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Migraine - Headache

General Information

NEWS:

Heavy periods often plague women with migraine

Kids with chronic headache may face other problems

Migraines Linked to Heart Risk in Men "Men who suffer from migraine headaches appear to be at an increased risk for cardiovascular disease, mostly due to a higher risk of having a heart attack, researchers report."

Migraine shows up in the eyes

ARTICLES:

Chronic Daily Headaches

Cluster headache

Exercise Headaches

External Compression Headaches

Headache Article Index

Ice Cream Headaches

Nighttime headaches: What causes them?

Patent Foramen Ovale and Migraine

Rebound headaches

Spinal Headaches

Tension headache

Types Of Headaches

JOURNAL ARTICLES:

A Clinical Study of Migraine Evolution (Headache: The Journal of Head and Face Pain 2006) "Attacks of migraine in real-life clinical situations vary somewhat from the IHS criteria in that they are more often associated with nausea that interferes with oral therapy; can persist for over 72 hours; may have slow (>2 hours) buildup to maximum pain in 10% of cases; and may cause disability for over 3 days. Nevertheless, current therapeutic regimens (including prescribed medications) work well for a substantial majority."

A sleep study in cluster headache (Cephalalgia 2005)

Age-dependent prevalence and clinical features of migraine. (Neurology. 2006) "CONCLUSION: The profile of migraine changes over the life span and suggests three nonexclusive profiles. In many, migraine remits. In some patients with migraine, attacks get less typical, resembling probable migraine instead of full migraine."

Characterization of Symptoms of Sleep Disorders in Children With Headache (Pediatric Neurology 2006)

Chronic daily headache in adolescents (NEUROLOGY 2006)

Circadian and seasonal variation of migraine attacks in children. (Headache. 2006) "Conclusions.-The clustering of attacks in the morning and midday and in autumn-winter, with a minimum frequency in July, suggests that school activities may represent an important cause of migraine."

Clinical features, classification and prognosis of migraine and tension-type headache in children and adolescents: a long-term follow-up study (Cephalalgia, 2006)

Cluster headache in women - relation with menstruation, use of oral contraceptives, pregnancy and menopause. (J Neurol Neurosurg Psychiatry. 2006)

Cluster headache: clinical presentation, lifestyle features, and medical treatment. (Headache. 2006)

[Cluster headache: its diagnosis, pathophysiology and treatment.] (Rev Neurol. 2006)

Headache and failure to thrive. (CMAJ. 2006)

Headache and sleep. (Sleep Med Rev. 2006) ". sleep and headache are known to be related in several ways: primary headache such as migraine, cluster headache (CH) and hypnic headache (HH) can be triggered by sleep, while chronic morning headaches can be caused by sleep disorders such as sleep apnoea and insomnia. Furthermore, headache and sleep disorders can also be symptoms of other underlying pathologies. Migraine, CH and HH seems to be related to sleep stages suggesting that they may in fact be a chronobiological disorder. Patients suffering from chronic morning or nocturnal headache should be considered for the presence of possible sleep disturbances."

Headaches Associated with Rathke's Cleft Cyst (Headache: The Journal of Head and Face Pain 2006) "Conclusions.—Headache, particularly frontal episodic headache, is a common and characteristic manifestation in patients with RCC and may indicate intermittent inflammatory reactions caused by mucous content. Patients with episodic headache should undergo surgical treatment to prevent exacerbation of the inflammation that can result in irreversible endocrine dysfunction."

Incidence of migraine relative to menstrual cycle phases of rising and falling estrogen (NEUROLOGY 2006) "Conclusion: These findings confirm a relationship between migraine and changing levels of estrogen, supporting the hypothesis of perimenstrual but not postovulatory estrogen "withdrawal" migraine. In addition, rising levels of estrogen appear to offer some protection against migraine."

Lifetime prevalence and concordance risk of cluster headache in the Swedish twin population (NEUROLOGY 2006) "Conclusion: As many as 1 per 500 of the general population are affected by cluster headache. Twin concordance seems low, but genetic factors may play a role for familial clustering."

Long-term Trends in the Incidence of Headache in Finnish Schoolchildren (PEDIATRICS 2006) "CONCLUSIONS. The incidence of childhood migraine and frequent headache has substantially increased over the last 30 years. The increased incidence is alarming and reflects untoward changes in children's lifestyles. Additional studies are needed on causal associations with life changes."

Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache (Cephalalgia 2006) "Lacrimation and nasal secretion during attacks of cluster headache appear to be due to massive trigeminal-parasympathetic discharge. In addition, the presence of oculo-sympathetic deficit and loss of thermoregulatory sweating and flushing on the symptomatic side of the forehead indicate that the cervical sympathetic pathway to the face is injured in a subgroup of cluster headache patients. In this review, it is argued that a peripheral rather than a central lesion produces signs of cervical sympathetic deficit, probably resulting from compression of the sympathetic plexus around the internal carotid artery. Although trigeminal-parasympathetic discharge appears to be the main trigger for vasodilation during attacks, supersensitivity to neurotransmitters such as vasoactive intestinal polypeptide, together with release of sympathetic vasoconstrictor tone, may boost facial blood flow in patients with cervical sympathetic deficit. In addition, parasympathetic neural discharge may provoke aberrant facial sweating during attacks in patients with cervical sympathetic deficit."

Migraine and Risk of Cardiovascular Disease in Women (JAMA. 2006) "Conclusions In this large, prospective cohort of women, active migraine with aura was associated with increased risk of major CVD, myocardial infarction, ischemic stroke, and death due to ischemic CVD, as well as with coronary revascularization and angina. Active migraine without aura was not associated with increased risk of any CVD event."

Migraine with and without aura: association with depression and anxiety disorder in a population-based study. The HUNT Study. (Cephalalgia. 2006)

Migraine with aura is a risk factor for unprovoked seizures in children (Annals of Neurology 2006)

Migraine with aura: new understanding from clinical epidemiologic studies. (Curr Opin Neurol. 2006)

Migraine headaches and preeclampsia: an epidemiologic review. (Headache. 2006)

Migraines With Aura Associated With Increased Risk for Cardiovascular Disease (Medscape Cardiology. 2006) "The latest results from the Women's Health Study (WHS) suggest that women aged = 45 years who experience migraines accompanied by transient neurologic symptoms (known as the "migraine aura") are at increased risk of major cardiovascular disease events, including myocardial infarction (MI), ischemic stroke, and death due to ischemic cardiovascular disease.[1] This migraine study also found that women who experience migraine without aura (the most common form of migraine) were not at significantly increased risk for any cardiovascular event."

New insights into migraine pathophysiology. (Curr Opin Neurol. 2006)

Obesity and migraine (NEUROLOGY 2006)

Paroxysmal neuralgic upper cervical pain attacks: The lower syndrome of cluster headache. (Clin Neurol Neurosurg. 2006)

Patent foramen ovale and migraine. (Catheter Cardiovasc Interv. 2006)

Patent foramen ovale and migraine--bringing closure to the subject. (Headache. 2006)

Patent Foramen Ovale: Assessment, Clinical Significance and Therapeutic Options. (Southern Medical Journal 2006)

Patent foramen ovale: innocent or guilty? Evidence from a prospective population-based study. (J Am Coll Cardiol. 2006) "CONCLUSIONS: These prospective population-based data suggest that, after correction for age and comorbidity, PFO is not an independent risk factor for future cerebrovascular events in the general population. A larger study is required to test the putative stroke risk associated with ASA."

Popular sweetner sucralose as a migraine trigger. (Headache. 2006)

Prevalence of fibromyalgia syndrome in migraine patients. (Cephalalgia. 2006) "A high incidence of FMS was found among female migraine patients but not in males. The coexistence of FMS should be considered when choosing a prophylactic migraine therapy."

Prognosis of migraine headaches in adolescents (NEUROLOGY 2006) "Conclusions: Migraine headaches in adolescents have a favorable long-term prognosis. Familial disposition for migraine predicted a poorer outcome, especially in subjects with migraine without aura."

Psychiatric comorbidity of migraine. (Headache. 2006) "This review will focus on the relationships between migraine and depression, generalized anxiety disorder, panic disorder, and bipolar disorder. In large scale population-based studies, persons with migraine are from 2.2 to 4.0 times more likely to have depression. In longitudinal studies, the evidence supports a bidirectional relationship between migraine and depression, with each disorder increasing the risk of the other disorder."

Rating of olfactory judgements in migraine patients. (Cephalalgia. 2006)

Sleep, sleepiness, and behavior problems in children with headache. (J Child Neurol. 2006)

Spontaneous large right-to-left shunt and migraine headache with aura are risk factors for recurrent stroke in patients with a patent foramen ovale. (Int J Cardiol. 2006)

Sporadic and familial hemiplegic migraine: diagnosis and treatment. (Semin Neurol. 2006) "Hemiplegic migraine is a rare subtype of migraine with aura associated with transient hemiplegia. The weakness is caused by motor aura. Hemiplegic migraine is the only headache syndrome associated with known genetic mutations and serves as a model for understanding more common varieties of migraine."

Syncope in migraine (NEUROLOGY 2006)

Tension-type Headache. (Curr Neurol Neurosci Rep. 2006) "Tension-type headache, the most common type of primary headache disorder, is reclassified in the second International Headache Society classification with clear diagnostic criteria. Chronic tension-type headache (CTTH) differs from episodic form in frequency, lack of response to most treatment strategies, more medication overuse, and more loss of quality of life. ... Using MRI and voxel-based morphometry, structural abnormalities have been found in patients with CTTH for the first time. Pain processing areas such as dorsal rostral and ventral pons, anterior cingulate cortex, anterior and posterior insular cortex, right posterior temporal lobe, orbitofrontal cortex, para hippocampus bilaterally, and the right cerebellum were found to have decreased gray matter in patients with CTTH compared with control subjects and patients with medication overuse headache."

Tension-type headache: the most common, but also the most neglected, headache disorder. (Curr Opin Neurol. 2006)

The influence of estrogen on migraine: a systematic review. (JAMA. 2006) "CONCLUSIONS: Epidemiological, pathophysiological, and clinical evidence link estrogen to migraine headaches. Triptans appear to provide acute relief and also may be useful for headache prevention. Clear, focused, and evidence-based treatment algorithms are needed to support primary care physicians, neurologists, and gynecologists in the treatment of this common condition."

The natural history of headache: predictors of onset and recovery. (Cephalalgia. 2006) "Sleep problems and caffeine consumption increase the risk of developing headache and thus provide targets for prevention. Low levels of anxiety, sleep problems and the absence of other pain improve the likelihood of recovering and remaining free from headache."

The prevalence and spectrum of sleep problems in women with transformed migraine. (Headache. 2006)

Tremor in Patients With Migraine (Headache: The Journal of Head and Face Pain 2006) "Conclusion.-These results suggest that, if a link exists between migraine and ET, the latter might be the result of an "acute event" (eg, stroke) rather than a progressive alteration of tremorogenic mechanisms."

Trigger factors of migraine and tension-type headache: experience and knowledge of the patients. (J Headache Pain. 2006) "The most common trigger factors experienced by the patients were weather (82.5%), stress (66.7%), menstruation (51.4%) and relaxation after stress (50%). The vast majority of triggers occurred occasionally and not consistently."

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