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Sleep macro- and microstructure in migraine and cluster headache: a systematic review of objective assessments.

BACKGROUND: Patients with primary headache disorders including migraine and cluster headache often report poor sleep quality. While subjective reports of disturbed sleep are well established, the objective alterations in sleep architecture which occur in primary headache have not been systematically characterised. This systematic review aims to determine whether previously identified macrostructure changes in migraine occur across trigeminal autonomic cephalalgias, how sleep microstructure is altered, and how sleep architecture differs between the headache-free and headache attack phase. METHO…

Idiopathic Non-Dental Facial Pain Syndromes in Italian Children: A Clinical Case Series.

The orofacial pain syndromes (OFPs) are a heterogeneous group of syndromes characterized by painful attacks involving the orofacial structur … e classified them int: 23 primary headaches involving the facial territory during attacks, 2 facial trigeminal autonomic cephalalgias, 1 facial primary stabbing headache, 1 facial linear headache, 6 trochlear migraines, 1 orbital migraine 3 red ear syndrome and 6 atypical facial pain. All patients described debilitating pain for intensity (moderate/severe), 31 children had episodi …

The sensitivity to change of the cluster headache quality of life scale assessed before and after deep brain stimulation of the ventral tegmental area.

BACKGROUND: Cluster headache (CH) is a trigeminal autonomic cephalalgia (TAC) characterized by a highly disabling headache that negatively impacts quality of life and causes limitations in daily functioning as well as social functioning and family life. Since specific measures to assess the quality of life (QoL) in TACs are lacking, we recently developed and validated the cluster headache quality of life scale (CH-QoL). The sensitivity of CH-QoL to change after a medical intervention has not been evaluated yet. METHODS: This study aimed to test the sensitivity to change of the CH-QoL in CH. S

Peripheral Nerve Blocks for the Treatment of Headache in Older Adults: A Retrospective Study.

OBJECTIVE: The objective of this study is to provide demographical and clinical descriptions of patients age 65 years old and older who were treated with peripheral nerve blocks (PNBs) at our institution and evaluate the safety and efficacy of this treatment. BACKGROUND: Headache disorders are common, disabling chronic neurological diseases that often persist with advancing age. Geriatric headache management poses unique therapeutic challenges because of considerations of comorbidity, drug interactions, and adverse effects. Peripheral nerve blocks are commonly used for acute and short-term pr

Diagnosis and Management of Headache: A Review.

IMPORTANCE: Approximately 90% of people in the US experience headache during their lifetime. Migraine is the second leading cause of years lived with disability worldwide. OBSERVATIONS: Primary headache disorders are defined as headaches that are unrelated to an underlying medical condition and are categorized into 4 groups: migraine, tension-type headache, trigeminal autonomic cephalalgias, and other primary headache disorders. Studies evaluating prevalence in more than 100 000 people reported that tension-type headache affected 38% of the population, while migraine affected 12% and was the …

Comparative diagnostic agreement of a supervised machine learning model and a general-purpose, zero-shot, non-domain-adapted large language model for classifying headache disorders using structured questionnaires.

BackgroundAccurate diagnosis of headache disorders is essential in clinical practice. Supervised machine learning models trained on structur … -based predictions: migraine and/or medication-overuse headache (MOH), tension-type headache (TTH), trigeminal autonomic cephalalgias (TACs), other primary headache disorders, and secondary headaches. Agreement with the specialist's diagnosis and diagnostic performance metrics were calculated. Class-wise sensitivity and specificity were compared using McNemar's test.ResultsThe mac …

Primary stabbing headache in a tertiary headache centre.

INTRODUCTION: Primary stabbing headache (PSH) is a short-lasting head pain occurring spontaneously in the absence of underlying structural c … tantial rates, suggesting a close link between the two conditions. PSH was commonly reported within trigeminal autonomic cephalalgias (TACs), occurring in 36-41% of HC cases and in 2-33% of CH series. In contrast, when PSH itself is the index disorder, accompanying TACs were infrequent, appearing in only 0-8% of PSH cases. DISCUSSION: Based on both our clinical observations and t …

Reliability of a telephone interview for the classification of headache disorders.

OBJECTIVE: The study aimed to test the reliability of a semi-structured telephone interview for the classification of headache disorders according to the ICHD-3. BACKGROUND: Questionnaire-based screening tools are often optimized for single primary headache diagnoses [e.g., migraine (MIG) and tension headache (TTH)] and therefore insufficiently represent the diagnostic precision of the ICHD-3, which limits epidemiological research of rare headache disorders. Brief semi-structured telephone interviews could be an effective alternative to improve classification. METHODS: A patient population r

Short-Lasting Unilateral Neuralgiform Headache with Conjunctival Injection and Tearing Secondary to Head and Neck Trauma: Literature Review and Case Report.

This article reports a case of secondary short-lasting unilateral neuralgiform headache with conjunctival injection and tearing following head and neck trauma due to a violent assault. Following the incident, the patient began experiencing 4 to 30 shooting/sharp pain attacks per day in the left anterior temporal and supraorbital areas, with an intensity of 10/10 on a numeric rating scale. Each attack lasted between 10 and 60 seconds. These attacks were accompanied by ipsilateral conjunctival injection, tearing, ptosis of the left eye, blurry vision, and occasional rhinorrhea. Significant impro

Characteristics and Gender Differences of Headache in the Veterans Health Administration: A National Cohort Study, Fiscal Year 2008-2019.

BACKGROUND AND OBJECTIVES: To determine gender differences in headache types diagnosed, sociodemographic characteristics, military campaign and exposures, and health care utilization among US veterans in the Veterans Health Administration (VHA). METHODS: This study used a retrospective cohort design to examine VHA electronic health record (EHR) data. This cohort includes veterans who had at least 1 visit for any headache between fiscal years 2008 and 2019. Headache diagnoses were classified into 8 categories using International Classification of Disease, Clinical Modification codes. Demograph

Understanding Delays and Diagnostic Shifts in Primary Headaches: Evidence from Japanese Health Insurance Claims.

Introduction The early and accurate diagnosis of primary headaches is essential for improving patients' quality of life and preventing the overuse of acute medications. Lack of a proper diagnosis not only reduces the patients' quality of life but also may result in patients having to return to other medical facilities or undergo duplicate tests, which has a negative impact on the health care system, including increasing medical costs. In Japan, although primary headaches are prevalent, studies investigating the misdiagnosis and underdiagnosis of headaches are limited. This study aimed to explo

Risk of Attempted and Completed Suicide in Persons Diagnosed With Headache.

IMPORTANCE: Although past research suggests an association between migraine and attempted suicide, there is limited research regarding risk of attempted and completed suicide across headache disorders. OBJECTIVE: To examine the risk of attempted and completed suicide associated with diagnosis of migraine, tension-type headache, posttraumatic headache, and trigeminal autonomic cephalalgia (TAC). DESIGN, SETTING, AND PARTICIPANTS: This was a population-based cohort study of Danish citizens from 1995 to 2020. The setting was in Denmark, with a population of 5.6 million people. Persons 15 years

Health Care Utilization and Direct Costs Among Patients Diagnosed with Cluster Headache in U.S. Health Care Claims Data.

BACKGROUND: Cluster headache (CH) is a rare trigeminal cephalalgia that is associated with extremely painful unilateral headache attacks and autonomic symptoms. Attacks may be episodic or chronic and associated with substantial suffering due to excruciating pain and limited treatment options. Frequent cluster headaches cause substantial burden for patients, resulting in reduced productivity caused by disability, as well as direct costs in some European countries. Less is known, however, about direct costs of recurring health care resource utilization (HCRU) in the United States. OBJECTIVE: To

Глубокая стимуляция мозга в гипоталамической области: систематический обзор.

КОЛИЧЕСТВО: Глубокая стимуляция мозга (БРС) успешно используется для лечения циклопатии, включая движение, беспокойство и поведенческие расстройства. Гипоталамус является важнейшим интеграционным центром для многих периферийных и центральных путей, связанных с сердечно - сосудистыми, метаболическими и поведенческими функциями, и представляет собой потенциальную цель нейромодуляции в лечебных условиях. Проведение систематического обзора, изучение гипоталамических целей в ДБС, их признаков и основных клинических результатов.МЕТОДЫ: База данных PubMed, Scopus и Web of Science была подвергнута обы

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… autonomic cephalalgias and atypical facial pain with deep brain stimulation of posterior hypothalamus: Results and comments Neurological Sciences Italy Single-center To describe the effect and problems of DBS of the PH over 7 years, for treatment of chronic trigeminal autonomic cephalalgias and atypical … autonomic cephalalgias and atypical facial pain with deep brain stimulation of posterior hypothalamus: Results and comments Neurological Sciences Italy Single-center To describe the effect and problems of DBS of the PH over 7 years, for treatment of chronic trigeminal autonomic cephalalgias and atypical …

13. Тригеминальная Невралгия.

ВВЕДЕНИЕ: Трехземная нейронгия (ТН) - это расстройство, характеризующееся повторяющимися в одностороннем порядке короткими электрическими ударами, резким наступлением и прекращением, ограничивающееся распределением одной или нескольких ветвей тригеминального нерва и вызванное беспощадными стимуляторами. МЕТОДЫ: Была извлечена и обобщена литература по диагностике и лечению ТН. Результаты: Диагностика почти полностью основана на истории пациента. В классической TN неврологический осмотр обычно является нормальным, в то время как экзамен в средней TN сосредоточен на обнаружении признаков множеств

Первостепенное тригеминальное стимулирование Ганлиона как метод лечения анестезии Долоросы: доклад по делу.

Анестезия долороса (AD) представляет собой редкий, изнуряющий вид боли в глухонемой среде с частотой от 0,3% до 2%, которая, как правило, является результатом иатрогенического повреждения тригеминального нерва, например после тригеминальной ризотомии. Как хроническое и изнурительное обезболивающие расстройство, которое часто отличается от фармакологического лечения, для улучшения результатов лечения необходимы различные подходы. По мере развития методов нейромодулирования в качестве потенциального терапевтического варианта для этого изнурительного состояния возникла прямая стимуляция тригемина

Мигрен и напряжённый тип голова ассоциируются с множественным склерозом: исследование по изучению конкретных случаев.

Справочная информация/задачи: За последние несколько десятилетий наблюдается рост научного интереса к распространенности заболеваний головной болью среди людей с MS (PwMS). Хотя последние данные свидетельствуют о наличии связи между мигренью и множественным склерозом, исследования дают непоследовательные результаты главным образом из-за методологических различий, включая небольшие размеры выборки, отсутствие контрольных групп, отсутствие структурированных дневников с головной болью и изменчивость диагностических критериев. Цель этого исследования состоит в том, чтобы решить вопрос о том, имеет

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… No cases of cluster headache or other trigeminal autonomic cephalalgias were observed among pwMS compared to one case identified in the control group. …

Pituitary Adenylate Cyclase-Activating Polypeptide: 30 Years in Research Spotlight and 600 Million Years in Service.

Emerging from the depths of evolution, pituitary adenylate cyclase-activating polypeptide (PACAP) and its receptors (i.e., PAC1, VPAC1, VPAC2) are present in multicellular organisms from Tunicates to humans and govern a remarkable number of physiological processes. Consequently, the clinical relevance of PACAP systems spans a multifaceted palette that includes more than 40 disorders. We aimed to present the versatility of PACAP1-38 actions with a focus on three aspects: (1) when PACAP1-38 could be a cause of a malfunction, (2) when PACAP1-38 could be the cure for a malfunction, and (3) when PA

Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders.

BackgroundThere are many scales for screening the impact of a disease. These scales are generally used to diagnose or assess the type and severity of a disease and are carried out by doctors. The chatbot helps patients suffering from primary headache disorders through personalized text messages. It could be used to collect patient-reported outcomes.ObjectiveThe aims of this study were (1) to study whether the collection and analysis of remote scores, without prior medical intervention, are possible by a chatbot, (2) to perform suggested diagnosis and define the type of headaches, and (3) to as

Консолидация, систематическая оценка и сопоставление руководящих рекомендаций в отношении лечения хронической боли: Протокол для составления карты рекомендаций в отношении цифрового хронического заболевания.

ВВЕДЕНИЕ: Хроническая боль 1 В 5 :: взрослые и дети во всем мире; однако управление попрежнему носит весьма различный характер, и, как правило, обеспечивается низкий уровень медицинского обслуживания. Несогласованность рекомендаций, содержащихся в руководящих принципах клинической практики в отношении лечения хронической боли, способствует неоптимальному лечению пациентов. Мы будем разрабатывать и распространять живую цифровую карту рекомендаций в отношении хронической боли (e-Chronic Bain RecMap) для выявления заслуживающих доверия рекомендаций в three высокоприоритетные области1) опиоиды,2)