Headache

Prochlorperazine More Effective Than Ketamine for Treating Headaches in the Emergency Department

Prochlorperazine More Effective Than Ketamine for Treating Headaches in the Emergency Department

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Investigators found that patients receiving prochlorperazine had a greater reduction in headache-related pain compared with patients receiving ketamine.

Migraine Frequency Reduced With Erenumab, Fremanezumab

Migraine Frequency Reduced With Erenumab, Fremanezumab

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Complete results from 2 phase 3 trials examining the effects of 2 humanized monoclonal antibodies in patients with episodic and chronic migraine were published simultaneously.

Patients With Migraine Frequently Revisit the Emergency Department for Headache

Patients With Migraine Frequently Revisit the Emergency Department for Headache

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More than 25% of patients presenting to the emergency department (ED) for migraine typically require subsequent ED revisits for headache within a 6-month period.

Higher Migraine Frequency Increases Severity of Depression, Anxiety

Higher Migraine Frequency Increases Severity of Depression, Anxiety

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Frequent migraines with or without aura were shown to increase the severity of anxiety and depression.

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

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Although more than three-quarters of TBI cases are mild with rapid symptom resolution, some people suffer persistent debilitation and pain.

New Daily Persistent Headache Associated With Sleep Disturbances in Children

New Daily Persistent Headache Associated With Sleep Disturbances in Children

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Pediatric patients with new daily persistent-headache experience more sleep disturbances than patients with migraine or tension-type headaches.

Newly Defined Chronic Daily Headache Subtype Associated With Elevated CSF Pressure

Newly Defined Chronic Daily Headache Subtype Associated With Elevated CSF Pressure

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A recently published case series describes a new subtype of chronic daily headache that appears to be associated with elevated cerebrospinal fluid (CSF) pressure.

HIV-Positive Patients Experience Frequent Headaches

HIV-Positive Patients Experience Frequent Headaches

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A large proportion of HIV-positive patients experience frequent headaches that often impact their quality of life.

Clinician Predictors of Low-Value Imaging to Guide Intervention Targets

Clinician Predictors of Low-Value Imaging to Guide Intervention Targets

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Several strong clinician predictors of low-value imaging, such as ordering low-value imaging on a prior patient, high rates of low-value imaging in another clinical scenario, and ownership of imaging equipment, can help guide intervention targets to improve the value of care for patients.

Using Stress to Predict Risk of Migraine Even Before Predromal Symptoms

Using Stress to Predict Risk of Migraine Even Before Predromal Symptoms

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Among individuals diagnosed with episodic migraines, stressful events can accurately predict an individual's risk of a headache, even before the onset of prodromal symptoms.

Correlation Between Headache and CSF in Idiopathic Intracranial Hypertension

Correlation Between Headache and CSF in Idiopathic Intracranial Hypertension

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Findings from a recent study were unable to show a cause and effect relationship between headache and cerebrospinal fluid pressure in idiopathic intracranial hypertension, despite that headache is typically the first symptom.

PTSD More Likely in Pregnant Women With Migraines

PTSD More Likely in Pregnant Women With Migraines

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Women who are pregnant and have migraines are more likely to have posttraumatic stress disorder (PTSD) than women without migraine.

Lasmiditan Effective in Phase 3 Trial for Acute Migraine

Lasmiditan Effective in Phase 3 Trial for Acute Migraine

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Eli Lily announced positive results from a Phase 3 trial of their first-in-class drug lasmiditan for the acute treatment of migraine.

Complementary and Integrative Medicine in Migraine and Headache Management

Complementary and Integrative Medicine in Migraine and Headache Management

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Several methods of complementary and integrative medicine bring value and their integration into a headache management plan in the clinical setting empowers patients' healing process.

Onabotulinumtoxin A for Migraine: High Satisfaction, Compliance

Onabotulinumtoxin A for Migraine: High Satisfaction, Compliance

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Most centers follow recommended guidelines for the use of onabotulinumtoxin A in chronic migraine and applied a consistent measure of response to therapy of a 30% to 50% reduction in headache days.

Minimum Headache Duration Requiring Subarachnoid Hemorrhage Evaluation

Minimum Headache Duration Requiring Subarachnoid Hemorrhage Evaluation

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Patients with acute onset of severe headache should undergo diagnostic testing for subarachnoid hemorrhage, a potentially dangerous cause of headache, if the minimum duration of headache is present.

Preemptive Analgesia With Acetaminophen Reduces Headaches Associated With Electroconvulsive Therapy

Preemptive Analgesia With Acetaminophen Reduces Headaches Associated With Electroconvulsive Therapy

A significant reduction in the incidence and severity of headaches associated with electroconvulsive therapy (ECT) was observed in patients receiving preemptive analgesia with acetaminophen.

Finding the Link Between Migraine and Cerebral Blood Flow

Finding the Link Between Migraine and Cerebral Blood Flow

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Overall blood flow velocity remains unchanged during migraine headache, although blood flow velocity may be decreased early on in the attack.

Complementary and Alternative Medicine Use low for Migraine Treatment

Complementary and Alternative Medicine Use low for Migraine Treatment

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While some CAM products have shown beneficial effects for migraine treatment, previous studies have not explored reasons for using CAM and the types of CAM used.

New Device for Treating Cluster Headaches Available

New Device for Treating Cluster Headaches Available

gammaCore, a hand-held device for treating episodic cluster headaches via mild electrical stimulation of the vagus nerve is now available in the United States.

Aimovig Under Review for Migraine Prophylaxis

Aimovig Under Review for Migraine Prophylaxis

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The FDA has accepted for review the Biologics License Application for Aimovig for migraine prophylaxis in patients experiencing more than 4 migraine days per month.

High Headache Frequency Associated With Excessive Daytime Sleepiness

High Headache Frequency Associated With Excessive Daytime Sleepiness

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An association was established between excessive daytime sleepiness and a high frequency of headaches.

Response to Cervical Injections for Pediatric Headache May be due to Placebo Effect

Response to Cervical Injections for Pediatric Headache May be due to Placebo Effect

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Ropivacaine may not be superior to injected saline for the treatment of headache in children.

Ptosis Repair Effective for Relief From Tension-Type Headache

Ptosis Repair Effective for Relief From Tension-Type Headache

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Common cosmetic surgical procedures for reducing droopy eyelids were shown to improve quality of life in people with frequent tension-type headaches.

Is Modern Urban Design Triggering Headaches?

Is Modern Urban Design Triggering Headaches?

The design of buildings has been departing further and further from the rule of nature; more and more stripes appear decade by decade, making the buildings less and less comfortable to look at.

Vagal Stimulation Device Gets FDA Approval for Cluster Headaches

Vagal Stimulation Device Gets FDA Approval for Cluster Headaches

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The FDA has approved the use of gammaCore, the first handheld, non-invasive device to treat pain associated with episodic cluster headaches in adults.

Arteriovenous Malformations-Related Headache Identification, Treatment

Arteriovenous Malformations-Related Headache Identification, Treatment

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The mechanisms underlying the link between unruptured AVM and headache are unclear, and it is difficult to differentiate AVM-associated headaches with headaches of other origins.

Head Computed Tomography Safe in Pregnant Women Presenting With Headache in the Emergency Department

Head Computed Tomography Safe in Pregnant Women Presenting With Headache in the Emergency Department

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MRI is ordered more often than CT for pregnant patients with headache, despite no significant difference in radiation risk.

Headache as an Indicator of PTSD Severity

Headache as an Indicator of PTSD Severity

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The presence of headache may be correlated with PTSD severity.

Preclinical Pain as a Marker for Amyotrophic Lateral Sclerosis

Preclinical Pain as a Marker for Amyotrophic Lateral Sclerosis

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Pain is far more common and widespread in ALS than previously suspected, and initial pain symptoms may predate the clinical onset of the disease's hallmark motor dysfunction by as much as 2 years.

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