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New Daily Persistent Headache

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1. An RCVS Spectrum Disorder? New Daily Persistent Headache Starting as a Single Thunderclap Headache (3 New Cases). (Abstract)

An RCVS Spectrum Disorder? New Daily Persistent Headache Starting as a Single Thunderclap Headache (3 New Cases). To describe 3 new cases of new daily persistent headache (NDPH) starting as a single thunderclap headache.NDPH is a form of chronic daily headache that is unique in its temporal profile of onset. Distinct subtypes of NDPH are being described with specific efficacious treatments. A single case of NDPH starting as a single thunderclap headache has been previously reported (...) but no further cases have been documented in the literature. New cases need to be published to better define the syndrome.To report a case series of patients diagnosed with this unique NDPH subtype at an academic headache center from 2016 to 2018.Three new cases of NDPH starting as a single thunderclap headache at onset were diagnosed. All patients were female with an average age of onset of 46 years. All presented with neurologic symptoms/stroke-like spells at headache onset. No defined triggering events

2019 Headache

2. Endogenous Modulation and Central Sensitization in New Daily Persistent Headache ( NDPH ) in Children

Recruitment Status : Recruiting First Posted : February 27, 2018 Last Update Posted : July 30, 2018 See Sponsor: Boston Children’s Hospital Information provided by (Responsible Party): Alyssa Lebel, MD, Boston Children’s Hospital Study Details Study Description Go to Brief Summary: New daily persistent headache (NDPH) is a primary headache disorder characterized by the daily and unremitting headache pain patients experience with a distinct onset. Despite the known significant impairment associated (...) or disease Intervention/treatment Phase New Daily Persistent Headache (NDPH) Drug: Naltrexone HCl (Bulk) Powder Phase 1 Phase 2 Detailed Description: The purpose of this study is to investigate low-dose naltrexone for the treatment of new daily persistent headache (NDPH) in adolescents ages 10-17. New daily persistent headache (NDPH) is a primary headache disorder characterized by continuous pain experienced for at least 3 months from distinct onset. Patients with NDPH have compromised academic

2018 Clinical Trials

3. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache

of the environment. Pharmacologic interventions as appropriate both for acute pain and prevention of headache attacks. Taken from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2016). Pharmacological Treatment of Post-Traumatic Headache New Key Section Level of evidence A B C Updated Evidence 6.7 C All patients with frequent headaches should be strongly encouraged to maintain an accurate headache diary (see Appendix ), medication calendar and activity log (...) , or interdisciplinary concussion clinic is recommended. Appendix 6.1 International Classification of Headache Disorders (ICHD-III) Beta: Acute Headache Attributed to Mild Traumatic Injury to the Head Appendix 6.2 International Classification of Headache Disorders (ICHD-III) Beta: Persistent Headache Attributed to Mild Traumatic Injury to the Head Appendix 6.3 Diagnostic Criteria for Selected Primary Headache Types from the International Classification of Headache Disorders (ICHD-III) Beta Appendix 6.4 Headache

2018 Ontario Neurotrauma Foundation

4. Psychiatric comorbidity in new daily persistent headache: A cross-sectional study. (Abstract)

Psychiatric comorbidity in new daily persistent headache: A cross-sectional study. New daily persistent headache (NDPH) is a type of chronic daily headache. NDPH can have migrainous (NDPH-CM) or tension-type character (NDPH-CTTH). Recently, NDPH patients have shown to have associated anxiety and depression. We compared anxiety, depressive symptoms, somatization and pain catastrophization among NDPH, healthy controls and patients with chronic low-back pain and between NDPH-CM and NDPH-CTTH.We (...) individuals and patients with chronic low back pain. Such effects should be sought for, as they might contribute to refractoriness to treatment.Anxiety, depressive symptoms, somatization and pain catastrophizing were significantly more prevalent in new daily persistent headache when compared to healthy individuals and patients with chronic low back pain. Such effects should be sought for, as they might contribute to refractoriness to treatment.© 2017 European Pain Federation - EFIC®.

2017 European Journal of Pain

5. New Daily Persistent Headache: Historical Review and an Interview with Dr. Walter Vanast. (Abstract)

New Daily Persistent Headache: Historical Review and an Interview with Dr. Walter Vanast. New daily persistent headache (NDPH) is an idiopathic headache syndrome characterized by the abrupt onset of an unremitting, daily, continuous headache without an antecedent escalating headache pattern, and not attributable to other primary or secondary headache disorders. We review the history of NDPH in terms of its characterization and classification, and then interview Dr. Walter Vanast (...) , the neurologist who initially described NDPH three decades ago, to gain his perspective now that there is more widespread recognition and interest in this syndrome.© 2017 American Headache Society.

2017 Headache

6. New Daily Persistent Headache

New Daily Persistent Headache New Daily Persistent 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 New Daily Persistent (...) Headache New Daily Persistent Headache Aka: New Daily Persistent Headache From Related Chapters II. Symptoms Characteristics Pressing, tightening Region Bilateral involvement Timing Constant and unremitting in the first 3 days and then persists Contrast with or that may be become constant over a longer period of time Duration longer than 3 days from onset Occurs daily for >3 months Provocative factors Not worse with exertion (contrast with ) No associated autonomic symptoms (contrast with and other

2018 FP Notebook

7. New Daily Persistent Headache Caused by a Multinodular Goiter and Headaches Associated With Thyroid Disease. (Abstract)

New Daily Persistent Headache Caused by a Multinodular Goiter and Headaches Associated With Thyroid Disease. A 33-year-old female is presented with the first case to our knowledge of new daily persistent headache (NDPH) with a large right benign non-toxic multinodular goiter causing carotid and vertebral compression with complete resolution of the headache immediately after thyroidectomy. Although this may be quite rare, hypothyroidism or hyperthyroidism causing NDPH, migraine (...) , or an exacerbation of pre-existing migraine is not. Clinicians should consider routinely obtaining serum thyroid-stimulating hormone (TSH) and free T4 in patients with new onset frequent headaches or an exacerbation of prior primary headaches.© 2016 American Headache Society.

2016 Headache

8. Assessment of acute headache in children

Society (IHS). The international classification of headache disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. https://www.ichd-3.org/ http://www.ncbi.nlm.nih.gov/pubmed/29368949?tool=bestpractice.com Primary headaches include migraine, tension-type, cluster, as well as the new daily persistent headache. Secondary headaches are symptomatic of an underlying intracranial or medical condition that requires treatment. The initial assessment of acute headache aims to determine whether (...) ) Cerebral sinovenous thrombosis Postconcussion headache Cerebral contusion Subdural haemorrhage Intracranial hypotension Epidural haemorrhage Meningitis Encephalitis Dental caries, gingival disease, or abscess Brain tumour Temporomandibular joint syndrome Tension headache Indometacin-responsive headache Medication-overuse headache Cluster headache New daily persistent headache Intermittent hydrocephalus Pseudotumour cerebri (idiopathic intracranial hypertension) Ventriculoperitoneal shunt dysfunction

2018 BMJ Best Practice

9. Headache

, an invasive procedure frequently performed in the emergency room. Numerous pharmaceutical drugs have been proposed to treat PDPH but there are still some uncertainties about their clinical (...) pharmacological drug used for treating PDPH. Outcome measures considered for this review were: PDPH persistence of any severity at follow-up (primary outcome), daily activity limited by headache , conservative supplementary therapeutic option offered, epidural blood patch performed, change in pain severity scores (...) Migraine is a chronic, genetically determined, episodic, neurological disorder that usually presents in early-to-mid life. Patients complain of intermittent headache and associated symptoms 2018 13. Treatment of Cluster Headache : The American Headache Society Evidence-Based Guidelines. BACKGROUND: Cluster headache (CH), the most common trigeminal autonomic cephalalgia , is an extremely debilitating primary headache disorder that is often not optimally treated. New evidence-based treatment guidelines

2018 Trip Latest and Greatest

10. Headache

of headache or populations at risk, neuroimaging procedures are more likely to be positive. Examples of headaches for which imaging procedures may be helpful include headaches associated with head and neck trauma; new, worse, or abrupt-onset headache; thunderclap headache; headache radiating to the neck; trigeminal autonomic cephalgia, persistent positional headache; and temporal headache in older individuals. Pregnant patients, immunocompromised individuals, cancer patients, and patients with papilledema (...) 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. Triggering Events and New Daily Persistent Headache: Age and Gender Differences and Insights on Pathogenesis-A Clinic-Based Study. (Abstract)

Triggering Events and New Daily Persistent Headache: Age and Gender Differences and Insights on Pathogenesis-A Clinic-Based Study. To define what are the age and gender differences for new daily persistent headache (NDPH) triggering events and how this may relate to the pathogenesis of NDPH. To describe several new triggering events for NDPH.All patients were diagnosed with primary NDPH at a headache specialty clinic during the time period of 01/2009 through 01/2013. This was a retrospective (...) of the NDPH patients who developed new onset headache after an invasive surgical procedure were intubated. There was no significant difference in frequency for any of the triggering events between genders. The youngest age of onset was for a post stressful life event trigger while the oldest age of onset was in the post-surgical subgroup. Women developed NDPH at a younger age of onset for all recognized triggers, but there was no significant difference in ages of onset between the genders

2015 Headache

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. Chronic Daily Headache and Medication Overuse Headache in First-Visit Headache Patients in Korea: A Multicenter Clinic-Based Study Full Text available with Trip Pro

, 8.8%), chronic tension-type headache (CTTH) (98, 6%), and definite new daily persistent headache (NDPH) (7, 0.4%). MOH was associated with headache in 81 patients (5%). The association with MOH was stronger among CM patients (34.5%) than patients with CTTH (13.3%) or NDPH (14.3%) (p=0.001). The frequency of CDH did not differ between secondary and tertiary referral hospitals.The frequencies of CDH and MOH diagnoses were 15.2% and 5%, respectively in first-visit headache patients presented (...) Chronic Daily Headache and Medication Overuse Headache in First-Visit Headache Patients in Korea: A Multicenter Clinic-Based Study Chronic daily headache (CDH) is defined as a headache disorder in which headaches occur on a daily or near-daily basis (at least 15 days/month) for more than 3 months. Chronic migraine (CM) and medication overuse headache (MOH) are very disabling headaches that remain underdiagnosed. The aim of this study was to establish the frequency of CDH and its various

2016 Journal of clinical neurology (Seoul, Korea)

14. Drug therapy for treating post-dural puncture headache. Full Text available with Trip Pro

considered for this review were: PDPH persistence of any severity at follow-up (primary outcome), daily activity limited by headache, conservative supplementary therapeutic option offered, epidural blood patch performed, change in pain severity scores, improvements in pain severity scores, number of days participants stay in hospital, any possible adverse events and missing data.Review authors independently selected studies, assessed risk of bias and extracted data. We estimated risk ratios (RR (...) no clinically significant drug adverse events.The rest of the outcomes were not reported by the included RCTs or did not show any relevant effect.None of the new included studies have provided additional information to change the conclusions of the last published version of the original Cochrane review. Caffeine has shown effectiveness for treating PDPH, decreasing the proportion of participants with PDPH persistence and those requiring supplementary interventions, when compared with placebo. Gabapentin

2015 Cochrane

15. "Like a Normal Person Again": A Qualitative Analysis of the Impact of Headache Surgery. (Abstract)

reported improvements in one or more domains of pain following surgery, and changes in medication use and effectiveness. Even in individuals with persistent pain postoperatively, surgery appeared to facilitate an improvement in headache self-efficacy, including an ability to participate in daily activities. Migraineurs frequently described a new degree of control over at least one aspect of their pain.Migraine surgery appears to positively impact patients' lives in ways that support and expand (...) "Like a Normal Person Again": A Qualitative Analysis of the Impact of Headache Surgery. Outcomes after migraine surgery have been previously assessed using quantitative measurements, including the migraine headache index. Qualitative methodologies offer the ability to analyze patients' perceptions and pain experience, and may point to changes in domains not captured by quantitative instruments. The purpose of this study was to characterize individual patients' experiences with migraines

2019 Plastic and reconstructive surgery

16. OnabotulinumtoxinA for the Treatment of New Daily Persistent Headache: an Open Label Study

OnabotulinumtoxinA for the Treatment of New Daily Persistent Headache: an Open Label Study OnabotulinumtoxinA for the Treatment of New Daily Persistent Headache: an Open Label Study - 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. OnabotulinumtoxinA for the Treatment of New Daily Persistent Headache: an Open Label Study 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: NCT01920945 Recruitment Status : Terminated (Difficult enrollment) First Posted : August 12, 2013 Last Update Posted : October 26, 2016

2013 Clinical Trials

17. Headache - tension-type

also be considered: Headache not associated with an underlying condition – primary headache: Migraine . Trigeminal autonomic cephalgias for example cluster headache and paroxysmal hemicranias. Other primary headache disorders such as primary cough headache and cold-stimulus headache. Secondary headachesheadache attributed to an underlying condition including: Trauma or injury to the head and/or neck . Cranial or cervical vascular disorders for example intracerebral haemorrhage, central venous (...) months. Tension-type headache typically presents with: Generalised headache usually described as a pressure or tightness around the head which often spreads into or arises from the neck. Mild to moderate intensity headache which can last minutes to days and is not aggravated by routine physical activity such as walking. Pericranial tenderness which may be elicited on manual palpation. The cause of tension-type headache is unknown — peripheral pain mechanisms are thought to play a role in episodic

2017 NICE Clinical Knowledge Summaries

18. Headache - assessment

. Trigeminal autonomic cephalgias such as cluster headache. Other primary headache disorders such as primary cough headache or cold-stimulus headache. Secondary headachesheadaches which occur as a result of underlying local or systemic pathology for example: Trauma or injury to the head and/or neck. Cranial or cervical vascular disorders such as intracerebral haemorrhage, central venous thrombosis or giant cell arteritis. Non-vascular intracranial disorders such as idiopathic intracranial hypertension (...) the International Classification of Headache Disorders should be met. Take a detailed history, being alert for . Ask about: Onset, duration, frequency and temporal pattern (episodic, daily or unremitting). Pain characteristics including severity, site and spread of pain. Associated symptoms such as: Aura (visual, auditory or gustatory disturbance), nausea, photophobia and intolerance of noise — may indicate . Autonomic features for example tearing, drooping or swollen eyelid, pain around one eye, nasal

2017 NICE Clinical Knowledge Summaries

19. A Survey of Headache Medicine Physicians on the Likeability of Headaches and Their Personal Headache History. (Abstract)

), chronic migraine (CM), refractory migraine (RM), episodic cluster (EC), chronic cluster (CC), new daily persistent headache (NDPH), and postconcussion syndrome (PCS)."The response rate was 15.8% (n = 118) with a mean age of 51.4 years, 64.4% males, and 85.6% neurologists. HMS reported likeability for treating disorders in rank order as follows: EM (mean = 4.69, SD = 0.61); CM (mean = 4.20, SD = 0.94); RM (mean = 3.62, SD = 1.17); EC (mean = 4.37, SD = 0.80); CC (mean = 3.68, SD = 1.10); NDPH (mean (...) A Survey of Headache Medicine Physicians on the Likeability of Headaches and Their Personal Headache History. Two prior studies have shown an increased prevalence of migraine among physicians who are headache medicine specialists (HMS). There have been no studies of the prevalence of other headache disorders among HMS. A prior survey showed that neurologists like to treat some headaches more than others but there has not been a similar survey of HMS.The aim of the survey was to learn more about

2016 Headache

20. Introvision for Migraine and Headaches

prophylaxis (sports, relaxation techniques, …) Informed consent Exclusion Criteria: Other causes of headache, symptomatic headaches Other primary headaches such as Cluster headache, trigeminal neuralgia, idiopathic facial pain, new daily persistent headache Severe depression (more than 13 points in the Beck Depression inventory fast screen (BDI-FS) Drug - or alcohol abuse Non-compliance, especially significant missing entries in the headache diaries Active psychosis Contacts and Locations Go (...) (Headache-Impact Test 6, HIT-6), compared three months after the last session of Introvision to the waiting list group before introvision. The total score may range from 6 to 78 points, a higher score indicates a higher impact of headaches on daily activities. overall satisfaction of patients [ Time Frame: approximately 5-6 months ] Patients will be asked whether they would recommend Introvision for headache patients and can choose between "yes" or "no". Other Outcome Measures: Influence of frequency

2018 Clinical Trials

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