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Medication Causes of Headache

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121. Efficacy of epidural blood patch with fibrin glue additive in refractory headache due to intracranial hypotension: preliminary report (PubMed)

Efficacy of epidural blood patch with fibrin glue additive in refractory headache due to intracranial hypotension: preliminary report Injection of fibrin glue mixed with blood into the epidural space to reliably and effectively treat medically refractory orthostatic headache caused by spinal cerebrospinal fluid (CSF) leaks and subsequent intracranial hypotension has recently been described. The study described in this article utilizes an analogous technique to gauge the therapeutic (...) reproducibility of this novel technique.Eight patients with medically refractory headache resulting from intracranial hypotension caused by spinal CSF leaks received epidural injections of combined fibrin glue, autologous blood, and Isovue contrast at the L1-2 vertebral level using intermittent fluoroscopic guidance. Pre-procedure, 1-week post-procedure, and 3-month post-procedure headache pain scores were collected and used for comparison.Three out of 8 patients reported relief at 1 week, although 1

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2016 SpringerPlus

122. Surgical Treatment of Rhinogenic Contact Point Headache: An Experience from a Tertiary Care Hospital (PubMed)

that topical medications have no effects and that surgical removal of mucosal contacts could be effective in the treatment of contact point headache. The results of surgical treatment were better in cases of facial pain caused by SS and CB, than in those caused by SD. (...) , twelve, and twenty-four months after. Results The patients with SS had more severe facial pain in comparison with patients with CB (p = 0.049) and SD (p = 0.000). The subjects with CB had higher degree of facial pain than the ones with SD (p = 0.001). After an unsuccessful medical treatment and surgical removal of mucosal contacts, the decrease of headache severity was more intense in patients with CB and SS (p = 0.000) than in the patients with SD (p = 0.01). Conclusion Our results suggest

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2016 International archives of otorhinolaryngology

123. Allergic Rhinitis and Chronic Daily Headaches: Is There a Link? (PubMed)

has always been a diagnostic dilemma. Contrary to popular belief, headache is not a typical symptom of rhinitis. Some studies have shown that up to 90 % of sinus headaches are actually migraines. Nevertheless, patients with self-diagnosed sinus headache self-treat or are treated by primary care physicians and/or otolaryngologists with medications for rhinosinusitis, ignoring the neurogenic causes of the symptoms when most of these patients fulfill diagnostic criteria for chronic migraine. Chronic (...) Allergic Rhinitis and Chronic Daily Headaches: Is There a Link? Allergic rhinitis and migraine remain on the list of the most common diseases affecting adults. Migraines and headaches due to allergic rhinitis are easily confused because the symptoms of both conditions often overlap. Both may occur with sinus headache, nasal congestion, and lacrimation and may worsen with weather changes and exposure to allergens. No precise clinical definition exists for what constitutes a sinus headache, which

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2016 Current neurology and neuroscience reports

124. Prevalence and Characteristic of Headache in Dental Professionals: A Questionnaire Based Survey (PubMed)

Prevalence and Characteristic of Headache in Dental Professionals: A Questionnaire Based Survey Medical and dental streams in today's date are considered highly demanding and stressful educational environments. Dental professionals, students and faculty, encounter great deal of stress in form of academic stress and job performance. Headache is a major and common neurological problem and is the main reason for decreased work performance, absenteeism and behavioral disturbances in dental (...) various parameters was collected. Statistical analysis was done using SPSS version 22 and descriptive statistics was used to compare the results obtained.The headache was found to be prevalent in 87.1% of the subjects included in the study. Females (91.9%) were more frequently affected by headaches than males (87.1%).It can be concluded from the present study that headache was the main cause of absenteeism at school and work, mood and behavioral changes and inappropriate work actions.

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2016 Journal of clinical and diagnostic research : JCDR

125. Headache Red Flag

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 (...) Asymmetric motor function Abnormal Onset recently or suddenly Onset after age 40 years Prior that is different or progressive Different location is less useful as predictor of serious cause Pain response to standard therapy is not predictive of serious cause References Dodick (2003) Adv Stud Med S550-5 VI. References Edlow and Weinstock (2013) EM:Rap 13(12): 7-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Headache Red Flag." Click

2018 FP Notebook

126. Headache in Children

Aka: Headache in Children , Headaches in Children , Cephalgia in Children , Pediatric Headache From Related Chapters II. Epidemiology of Age 7 years or older: 33% (frequent in 2.5%) Age 15 years or older: 50% (frequent in 15%) Gender predominance Before : Boys After : Girls s in teens presenting to Emergency Department (all serious causes had neurologic findings) Upper respiratory tract infection with fever: 55% syndrome ( or ): 18% : 7% : 2.5% Post-ictal following : 2% Postconcussive: 2 (...) % Ventricular shunt malfunction: 2% Undetermined cause: 7% III. Causes: Primary Headaches Common primary Headaches in Children See s See Uncommon primary Headaches in Children Young Children Hemiplegic Ophthalmoplegic Older Child, Adolescent and Young adult Basilar (female adolescents) Similar to without (rare in children) Occipital Neuralgia IV. Causes: Secondary Headaches Head and neck infections s Intracranial Infections Cyanotic heart disease Immunocompromised Untreated (e.g. ) Intracranial Cause

2018 FP Notebook

127. Headache in Pregnancy

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 (...) , Postpartum headache (finding) Spanish cefalea posparto , cefalea postparto (hallazgo) , cefalea postparto Derived from the NIH UMLS ( ) Ontology: headache associated with pregnancy (C2029699) Concepts Sign or Symptom ( T184 ) English headache associated with pregnancy (symptom) , headache associated with pregnancy Derived from the NIH UMLS ( ) Related Topics in Obstetrics About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995

2018 FP Notebook

128. Headache

aura) (important selected causes) See Localized Headache (temporal pain in over age 50 years) (severe ) Exposure related (typically furnace in winter) (post- Headache) Young Women ( ) s (severe sudden-onset) Cervical artery dissection (carotid dissection, vertebrobasilar dissection) Venous sinus thrombosis Pituitary apoplexy Anatomic neurologic deficits Cerebellar Infarction Acute or chronic Other common benign s itis VII. Evaluation See See See See See s Acute Headache Chronic Headache VIII (...) provider know if you have sudden, severe headaches. Get medical help right away if you have a headache after a blow to your head, or if you have a headache along with a stiff neck, fever, confusion, loss of consciousness, or pain in the eye or ear. NIH: National Institute of Neurological Disorders and Stroke Definition (NCI_CTCAE) A disorder characterized by a sensation of marked discomfort in various parts of the head, not confined to the area of distribution of any nerve. Definition (NCI) Pain

2018 FP Notebook

129. Spinal Headache

(from Bing) These images are a random sampling from a Bing search on the term "Spinal Headache." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Post-Dural Puncture Headaches (C0751188) Definition (MSH) A secondary headache disorder attributed to low CEREBROSPINAL FLUID pressure caused by SPINAL PUNCTURE, usually after dural or lumbar puncture. Concepts Sign or Symptom ( T184 ) MSH SnomedCT 230479008 , 111493001 (...) (disorder) , Idiopathic intracranial hypotension Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here

2018 FP Notebook

130. Migraine Headache Prophylaxis

Portuguese Profilaxia da enxaqueca Spanish Profilaxis de la migraña , profilaxis de la migraña (procedimiento) , profilaxis de la migraña Dutch migraine profylaxe French Prophylaxie de la migraine German Migraeneprophylaxe Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 (...) 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

2018 FP Notebook

131. Emergency Department Migraine Headache Care

4 Emergency Department Migraine Headache Care Emergency Department Migraine Headache Care Aka: Emergency Department Migraine Headache Care , Migraine Headache Care in the Emergency Department , Status Migrainosus From Related Chapters II. Indications refractory to home care (6-72 hours) (e.g. ) III. Epidemiology is the fourth most common presentation to emergency departments in the United States IV. Causes See V. History See VI. Examination See VII. Diagnostics See See for and protocol VIII (...) Estado de Mal Enxaquecoso , Estados de enxaqueca Hungarian Status migrainosus Italian Stato emicranico Dutch migraine; status , migrainosus; status , status; migraine , status; migrainosus , status migrainosus , Status migrainosus Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided

2018 FP Notebook

132. Migraine Headache Trigger

Headache Trigger Aka: Migraine Headache Trigger , Migraine Headache Medication Causes From Related Chapters II. Causes: General Triggers Physical Exertion or Stress, worry, anxiety or mental health condition exascerbations Menstruation (see ) Pungent odors or perfumes Smoke exposure deprived, or excessive sleep Glare from the sun or fluorescent lights Weather or t changes High humidity High altitude Drinking cold water III. Causes: Medication Triggers s s IV. Causes: Food Triggers Tyramines See (...) Migraine Headache Trigger Migraine Headache Trigger 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 Trigger Migraine

2018 FP Notebook

133. Rebound Headache

-2 weeks, then taper 500-1000mg qd for 1-3 weeks 25-30 mg tid prn for 1-2 weeks V. Prevention Limit acute abortive medications to 10 days per month or 2 days per week Long acting s may be less likely than other simple s to cause Rebound Headaches Avoid butalbital (fiorinal) for s VI. Reference Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Rebound Headache." Click on the image (or right click) to open the source website (...) Headache , Rebound Migraine , Analgesic Overuse Headache , Medication Overuse Headache , Analgesic Rebound Headache From Related Chapters II. Pathophysiology Excessive use of medication Use more than 15-20 days per month confers risk Butalbital (Fiorinal) >5 days/month s >8 days/month s, S, Excedrin (or other combinations) >10 days/month Drug dependent pattern of s Increasing tolerance to medication dosages Medications most prone to Rebound Headache Occurs with all medications Butalbital (e.g. Fiorinal

2018 FP Notebook

134. Chronic Progressive Headache

Chronic Progressive Headache Aka: Chronic Progressive Headache , Organic Headache , Secondary Headache From Related Chapters II. Causes Acute See Chronic (e.g. mass effect) Intracranial Tumor Arachnoid cyst (rare) Vascular disorder Arteriovenous malformation Carotid dissection III. Symptoms and Signs See See See IV. Examination Focus Areas Careful (focus on symmetry) s presenting with neurologic change: 92% Cognitive changes Nonspecific changes Meningismus Careful Asymmetric pupils or other abnormal (...) be attributed to a variety of causes including BRAIN VASCULAR DISORDERS; WOUNDS AND INJURIES; INFECTION; drug use or its withdrawal. Concepts Disease or Syndrome ( T047 ) MSH Swedish Huvudvärksproblem, sekundära Finnish Sekundaariset päänsäryt Russian GOLOVNAIA BOL', VYZVANNAIA CHREZMERNYM PRIMENENIEM ANAL'GETIKOV , GOLOVNOI BOLI SINDROMY VTORICHNYE , ГОЛОВНАЯ БОЛЬ, ВЫЗВАННАЯ ЧРЕЗМЕРНЫМ ПРИМЕНЕНИЕМ АНАЛЬГЕТИКОВ , ГОЛОВНОЙ БОЛИ СИНДРОМЫ ВТОРИЧНЫЕ English Headache Disorders, Secondary [Disease/Finding

2018 FP Notebook

135. Migraine Headache

may occur with and warrants additional evaluation XIII. Differential Diagnosis See See See Always consider for patients with frequent Conditions that may coexist with Migraine Headache Myofascial cervical Not exclusive to Present in 75% of Migraine Headache patients medications relieve and Migraine Headache criteria in 90% of XIV. Evaluation: Headache with persistent neurologic deficit See Exclude Ischemic causes Exclude structural causes Exclude Inflammatory causes Exclude Metabolic cause XV (...) . Evaluation: First or Worst severe Migraine Headache See No potent s until full evaluation Complete clinical and neurologic evaluation (or MRI Brain) Not indicated in typical Migraine Headache Use low threshold for symptoms Neurologic changes New onset Organic causes of identified by Consider for meningeal signs, fever or ill appearance XVI. Management See See in Children See XVII. Course Mild episodic s Most cases start with Migraine without Aura Relieved with OTC medications Chronic episodic Migraine

2018 FP Notebook

136. Cluster Headache

naczynioporaźna , Neuralgia nerwu skalistego , Ból głowy klasterowy , Neuralgia nerwu rzęskowego , Ból głowy Hortona Hungarian Cluster fejfájások , Horton-fejfájás , Migraines neuralgia , Histamin fejfájás , Vasomotoros fejfájás , Cluster fejfájás Norwegian Hortons hodepine , Klasehodepine , Clusterhodepine Derived from the NIH UMLS ( ) Ontology: Trigeminal Autonomic Cephalalgias (C1565172) Definition (MSH) Primary headache disorders that show symptoms caused by the activation of the AUTONOMIC NERVOUS SYSTEM (...) , Cefalgias Trigêmino-Autonômicas German Trigeminoautonome Kopfschmerzen Italian Cefalalgie autonome del trigemino , Cefalee autonome del trigemino French Céphalalgies autonomes du trijumeau , Céphalées trigémino-autonomiques Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31

2018 FP Notebook

137. Tension Headache

Headache , Occipital Headache From Related Chapters II. Pathophysiology Pain associated with myofascial (muscular) cause III. Causes Stress or worry Anxiety Overwork Lack of sleep Incorrect Marital and family dysfunction Post- (<3 months) Conversion IV. Types Acute Tension Headache Chronic Tension Headache See Present at least half the days of the month Persists for 6 months or more V. Symptoms Characteristics Pressing, tightening or vice-like gripping Location Band of pain extending from forehead back (...) (Psychotherapy) Physical Therapy IX. Management: Medications Myofascial injections at affected occiput or Selective C1-C2 lateral s s Avoid s Consider s for prophylaxis s (e.g. ) s ( ) X. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Tension Headache." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Tension Headache (C0033893) Definition

2018 FP Notebook

138. Acute Recurrent Headache

Recurrent Headache Aka: Acute Recurrent Headache , Recurrent Headache From Related Chapters II. Causes: Children (52%) Chronic (21%) References III. Causes: General Complicated Hemiplegic (young child) Ophthalmologic (young child) Basilar (adolescent girls) (rare in children) equivalent Cyclic Acute confusional state Transient global amnesia IV. Evaluation See See See See V. Management Reassurance Nonpharmacologic Treatment Specific Pharmacologic Treatment See specific types Images: Related links (...) 発頭痛 , サイハツズツウ English Recurrent headaches , Headache recurrent , recurrent headache , headache recurrent , headaches recurrent Czech Recidivující bolesti hlavy Hungarian Fejfájás visszatérő Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728

2018 FP Notebook

139. Acute Localized Headache

Localized Headache Aka: Acute Localized Headache From Related Chapters II. Causes Ophthalmologic abnormality (e.g. ) (TMJ) Occipital defect Platybasia Klippel-Feil Syndrome III. Evaluation See See See See Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Acute Localized Headache." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Headache (...) Acute Localized Headache Acute Localized 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 Acute Localized Headache Acute

2018 FP Notebook

140. Acute Generalized Headache

Generalized Headache Aka: Acute Generalized Headache , Acute Secondary Headache , Generalized Headache From Related Chapters II. Causes: Acute Secondary Headache Infection Systemic infection with neck stiffness Metabolic Electrolyte disturbance Hypercapnia Toxins Flu-like symptoms in multiple house mates Progressively worse each morning or withdrawal Vascular causes Sudden onset, new worst (CVA or TIA) Cerebellar infarction with Vascular malformation (not ruptured) with localized pain, tenderness (...) (finding) , Generalised headache , Generalized headache , Generalized headache (finding) , Generalized Headache Czech generalizovaná bolest hlavy Norwegian Generalisert hodepine Spanish cefalea generalizada (hallazgo) , cefalea generalizada Derived from the NIH UMLS ( ) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided

2018 FP Notebook

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