Headache
-
To investigate clinical, MRI, and radioisotope findings and therapeutic outcome of the syndrome of spontaneous intracranial hypotension (SIH). ⋯ Patients with SIH have distinct MRI and sometimes radioisotope cisternographic abnormalities and generally respond favorably to conservative management.
-
To study the clinical features of nummular headache (NH) and get an approach to its epidemiology. ⋯ NH emerges as a clear-cut clinical picture. It is a noninfrequent primary headache. The particular topography suggests the pain has a probable epicranial source conveyed by, or originated in, one/a few terminal branch(es) of the cutaneous nerves of the scalp.
-
Randomized Controlled Trial Clinical Trial
Electroacupuncture for tension-type headache on distal acupoints only: a randomized, controlled, crossover trial.
To investigate the efficacy of electroacupuncture, applied to distal acupoints only, for tension-type headache. ⋯ Electroacupuncture to distal points alone is effective for short-term symptomatic relief of tension-type headache.
-
Comparative Study
Validation of a brief nurse-administered migraine assessment tool.
To validate a brief tool for screening migraine. ⋯ This study showed good reliability and stability of a new, brief, nurse-administered migraine questionnaire. In addition, the study also showed that consistency in self-reporting analgesic overuse within individuals with headache is poor. This suggests the need for repeat questioning about analgesic overuse on subsequent appointments to ensure absence of analgesic overuse headache.
-
Review Case Reports
Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms.
The pathophysiology of the explosive type of headache associated with sexual activity is not completely understood. Five reported cases of patients with thunderclap headache, precipitated by sexual activity, in association with concomitant cerebral arterial narrowing, were found in the literature. ⋯ Findings of cerebral arterial narrowing, presented by some patients shortly after orgasmic headache attacks, support the hypothesis that segmental vasospasm may exert a role in the pathogenesis of this uncommon type of headache. The literature is reviewed, and possible mechanisms underlying the development of orgasmic headache are discussed.