (hyperemesis gravidarum), and thyroid disorders. The immunosuppressive effects of pregnancy may cause temporary improvement in inflammatory and autoimmune conditions. This beneficial effect is lost in the postpartum period, resulting in exacerbations of asthma, thyroid disorders, and myasthenia gravis. Medication requirements can change drastically during pregnancy and the postpartum period

2018 CandiEM

70. Does Bed Rest Prevent Post-Lumbar Puncture Headache?

- ture, and myelography). DATA EXTRACTION Both authors separately examined all studies identi?ed and at- tempted to contact the authors for any other relevant data not included in the publication. Re- sults were pooled, on an inten- tion-to-treat basis when possible, Does Bed Rest Prevent Post–Lumbar Puncture Headache? EBEM Commentator Christian H. Jacobus, MD Department of Emergency Medicine Synergy Medical Education Alliance Saginaw, MI Division of Emergency Medicine Michigan State University (...) hypovole- mia. This causes traction on the pain- sensitive structures in the brain, such as the meninges and bridging veins, resulting in headache. Given that the incidence of post–lumbar puncture headache in the ED has been re- ported to be as high as 40% 1-3 and that the de?nitive treatment is the administration of a blood patch, which incurs additional cost and discomfort, an intervention that decreases this complication would be very bene?cial. Historically, the teaching has been to instruct

2011 Annals of Emergency Medicine Systematic Review Snapshots

71. Medical and surgical interventions for the treatment of usual-type vulval intraepithelial neoplasia. (PubMed)

Medical and surgical interventions for the treatment of usual-type vulval intraepithelial neoplasia. Usual-type vulval intraepithelial neoplasia (uVIN) is a pre-cancerous condition of the vulval skin. Also known as high-grade VIN, VIN 2/3 or high-grade vulval squamous intraepithelial lesion (HSIL), uVIN is associated with high-risk subtype human papilloma virus (HPV) infection. The condition causes distressing vulval symptoms in the majority of affected women and may progress to vulval cancer (...) group (two RCTs, 83 women; RR 7.77, 95% CI 1.61 to 37.36; high-quality evidence). Headache, fatigue and discontinuation were slightly more common with imiquimod than cidofovir (moderate-quality evidence). Quality of life scores reported in one trial (52 women) were not significantly different for imiquimod and placebo. The evidence of effectiveness of topical treatments in immunosuppressed women was scant. There was insufficient evidence on other medical interventions. Surgical and other

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2016 Cochrane

72. Alleviating Headache and Pain in GWI With Neuronavigation Guided rTMS

Sponsor: Veterans Medical Research Foundation Collaborator: United States Department of Defense Information provided by (Responsible Party): Veterans Medical Research Foundation Study Details Study Description Go to Brief Summary: This study aims to assess the effect of repetitive transcranial magnetic stimulation (rTMS) on Gulf War illness related headaches and pain. Condition or disease Intervention/treatment Phase Gulf War Syndrome Headache Device: Repetitive transcranial magnetic stimulation (...) from 0-10, with 10 being the worst. Level of relief has a range of 0-100%, with 100% being complete relief. Opioid Medication Assessment [ Time Frame: 2 months for each subject (11 visits) ] This is a self-reporting log that tracks opioid medication usage. Average daily dosages are converted to equal-potent oral Morphine Sulfate dosage and reported in milligrams. Mechanical-Visual Analogue Scale [ Time Frame: 2 months for each subject (11 visits) ] This scale measures the level of headache, muscle

2017 Clinical Trials

73. A Clinical Observation on Neuropsychology and Electrophysiology in Headache Patinets With Myofascial Trigger Points

by Qi Wan, The First Affiliated Hospital with Nanjing Medical University. Recruitment status was: Recruiting First Posted : March 17, 2017 Last Update Posted : March 17, 2017 Sponsor: The First Affiliated Hospital with Nanjing Medical University Information provided by (Responsible Party): Qi Wan, The First Affiliated Hospital with Nanjing Medical University Study Details Study Description Go to Brief Summary: To study the clinical characteristics of headache patients with pericranial myofascial (...) With Myofascial Trigger Points Actual Study Start Date : August 1, 2016 Estimated Primary Completion Date : December 1, 2017 Estimated Study Completion Date : December 1, 2017 Resource links provided by the National Library of Medicine related topics: (AHRQ) related information: Groups and Cohorts Go to Group/Cohort Headache Groub Headache patients with myofascial trigger points. Healthy Groub No headache or other diseases can cause headaches of healthy people. Outcome Measures Go to Primary Outcome Measures

2017 Clinical Trials

74. Distinguishing Characteristics of Headache in Nontraumatic Subarachnoid Hemorrhage. (PubMed)

undertook a prospective, observational study at a tertiary academic medical center examining the clinical characteristics of the presenting headache in SAH. We enrolled patients through the emergency department and from the neurosciences intensive care unit, and documented clinical features of the headache including the time to peak intensity, location, associated symptoms, and activities that caused worsening.One hundred and fifty-eight subjects were enrolled, of whom 20 patients had SAH and 138 did (...) Distinguishing Characteristics of Headache in Nontraumatic Subarachnoid Hemorrhage. Subarachnoid hemorrhage (SAH) is a life-threatening emergency that is frequently missed due to its varied and often subtle presentation. The most common presentation of SAH is with a severe headache. The classical adjective used in SAH is "thunderclap"; however, this has not been well defined in the literature, rendering it a challenge to triage patients in clinical practice presenting with severe headache.We

2017 Headache

75. Headache attributed to airplane travel: diagnosis, pathophysiology, and treatment - a systematic review. (PubMed)

to be investigated in AH.The systematic literature search was performed in 3 relevant medical databases; PubMed, Scopus, and Embase. The search yielded 220 papers and the papers were sorted based on inclusion and exclusion criteria established for this study.This systematic review included 39 papers. Main findings revealed that AH attacks are clinically stereotyped and appear mostly during landing phases. The headache presents as a severe painful headache that often disappears within 30 min. The pain (...) Headache attributed to airplane travel: diagnosis, pathophysiology, and treatment - a systematic review. Headache attributed to airplane travel, also named "airplane headache" (AH) is a headache that occurs during take-off and landing. Today, there are still uncertainties about the pathophysiology and treatment of AH. This systematic review was performed to facilitate identification of the existing literature on AH in order to discuss the current evidence and areas that remain

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2017 The journal of headache and pain

76. Orofacial pain and headaches associated with exfoliation glaucoma. (PubMed)

Orofacial pain and headaches associated with exfoliation glaucoma. Exfoliation syndrome is the most common identifiable cause of open-angle glaucoma. The authors report a case of exfoliation glaucoma in a patient who had orofacial pain.A 77-year-old woman was treated at the orofacial pain clinic for left-sided facial pain and headaches of 7 months' duration. Her cataracts and open-angle glaucoma had been diagnosed approximately 3 years earlier. Her main symptoms were orofacial pain, eye redness (...) , inflammation of the eyelids, and eyelid edema. Magnetic resonance imaging showed no evidence of intracranial or extracranial pathology. Hemicrania continua was considered as a possible diagnosis. Indomethacin was prescribed but did not affect her headaches. She then went to an ophthalmologist to rule out secondary headaches. Intraocular pressure was 13 millimeters of mercury in the right eye and 67 mm Hg in the left eye. The ophthalmologist made a diagnosis of exfoliation glaucoma, and the patient

2017 Journal of the American Dental Association

77. Osteopathy for primary headache patients: a systematic review. (PubMed)

Osteopathy for primary headache patients: a systematic review. This systematic review aimed to assess the efficacy, effectiveness, safety, and tolerability of osteopathic manipulative treatment (OMT) in patients with headache.Migraine is one of the most common and disabling medical conditions. It affects more than 15% of the general population, causing high global socioeconomic costs, and the currently available treatment options are inadequate.We systematically reviewed all available studies (...) results from this systematic review show a preliminary low level of evidence that OMT is effective in the management of headache. However, studies with more rigorous designs and methodology are needed to strengthen this evidence. Moreover, this review suggests that new manual interventions for the treatment of acute migraine are available and developing.

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2017 Journal of pain research

78. Which Matters More? A Retrospective Cohort Study of Headache Characteristics and Diagnosis Type in Soldiers with mTBI/Concussion. (PubMed)

, is not sufficient to predict relationships with occupational outcomes after concussion.The study sample consisted of all new patients referred for headache evaluation at the Brain Injury Center at Womack Army Medical Center over a 1-year time period. The design was retrospective and observational. Clinical data reported included demographics, causes of injury, headache characteristics, and headache diagnosis type. After reviewing records for retention or severance from military service, the primary occupational (...) outcome measure was departure from service due to medical cause as determined by a Medical Evaluation Board (MEB). The primary outcome measure was to test the strength of association between leaving service for MEB and headache characteristics or diagnosis.A total of 95 patients (94% male) with concussion described 166 distinct headache types, the most common being migraine (60%) and trigeminal autonomic cephalalgia (24%). A total of 25% of all patients remained on active duty. A continuous headache

2017 Headache

79. Prevalence of Migraine Headache in Taif City, Saudi Arabia (PubMed)

Prevalence of Migraine Headache in Taif City, Saudi Arabia Migraine is a public health problem and it is the third most common cause of disability among individuals below the age of 50. In spite of the multiplicity of the studies concerned with exploring the disease epidemiology and nature worldwide, data from Saudi Arabia are lacking. The aim of this study was to study the prevalence of migraine in Taif city, Saudi Arabia.This was a cross-sectional study conducted on 354 individuals in Taif (...) was significantly correlated with migraine prevalence (odds ratio (OR) = 0.28). About 47% reported pain score of 4 - 6. Seeking medical advice was encountered in 32.4% of females and 26.6% of males. Nausea occurred in more than one-third of patients before and during headache. Only 31.4% of participants knew about migraine triggers. Family history was found in 64% of participants.Migraine is prevalent in Taif city. It is more prevalent among females, and among urban areas. Migraine is associated with high rates

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2017 Journal of clinical medicine research

80. Treatment of Headache Disorders With Acupuncture: Observational Study: OBSERVATIONAL STUDY (HDACU)

the reliance on poorly tolerated, ineffective, or unwanted acute pharmacotherapies; and avoid acute headache medication escalation. There is risk for adverse events, leading some patients to refuse prophylactic therapy. Acupuncture is widely used for the treatment of headaches and it may be applied as a single modality as well as part of a more complex treatment program. The objective of this study will be to investigate whether acupuncture in routine clinical practice ((Real World Data) is more effective (...) to the criteria of the International Headache Society to differentiate between patients with, tension-type headache, trigeminal autonomic cephalgias (cluster headache and Horton's headache), trigeminal neuralgia, occipital neuralgia, cervicogenic headache and post-surgery headache). Age ≥ 18 years. Exclusion Criteria: Headache caused by somatic diseases such as hypertension, meningioma or meningoencephalitis Onset of headache less than 1-year before. acupuncture treatment less than 1-year before Contacts

2017 Clinical Trials

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