Headache
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Letter Case Reports
Hemicrania continua evolving from cluster headache responsive to valproic acid.
Hemicrania continua (HC) is a rare type of primary headache characterized by a prompt and enduring response to indomethacin. We describe a patient who suffered from cluster headache evolving into ipsilateral HC, who does not tolerate a long-term indomethacin therapy. The case was complex in terms of diagnosis, associated comorbidity, and choice of treatment; after several trials with different therapeutic regimens, we started the patient on a therapy with valproic acid and obtained an improvement of her HC.
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Multicenter Study
Migraine disability awareness campaign in Asia: migraine assessment for prophylaxis.
This study aimed to survey the headache diagnoses and consequences among outpatients attending neurological services in 8 Asian countries. ⋯ Migraine is the most common headache diagnosis in neurological services in Asia. The prevalence of migraine was higher in countries with higher referral rates of patients to neurological services. Migraine remains underdiagnosed and under-treated in this region even though a high disability was found in patients with migraine. Probable migraine was adopted into the migraine diagnostic spectrum by neurologists in this study.
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To assess the efficacy and tolerability of memantine(MEM)in the preventive treatment of refractory migraine. ⋯ This study offers preliminary evidence for the use of MEM in the prevention of refractory migraine.Double-blind studies are now required.
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Clinical Trial
Elimination of menstrual-related migraine beneficially impacts chronification and medication overuse.
This study seeks to determine whether menstrual-related migraine (MRM) has a discrete, attributable impact on migraine chronicity and medication overuse. ⋯ Resolution of MRM correlated not only with conversion of CM to an episodic pattern, but also with a significant reduction in medication usage. It offers preliminary evidence that hormonal regimens may have a beneficial role in prevention of MRM.