Artigos Anos Anteriores


Publicado na 4ª edição de 2015

Editorial


The physician on duty is waiting for a number of cases, some of which may be easy to diagnose and treat, while others may represent a real challenge. Regarding headache in patients attending an emergency, the physician will often be dealing with a life-threatening condition. In this situation, th...




Publicado na 4ª edição de 2015

Informações aos autores


Headache Medicine is the official scientific journal of the Brazilian Headache Society (SBCe) and of the Latin American Headache Association (ASOLAC). It is published quarterly for the purpose of recording and disseminating scientific production and contributions from the scientific community in...




Publicado na 4ª edição de 2015

Practical management of main primary headaches in emergency care units: Neurological Institute of Curitiba Approach


Headache is the most frequent complaint in Neurology, and the principal types are the tension-type headache, and migraine. In addition to the high prevalence in the population, migraine especially has a significant impact on quality of life. It is estimated that headaches comprise 5% of all com...




Publicado na 4ª edição de 2015

Thunderclap headache in cerebral venous thrombosis


In this article we are presenting a case of a 24-yearold female migraineur who reported a sudden severe (10/ 10) explosive headache attack, normally referred to as a thunderclap headache, precipitated by effort during a dancing class......




Publicado na 1ª edição de 2015

Editorial


Nesta edição, Lima e Valença(1) revisam as possíveis alterações encontradas nos neurotransmissores e neuromoduladores no líquido cerebrospinal (LCR) de pacientes com fibromialgia. De fato, um número de neurotransmissores ou peptídeos tem apresentado um aumento ou diminuição em sua conc...




Publicado na 1ª edição de 2015

Alterações no líquido cefalorraquidiano em pacientes com fibromialgia


Fibromyalgia is a chronic disorder with unknown etiology and pain is the main characteristic. Cerebrospinal fluid levels of neurotransmitters and neuropeptides can give information about the neuronal activity of central nervous system in patients with fibromyalgia. The objective of this research...




Publicado na 1ª edição de 2015

Topiramato e função cognitiva: revisão


Despite the therapeutic efficacy, in its various indications, cognitive side effects are common findings with topiramate. Descriptive studies indicate nonspecific complaints cognitive, psychomotor slowness and language difficulties, as main complaints among patients who had to discontinue use of...




Publicado na 1ª edição de 2015

Cefaleia e a qualidade de vida em adolescentes


Headache is a common problem in the general population and, in particular, in children and adolescents and may negatively influence the quality of life of young. Thus, this study aimed to analyze, through a systematic review, the epidemiology of headache and association with the quality of life...




Publicado na 1ª edição de 2015

Caricatura e cefaleia


The authors comment on the use of caricature to represent a migraine sufferer and show a caricature of a woman with migraine drawn by an artist from Goiânia, Goias State, Brazil....




Publicado na 4ª edição de 2014

Editorial - Alodinia, um fenômeno frequente nos pacientes com cefaleia


Alodinia, um fenômeno frequente nos pacientes com cefaleia Marcelo Moraes Valença Professor Titular de Neurologia e Neurocirurgia, Coordenador da Pós-graduação em Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, Brasil  &...




Publicado na 4ª edição de 2014

Indice


EDITORIAL Alodinia, um fenômeno frequente nos pacientes com cefaleia Allodynia, a frequent phenomenon in patients with headache ...96 Marcelo Moraes Valença VIEW AND REVIEW Associação dos pontos gatilhos miofasciais com as cefaleias primárias: revisão da ...




Publicado na 4ª edição de 2014

Associação dos pontos gatilhos miofasciais com as cefaleias primárias


Objective: The aim of this study was to review the literature regarding the association of miofascial triggers points (TrPs) with migraine and tension-type headache, and the main muscles involved in headaches. Methods: A survey was carried out in the literature ...




Publicado na 4ª edição de 2014

Flutuação hormonal e percepção dolorosa durante o ciclo menstrual em mulheres com e sem cefaleia


The localization of estrogen receptors in the spinal trigeminal nucleus supports the idea that estrogenic modulation of neurotransmission within the trigeminal painful pathway trigeminal plays an important role in migraine pathophysiology. Allodynia is the symptomatic manifestation of central se...




Publicado na 4ª edição de 2014

Um desenho representando uma cefaleia intensa


Em 2013 com a chegada dos primeiros alunos bolsistas "Jovens Talentos", criamos um grupo de pesquisa intitulado "Avanços em Neurocirurgia". Cefaleia é um dos tópicos que o grupo estuda. Uma das alunas "Jovens Talentos" do curso de Medicina, Laryssa Azevedo de Almeida, teve a sorte de desenvo...




Publicado na 4ª edição de 2014

XXVIII CONGRESSO BRASILEIRO DE CEFALEIA / IX CONGRESSO DE DOR OROFACIAL


Vários......




Publicado na 4ª edição de 2014

INFORMATIONS FOR AUTHORS


Headache Medicine is the official scientific journal of the Brazilian Headache Society (SBCe) and of the Latin American Headache Association (ASOLAC). It is published quarterly for the purpose of recording and disseminating scientific production and contributions from the scientific community in...




Publicado na 2ª edição de 2014

A multiaxial evaluation of the headache patient


Background: Primary headaches are considered a complex medical problem. They usually appear as isolated episodes but can progress into chronic headaches entailing significant functional disability for the patient. With the objective of upgrading the quality of care given to headache...




Publicado na 2ª edição de 2014

Primary headaches and myofascial pain syndrome


Myofascial pain syndrome is a complex of sensory, motor and autonomic symptoms that are caused by myofascial trigger points. Compression of these trigger points can induce local and referred pain. This article reviews the available published knowledge about the relationship of primary headaches and ...




Publicado na 2ª edição de 2014

Migraine as a risk factor associated with hypertensive disorders of pregnancy


Objectives: To identify if the presence of migraine before pregnancy predisposes to hypertensive disorders of pregnancy. Methods: Observational study undertaken from a database of a follow-up study, composed of women consecutively assisted, at the first postnatal week, at IMIP. Its ...




Publicado na 2ª edição de 2014

Use of medicinal plants as an alternative for the treatment of headache


The World Health Organization (WHO) considers headache the most common disease of the nervous system that can generate various disabilities. However, there is an underestimation and underreported hindering the impact of public health. The International Classification of Headache Disorders (ICHD) con...




Publicado na 1ª edição de 2014

Reliability analysis of load and pain assessment using the SORRI® monofilaments in patients with migraine


The objective was to evaluate allodynia and verify the reliability of the pain response and the actual load applied by monofilament SORRI® in patients with migraine and to identify the relationship between these variables. We evaluated 40 women , 20 migraine group (GM) and 20 control group (CG) age...




Publicado na 1ª edição de 2014

Headache associated with compression of the third cranial nerve by an aneurysm of the posterior communicating artery


Continuous unilateral pain in the orbital area may be a sign of an intracranial structural lesion. We report a case of a 64-yearold woman with continuous headache of moderate intensity at the region of the left eye bulb. There was a complete paralysis of the left third oculomotor nerve. The patient ...




Publicado na 1ª edição de 2014

Left internal carotid artery agenesis in a patient with headache


Sometimes in clinical neurology, we diagnose a very rare case. We report on a patient who presented with crisis of headache and vomiting (clinically diagnose as migraine). Computed tomography (CT) scan of the head did not reveal any structural lesion. Magnetic resonance angiography showed absence of...




Publicado na 1ª edição de 2014

Relation between primary headache and restriction of cervical range of motion: a pilot study


Introduction: Headache is the most common neurological symptom across the world. The presence of this alteration promotes different effects on the biomechanics of cervical muscles, which may limit cervical mobility and also bring damage to patients suffering with headache. O...




Publicado na 4ª edição de 2013

Socio-economic aspects of headache in the elderly


Introduction: Among the health impairments of the elderly, headache is the main complaint for seeking medical help, and its quality depends on social conditions. Objective: To delineate the socioeconomic scenario of headache in elderly, through a critical review.




Publicado na 4ª edição de 2013

Headache anticipating Bell's palsy: can we prevent the facial palsy by diagnosing and treating early?


Bell's palsy is a peripheral facial palsy with high incidence, which has some associated factors such as pregnancy, diabetes mellitus and hypertension, in addition to infection by some subtypes of the herpes virus, i.e. herpes simplex and herpes zoster sine herpete. A common feature of patients with...




Publicado na 4ª edição de 2013

Expansion of listening experience with use of the PRACTICE tool for voluntary assistance of patients with chronic orofacial pain


Background and Objectives: Chronic pain affects approximately 30% of the world population and requires considerable insight to the doctor to confirm a diagnosis which would establish relations between expressions painful and what is behind them. This paper aims to describe the exper...




Publicado na 4ª edição de 2013

Headache and celiac disease or gluten sensitivity – a review


The aim of this study is to do a review of the relationship of celiac disease (CD) or gluten sensitivity (GS) with headache.The authors conclude that there is a connection between headaches and gluten intolerance....




Publicado na 4ª edição de 2013

Impact of primary headache on quality of life in military policemen and its relation to common mental disorder


Objective: To determine the impact caused by primary headache on quality of life in military policemen of Recife and its relation to the presence of common mental disorders. Methods: This is a transversal study with 211 active policemen, aged between 20 and 50 years...




Publicado na 3ª edição de 2013

XXVII Congresso Brasileiro de Cefaleia - Temas Livres - Apresentação de posters Cefaleia e Dor Orofacial


XXVII Congresso Brasileiro de CefaleiaTemas Livres - Apresentação de Posters Cefaleia e Dor Orofacial...




Publicado na 2ª edição de 2013

Fibromyalgia and Headaches


Fibromyalgia is characterized for chronic widespread musculoskeletal pain for which no tissue inflammation or damage can be identified. This review aims to examine the studies on fibromyalgia and headache focusing on prevalence, pathophysiology and clinical features. Population studies show that fib...




Publicado na 2ª edição de 2013

Health related quality of life in children with migraine. A controlled study


Background: Headaches are prevalent in the pediatric population. Migraine significantly impacts the health-related quality of life (HRQoL) of sufferers. Objective: To measure the impact of migraine on the HRQoL of children, by applying the Brazilian version of t...




Publicado na 2ª edição de 2013

Migraine and the triggering food factors


The migraine is a common and disabling disorder that may be related to several factors, including the diet. It is postulate that there is an association between migraine attacks and intake of certain foods and beverages such as ripened cheese, wine, yoghurt, citrus fruits, beer and chocolate. Other ...




Publicado na 2ª edição de 2013

Are cervical muscles involved in migraine and tension-type headache pathogenesis? A review


Migraine and tension-type headache (TTH) physiopathology is still unclear and controversial. According to researches, there is an association between these primary headaches and musculoskeletal dysfunctions of deep and superficial cervical flexor muscles. Therefore, it is possible to suspect that th...




Publicado na 2ª edição de 2013

Cross-cultural adaptation of the Brazilian Portuguese version of Quality of Life Headache-Youth (QLH-Y) Questionnaire


Objectives: To translate into Portuguese, culturally adapt and validate the Quality of Life Headache - Youth (QLH-Y), assessing its reliability through internal consistency of its items in a sample of adolescents of both sexes, attending public schools in the city of Recife.




Publicado na 1ª edição de 2013

Depressive symptomatology in adolescents with primary headache


Objective: The study aimed to investigate the relationship between depressive symptoms and primary headache in adolescents. Methods: 117 students (68 girls) of Public School from Recife, aged between 11 and 17 years (14.0 ± 1.7 years), were eval...




Publicado na 1ª edição de 2013

Serotonin syndrome and the triptans


Serotonin syndrome (SS) is a potentially life-threatening adverse drug reaction that can result from interaction between two ormore serotoninergic drugs and even from the use of a single serotoninergic drug. This condition is an acute toxic reactionto substances that enhance serotoninergic...




Publicado na 1ª edição de 2013

Psychiatric comorbidities in patients with primary headache


This study sought to conduct a non-systematic review of publications related to headache and psychiatric comorbidity. It is noted that headache has several comorbidities, including depression and anxiety. About 30% of headache patients have depression and 60% have anxiety symptom...




Publicado na 1ª edição de 2013

Forward head in adults with headache


Background and objectives: Some musculoskeletal disorders of the cranio-cervical region, as head protrusion, decreased mobility and cervical myofascial trigger points, have been studied in subjects with headache. The protrusion of the head seems to be an antalgic...




Publicado na 1ª edição de 2013

Headache and art: ex-voto as art of devotion and gratitude


In this article the authors review the use of ex-vote as an artform expressing devotion and gratitude. Ex-voto may be manifested as objects or paintings, as a form of thanksgiving for an answered prayer or a blessing received. Several saints are invoked when one is dealing with incapa...




Publicado na 1ª edição de 2013

The physician and migraine: knowledge and procedures on an emergency care service


Objective: This study analysed a group of emergency room doctors from a mid-size Brazilian town knowlegde about migraine and how they provide care for XXX acute migraine patients. Methods: This qualitative study used instruments such as the Sampl...




Publicado na 4ª edição de 2012

Headache type and aspects of reproductive life in young women


BACKGROUND Although migraine is more common in women than in men,(1) it is yet little explored whether migraine, migraine types, or headache frequency are linked to specific eventsof the reproductive cycle. Since particular migraine subtypes seem to be risk factor for more serious d...




Publicado na 4ª edição de 2012

Avaliação do equilíbrio, agilidade e presença de tontura em pacientes com migrânea com e sem aura


INTRODUÇÃOA migrânea pode estar associada ao acidente vascular cerebral e a complicações isquêmicas devido à depressão da atividade elétrica e consequente diminuição do fluxo sanguíneo cerebral.(1,2) A substância branca cerebral é afetada, especialmente nas regiões do...




Publicado na 4ª edição de 2012

Qualidade de vida e incapacidade relacionada à saúde de crianças com migrânea


RESUMOA migrânea leva a uma redução da participação de criançasnas atividades de casa e de lazer e no rendimento escolar,além de comprometer os aspectos psicológicos, gerandoum impacto negativo na qualidade de vida relacionada àsaúde. Este estudo objetivou avaliar a incapa...




Publicado na 4ª edição de 2012

O que motiva o paciente a procurar assistência médica por cefaleia?


INTRODUÇÃO A cefaleia encontra-se entre as queixas mais comuns da humanidade e é também um motivo frequente de consultas médicas, equivalendo a 10% de todos os atendimentos realizados no programa de saúde da família(1) e sendo a principal causa de atendimento nos ambulatório...




Publicado na 4ª edição de 2012

As crises de cefaleia podem ter duração realmente menor que duas horas na infância e na adolescência?Análise crítica prospectiva dos critérios diagnósticos da ICHD II


INTRODUÇÃO Os critérios diagnósticos da ICHD foram revistos, o que resultou em algumas mudanças na ICHD II,(¹) como reconhecer que a duração das crises de migrânea poderiam durar de uma a 72 horas. Alguns autores observaram duração menor que duas horas (11%-81%) e menos q...




Publicado na 4ª edição de 2012

Decúbito como fator agravante da cefaleia na crise migranosa


INTRODUÇÃO As crises de migrânea são frequentemente incapacitantes. A atividade física e os movimentos de abaixar a cabeça são fatores reconhecidos de aumento transitório da intensidade da dor durante as crises. Por esse motivo, muitos pacientes buscam o repouso. Na prática...




Publicado na 4ª edição de 2012

Migrânea durante a gestação – perfil clínico


INTRODUÇÃO Um dos fatores que podem influenciar o quadro de migrânea nas mulheres são as alterações hormonais observadas durante a gravidez. Estudos evidenciam que a maioria das mulheres grávidas que apresentavam cefaleia pré-gestacional exibiu melhora ou desaparecimento da ...




Publicado na 4ª edição de 2012

Análise do tempo de profilaxia da migrânea


INTRODUÇÃOAtualmente, existe consenso sobre o tratamento profilático da migrânea respaldado em evidências clínicas e na experiência pessoal de quem o prescreve.(1) Para diminuir a frequência e intensidade das crises, os medicamentos profiláticos são administrados, diariame...




Publicado na 4ª edição de 2012

Raciocínio não verbal, funções motoras e praxia construtiva em crianças com migrânea: um estudo controlado


OBJETIVO Comparar o raciocínio não verbal, funções motoras e a praxia construtiva de crianças com migrânea e controles sem cefaléia....




Publicado na 4ª edição de 2012

Visual attention in children with migraine: the importance of prophylaxis


INTRODUCTION Migraine and probable migraine in childhood has prevalence rates that range between 3.76% and 17.1% in Brazil.(1) Children with migraine have attention deficits, and experience negative consequences with regard to school performance as well as familial and social relati...




Publicado na 4ª edição de 2012

Headache complaints increase the risk for temporomandibular disorder among Brazilian adolescents: A population-based study


INTRODUCTION Headaches (HA) are one of the most frequent symptoms observed in children and adolescents diagnosed with temporomandibular disorders (TMD).(1) A Brazilian research with adolescents from a tertiary care center found a significant increase in signs and symptoms of TMD in ...




Publicado na 4ª edição de 2012

Sleep bruxism, painful temporomandibular disorders, and self reported headache in a sample population of adolescents


INTRODUCTIONHeadache (HA) is the most common manifestation of pain in adolescence. Its prevalence rate is 51% in adolescents and it is being perceived as a significant health problem by pediatricians and parents.(1) Moreover, HA is a frequent cause of disability, affecting the adole...




Publicado na 4ª edição de 2012

Fiber-type composition, fiber diameter and capillary density of the human jaw muscles


INTRODUCTION AND OBJECTIVESSuccessful performance of daily oral activities, such as biting, swallowing, chewing, and talking require a synchronized function of jaw muscles. Precise position control of the mandible combined with a change of jaw muscle strength is feasible due to the ...




Publicado na 4ª edição de 2012

Prevalência de disfunção temporomandibular em pacientes com hemofilia


INTRODUÇÃO E OBJETIVOS Coagulopatias hereditárias são doenças hemorrágicas resultantes da deficiência quantitativa e/ou qualitativa de uma ou mais proteínas plasmáticas (fatores) da coagulação. Entre as coagulopatias hereditárias, as mais comuns são a hemofilia e a doen...




Publicado na 4ª edição de 2012

Consenso Latino-Americano para as Diretrizes de Tratamento da Migrânea Crônica


A Classificação Internacional das Cefaleias é o resultado de um esforço grandioso para elaborar um sistema taxonômico das diferentes condições que ocorrem com cefaleia, estando nela catalogadas mais de 200 condições mórbidas em sua segunda edição (International Headache Classification [I...




Publicado na 4ª edição de 2012

Consenso Latinoamericano para las Directrices de Tratamiento de la Migraña Crónica


La Clasificación Internacional de las Cefaleas es el  resultado de un gran esfuerzo para elaborar un sistema taxonómico de las diferentes condiciones que ocurren con la cefalea, estando catalogadas en ella más de 200 condiciones mórbidas en su segunda edición (International Headache Classi...




Publicado na 4ª edição de 2012

PRACTICE and ICPC-2 in the approach of patients affected by chronic daily headache


Chronic daily headache (CDH) is characterized by 15 days with headache per month in the last three months. In its genesis, factors such as psychiatric comorbidities and painkillers abuse can be listed. It is important to address these factors. Objectives: To describe the use of PRAC...




Publicado na 4ª edição de 2012

Review of major risk factors for chronic migraine


Migraine is a chronic disease with episodic manifestations that can progress in a particular group of patients to a more frequent (15 or more days per month) and disabling form. This process occurs at a rate of about 3% per year and is called chronic migraine.The risk factors that lead to this proce...




Publicado na 4ª edição de 2012

Cluster headache and the hypothalamus – causal relationship or epiphenomenon?


Typical clinical features of cluster headache (CH) include trigeminal distribution of pain, circadian/circannual rhythmicity, and ipisilateral cranial autonomic features. This presentation led to the assumption that the hypothalamus plays a pivotal role in this primary headache disorder. Several stu...




Publicado na 3ª edição de 2012

Stabbing headache and basilar invagination


The stabbing headache is characterized by stabbing pain, localized and of short duration, which occurs spontaneously. The basilar invagination (BI) is an abnormality of the basioccipital bone which consists in the projection of the outline of the foramen magnum within the posterior cranial compartme...




Publicado na 3ª edição de 2012

Programa do XXVI Congresso Brasileiro de Cefaleia


Mensagem do PresidenteMarcelo C. Ciciarelli - Presidente da SBCePedro Ferreira Moreira Filho - Presidente do XXVI Congresso Rio 2012 Comissão Organizadora e Científica Palestrantes Estrangeiros Palestrantes Nacionais Programa Científico do Congres...




Publicado na 3ª edição de 2012

Resumos do XXVI Congresso da SBCe


CEFALEIA CEFALEIA SECUNDÁRIA À ANGIOPATIA CEREBRAL PÓS-PARTO: UMA DOENÇA BENIGNA? CEFALEIA EM HEMODIÁLISE: RELATO DE POSSÍVEL FATOR DE ALÍVIO DESCOMPRESSÃO DE NERVO PERIFÉRICO: OPÇÃO DE TRATAMENTO PARA MIGRÂNEA CRÔNICA? ADAPTAÇ...




Publicado na 3ª edição de 2012

Post-dural puncture headache: clinical characteristics and diagnostic criteria (abstract)


Background and objectives: The diagnostic criteria for post-dural puncture headache (PDPH) of the International Classification of Headache Disorders (ICHD-II, 2004) state that postural headache appears not later than the fifth day after the puncture and disappears spontaneously with...




Publicado na 3ª edição de 2012

Osmophobia and headache triggered by odors in patients with migraine and tension-type headache (abstract)


Migraine is manifested by recurrent episodes of headache and associated symptoms, including nausea, vomiting, photophobia and phonophobia. Besides these, there may osmophobia, an intolerance to odors associated with primary headaches, especially with migraine, both in crisis as the period between ep...




Publicado na 3ª edição de 2012

In Memoriam: Marco Antonio Minchola Robles


INTRODUÇÃONo dia 27 de setembro de 1964, na cidade de Chimbote, no Peru, o casal Carlos Minchola Pineda e Estela Robles Urquizo comemorava o nascimento de seu filho primogênito, ao qual deram o nome de Marco Antonio Minchola Robles.Aos 18 anos de idade, Marco Robles veio morar no...




Publicado na 2ª edição de 2012

Next time you have a headache, remember – pain is an illusion…


During the 54th Annual Meeting of the American Headache Society in Los Angeles we visited Santa Monica, California on Sunday June 24, 2012. It was a beautiful sunny day, with a happy crowd walking along the Third Street Promenade. There were many musicians, dancers, jugglers, among other  artis...




Publicado na 2ª edição de 2012

Headache and pregnancy


Headache in pregnancy is a peculiarity of woman life phase. Correct diagnosis in pregnancy is the best thing for a management gold standard. Some secondary headaches that mimic migraine may begin during pregnancy, and can be caused by vasculitis, brain tumor, pituitary tumor, arteriovenous malformat...




Publicado na 2ª edição de 2012

Trigeminal neuralgia and persistent idiopathic facial pain


Trigeminal neuralgia (TN) and persistent idiopathic facial pain (PIFP) are two of the most puzzling orofacial pain conditions and affected patients often are very difficult to treat. TN is characterized by paroxysms of brief but crucial pain, followed by asymptomatic periods without pain. In some pa...




Publicado na 2ª edição de 2012

Melatonin in headache disorders


Melatonin have diverse physiological functions, including the control of circadian rhythms, sleep regulation, enhancement of immunological functioning, free radical scavenging and antioxidant effects, inhibition of oncogenesis, mood regulation, vasoregulation, regulation of seasonal reproductive act...




Publicado na 2ª edição de 2012

Brazilian Headache Society: how it all began


The Brazilian Headache Society (BHS) was founded on May 19, 1978 thanks to the efforts of Edgard Raffaelli Jr. (1930-2006). He pioneered the study of headache in Latin America and he dedicated his life to this cause. It began with 14 doctors and today, BHS has approximately 400 associate members spr...




Publicado na 1ª edição de 2012

Trigeminal neuralgia and multiple sclerosis


It is estimated that in approximately 15% of the patients the trigeminal neuralgia is secondary to an intracranial abnormality.(1) Thus, all patients must be evaluated with MRI.(2) Although a rare association, trigeminal neuralgia may be caused by multiple sclerosis.(1-3) The Figure shows a brain MR...




Publicado na 1ª edição de 2012

Cluster headache: review of current understandings


Cluster headache (CH) is the trigeminal autonomic cephalalgia whose pain is considered to be one of the most severe known to man. Although diagnosed less frequently than migraine and tension-type headaches, CH is nonetheless an important clinical entity, particularly given our evolving understanding...




Publicado na 1ª edição de 2012

Influence of time of menopause in quality of life and its relation to migraine


The time since menopause influences the hypoestrogenism symptoms experienced by women and characteristics of migraine attacks in those with the disease. This review aimed to scientific evidence alluding to the relationship between quality of life (QOL) and the phases of post-menopause and theinfluen...




Publicado na 1ª edição de 2012

Magnesium ion serum profile in chronic migraine: comparative study between treated and non-treated patients


Chronic migraine is recognized as a migraine complication and is characterized by frequency of attacks up to 15 days/ month for more than three months, in absence of painkiller abusive usage. Studies indicate that magnesium ion plays a role in migraine pathophysiology but, until now, they have never...




Publicado na 1ª edição de 2012

Comparison of quality of life perception between migraineurs, diabetics and healthy volunteers through Brazilian SF-36


This study aimed to compare quality of life (QoL) among three groups of forty people each, consisting in a group of migraineurs, a group of diabetics and a group of healthy subjects. The three groups were submitted to the Brazilian version of SF-36, a  questionnaire that includes eight domains:...




Publicado na 1ª edição de 2012

Evaluation of forward head posture tendency in adolescents with primary headache


Objective: Evaluate the relationship between forward head posture and primary headache in adolescents. Methods: The study was conducted with 69 students between 10 and 19 years old (12.5 ± 1.7 years). Participants were divided into three groups: tension-type headac...




Publicado na 1ª edição de 2012

Intravenous lidocaine for inducing remission of cluster period


Cluster headache is a rare clinical condition, classified by the IHS as a trigeminal autonomic cephalalgia. Some known abortive treatments are inhaled oxygen, subcutaneous sumatriptan, intravenous dihydroergotamine and intranasal lidocaine. However, previous case reports suggest that intravenous lid...




Publicado na 1ª edição de 2012

Cognition in women with migraine (abstract)


Background: There is a consensus in clinical practice that women in menopause transition relate cognitive complaints mainly from memory. Some studies reported that psychological symptoms may be associated with cognitive impairment. These hypotheses have not been proven and controver...




Publicado na 1ª edição de 2012

Headache in northeastern Brazil and the idealism of José Martônio Ferreira de Almeida


O cefaliatra baiano José Martônio Ferreira de Almeida faleceu no dia quatro de fevereiro de 2010, por ter perdido uma batalha corajosa contra a doença de Parkinson. Teve o diagnóstico dessa doença há alguns anos e lutava, bravamente, contra ela. A Sociedade Brasileira de Cefaleia (SBCe) perdeu...




Publicado na 4ª edição de 2011

Functional anatomy of headache: hypothalamus


There is now compelling evidence that the hypothalamus exerts a major role in the mechanism of headache triggering. Pain and concomitant changes in the hormonal secretory pattern occur during an attack of headache when hypothalamic structures are involved. During spontaneous migraine or cluster head...




Publicado na 4ª edição de 2011

Chronology of drug treatment of migraine attack


In the past, migraine was treated only during attacks with the knowledge and culture of each civilization. In the meantime, the use of medicinal herbs has contributed to the emergence of the first analgesic drugs, despite their non-specificity for headaches, such as acetylsalicylic acid and dipyrone...




Publicado na 4ª edição de 2011

Exploding head syndrome – the early steps


Exploding head syndrome is a rare entity associated with migraine that occurs during sleep onset. A male migraine with aura patient presented with episodes of abrupt awakening following perceptions of sounds resembling a speeding up motorcycle engine interspersed with bursts of exhaust explosions li...




Publicado na 4ª edição de 2011

Hospital management of intractable headaches. The Instituto de Neurologia de Curitiba approach


Intractable headaches, also called refractory headaches, are usually unresponsive to standard therapies and comprise clinical conditions that represent a clinical management problem regarding therapy. Thereby, many approaches to manage "intractable headaches" have been proposed; meanwhile many aspec...




Publicado na 4ª edição de 2011

Neuroart and headache: the enigmas in the Michelangelo's frescos


Neuroart is a discipline of Neurosciences where there is an interrelationship between art and sciences. Great names such as Leonardo da Vinci, Michelangelo, Vesalius used the art of illustration to document the human anatomy. In the present article we are commenting about hidden anatomical structure...




Publicado na 4ª edição de 2011

Neuromodulators and its combinations for the preventive treatment of migraine


Migraine is a chronic, debilitating neurological disorder. It affects nearly 15% of the adult population and it is characterized by a range of symptom profiles and degrees of disability. It is a disease generally believed to occur in consequence of a genetically hyper excitable brain state, in addit...




Publicado na 4ª edição de 2011

Pain and the endogenous antinociceptive neuronal system: physiologic role of oxytocin


The unpleasant pain sensation is a sub-modality of somatic sensation that exerts fundamental warning and protective functions. Pain is the more frequent complain in a neurological outpatient clinic. In a series of 200 consecutive patients in a neurological outpatient clinic, 51% of them complained o...




Publicado na 4ª edição de 2011

Prevalence of headaches in individuals referred from primary care to secondary care


Background: Improve the quality of public health is a growing necessity today. Identifying reasons for medical referral (from general to specialized care) is a prelude for developing educational initiatives that have this goal. Objective: To estimate the prevalence ...




Publicado na 4ª edição de 2011

Superior articular muscle syndrome


A high percentage of people of every age sufer, sickness, headache and symptomatology in the neck, waist, arms and hands. The Medical Institution diagnoses these symptoms as chronic sickness, and it limits to fight the symptomatology with analgesic, anti-inflamatorys and muscular relaxings who the p...




Publicado na 4ª edição de 2011

Chronic post-traumatic headache after mild brain injury (Abstract)


Introduction: Post-traumatic headache (PTH) is the most common symptom found in the post-traumatic syndrome, it starts within seven days after the trauma, the acute form of it lasts until three months and the chronic form persists after this period. The evaluation of patients with P...




Publicado na 4ª edição de 2011

Craniomandibular dysfunction, migraine and tensio-type headache: influence on quality of life (Abstract)


Introduction: Craniomandibular dysfunction (CMD) is a collective term for the clinical problems involving the muscles of mastication, the temporomandibular joint (TMJ) and associated structures. Headache is a symptom that appears frequently associated with CMD due to the damage that...




Publicado na 3ª edição de 2011

Fibromigraine: a new name for an old disease?


Fibromyalgia and migraine are common disorders that predominantly affect women and seem to share the same pathophysiological mechanisms. We reviewed common aspects of the pathophysiology regarding pain control mechanisms and neuroendocrine dysfunction occurring in fibromyalgia and migraine. We also ...




Publicado na 3ª edição de 2011

Functional anatomy of headache: circle of Willis aneurysms, third cranial nerve and pain


Patients with intracranial aneurysm located at the internal carotid artery-posterior communicating artery (ICA-PComA) often present pain on the orbit or fronto-temporal region ipsilateral to the aneurysm, as a warning sign a few days before rupture. Given the close proximity between ICA-PComA aneury...




Publicado na 3ª edição de 2011

Migraine with aura attacks overriding dreams


While the anatomical pathways involved in migraine with aura are near to be completely known, those involved in dreaming remain less studied. We aimed to describe two cases of migraine with visual aura, whose migraine auras would override their dreams, and to discuss the pathways involved in visual ...




Publicado na 2ª edição de 2011

The need for preventive therapy in primary headaches


Introduction: Primary headaches are common conditions. In Brazil, the prevalence of migraine is 15.2%, tension-type headache 13% and chronic daily headache (CDH) 6.9%. Although frequent disorders a proportion of patients are undertreated. Patients patterns of headache care can tren...




Publicado na 2ª edição de 2011

Treatment of migraine attacks before the twentieth century


Migraine accompanies humans throughout their existence and, for the relieve of their pain, various forms of treatment were used. From the Neolithic to the Modern Age, Mesopotamian, Egyptian, Chinese, Greek, among other people, have suffered intense attacks of chronic headache. Many different treatme...




Publicado na 2ª edição de 2011

Uncommon headache syndromes in the pediatric population


Headache is one of the most common symptoms in children and adolescents and headache syndromes respond to an important reason for medical consulting. According to the second edition of the International Classification of Headache Disorders there are 196 possible headache diagnoses of which 113 have ...




Publicado na 2ª edição de 2011

Why cluster headache is also called "suicide headache"?


Introduction: The cluster headache (CH) is characterized by attacks of excruciating unilateral headache, affecting mainly the fronto-orbital region associated with autonomic signs like lacrimation and conjunctival injection, eventually leading the patient to suicide. Object...




Publicado na 2ª edição de 2011

Orexin-A CSF levels correlate with anxiety but not excessive daytime sleepiness in chronic migraine


Background: The hypothalamus is a key brain region in the control of energy metabolism, sleep and circadian rhythms, stress and anxiety, food intake, sexual and reproductive behaviors. Orexin-A (hypocretin-1) is a neuropeptide, synthesized in the hypothalamus extensively linked to ...




Publicado na 1ª edição de 2011

Allodynia in cluster headache: a review


Allodynia is defined as the experience of pain due to nonpainful stimuli, and occurs in several clinical contexts, including primary headaches. Cluster headache is a primary cephalalgia which is more common in males, characterized by excruciating pain, and autonomic trigeminal dysfunction. The preva...




Publicado na 1ª edição de 2011

Cerebrovascular reactivity in migraineurs


Cerebrovascular reactivity (CR) assessed by transcranial Doppler (TCD) has been evaluated among migraineurs with conflicting results. We assessed the CR using the breath holding index (BHI) among 228 migraineurs during ictal or interictal phase and 56 controls. Migraineurs exhibited increased BHI va...




Publicado na 1ª edição de 2011

The use of a diagram of the skull in the localization of pain


The localization of the headache is important semiological dada, therefore this information it is useful in the knowledge of the etiology and of the distinguishing diagnosis, beyond influencing in the therapeutic option. The objective of the present study is to present a model of diagram of the skul...




Publicado na 1ª edição de 2011

Disease progression to chronic migraine: onset of symptoms of headaches, anxiety and mood disorders


Background: Psychiatric conditions, mostly anxiety and mood disorders, are common in patients with chronic migraine. There has recently been extensive debate on migraine progression, but little is known about the role of psychiatric disorders in this respect. Objective




Publicado na 1ª edição de 2011

Migraine and aura in the genesis of mystical visions and artistic creation: the case of Hildegard von Bingen


This essay analyses the critical and clinical interpretations of certain perception disturbances present in the aura of migraines, as represented in artistic works, according to the speculations of some researchers, but mainly focusing on the conclusions of the neurologist, Oliver Sacks. With the ai...




Publicado na 1ª edição de 2011

Migraine and academic performance among medical students


Objective: To estimate the frequency of migraine and analyze its influence on the academic performance of students between 2nd and 9th period of the Barbacena Medicine College. Methods: From a cross-sectional study, samples of 336 students were examined. They answe...




Publicado na 2ª edição de 2010

Headache and Neuroimmunology: controversies


Headaches are prevalent among patients with neuroimmunological disorders of the central nervous system (CNS). Some autoimmune diseases of the CNS are traditionally recognized as headache causes and therefore are included in the International Headache Disorders Classification. In other conditions, su...




Publicado na 2ª edição de 2010

Headache attributed to hypothyroidism


Headache and hypothyroidism are clinical conditions that cause major impact in the quality of life. It is well known that hypothyroidism and headache are both more frequent in women. Hypothyroidism is a common disease clinically recognized as a complex syndrome with signs and symptoms affecting most...




Publicado na 1ª edição de 2010

Analysis of the package inserts of migraine prophylactics


Introduction: The use of migraine prophylactics is based on clinical evidence and the personal experience of those who prescribe them. Medicines commonly indicated for other diseases are used and they do not have any recommendation for preventing migraines on their package inserts....




Publicado na 1ª edição de 2010

Epidemiological aspects of headache in elderly patients in the Outpatient Headache Sergipe


Introduction: Elderly patients constitute important parcel of all the medical care in Brazil. The headache continues being the more frequent neurological complaint in this population; its peculiarities in this age have received special attention due to presence of distinct characte...




Publicado na 1ª edição de 2010

Chronobiological features in episodic and chronic migraine


Altered melatonin secretion and circadian, seasonal variations have been shown in migraine patients, but little is known about migraine chronobiological features. Two hundred migraine patients were studied. Headaches were reported to occur after changes in patients sleep schedule (46%), shift work (...




Publicado na 1ª edição de 2010

Frequency of migraine among patients followed at the Epilepsy Clinic of the Hospital das Clinicas, Universidade Federal de Minas Gerais


The relationship between migraine and epilepsy is well known for many years. Both conditions are chronic neurologic disorders, occur in paroxistic attacks and present a series of clinical features in common. The objective of the present study was to determine the frequency of migraine among epilepti...




Publicado na 1ª edição de 2010

Headaches and hyperhidrosis: clinical features and outcomes after surgery


Both headache disorders and hyperhidrosis are debilitating conditions. Several primary headache syndromes have prominent autonomic features; the main therapeutic option for severe, focal hyperhidrosis addresses the autonomic system (thoracoscopic sympathectomy). Accordingly, herein we assessed heada...




Publicado na 1ª edição de 2010

Lithium-responsive headaches


Introduction: Lithium-responsive headaches are primary and they have beginning nocturnal or on awakening. They are classified in three groups: Nocturnal Migraine, Cluster Headache, and Hypnic Headache. All three types show a positive therapeutic response to lithium and the average ...




Publicado na 1ª edição de 2010

Migraine and tension-type headache: a few historical aspects


The primary headaches are routinely present in today's society, among the main representatives are tension-type headache (TTH) and migraine. We reviewed a few historical aspects about primary headaches....




Publicado na 1ª edição de 2010

Successful treatment of SUNCT syndrome with divalproex sodium extended-release


Introduction: Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a primary rare headache. This syndrome is known to be refractory to pharmacotherapy. Various treatments have been tried for SUNCT syndrome, generally of l...




Publicado na 4ª edição de 2009

Persistent idiopathic facial pain


The authors present two cases of patients with persistent idiopathic facial pain and discuss the difficulties in establishing the diagnosis....




Publicado na 4ª edição de 2009

How does the orthodontist evaluate the relationship: temporomandibular disorder, headache and dental occlusion?


Temporomandibular disorders (TMD) can be understood as a number of functional alterations of the structures involved in the masticatory movements. Headache, clicking and otalgia can occur as signals and symptoms of this condition, as well as sensitivity of the cervical and masticatory muscles. The e...




Publicado na 4ª edição de 2009

Autonomic oculonasal symptoms in migraine: review


Migraine is a prevalent primary incapacitating headache. Autonomic symptoms may occur during migraine crises, but this is rarely mentioned in the literature. The aim of this study was to review the frequency of autonomic symptoms during migraine crises....




Publicado na 4ª edição de 2009

Tolosa-Hunt Syndrome


Introduction: Tolosa-Hunt syndrome is characterized by painful ophthalmoplegia due to a non-specific granulomatous inflammation of the sinus cavernous, superior orbital fissure or the orbital apex and by prompt response to steroids. Case report: A 37-year-old woman...




Publicado na 3ª edição de 2009

Headache attributed to ingestion or inhalation of a cold stimulus: a review


Introduction: Headache attributed to ingestion or inhalation of cold stimulus is quite common and it is recognized by the International Headache Society, being provoked by exposition to cold stimulus or ingestion of icy food. Physiopathological mechanisms involved in its genesis ar...




Publicado na 3ª edição de 2009

Headache in the Bible


Introduction: The history of headaches follows the existence of man on earth. Nowadays, through Sumerian writings and Egyptian papyri, it is known that many of our ancestors suffered from it. In the Bible, by the nineth century B.C., there is a description of a headache. Ob...




Publicado na 3ª edição de 2009

Frequent headache of difficult management


The authors present a group of patients with frequent headaches not responding to usual treatment and analyze the present status of this subject. Daily or almost daily headaches are present in 5% of the population and most of these persons are not helped with treatment; therefore these headaches can...




Publicado na 3ª edição de 2009

Headache related to hemodialysis: previous history of headache is a risk factor


Although the headache is the one of the symptoms more frequently found during the hemodialysis, studies about its characteristics are still scarce. The headache related to hemodialysis (HD) physiopathogenesis understanding is still a challenge. This is due to the complexity of the base disease and i...




Publicado na 3ª edição de 2009

Electroconvulsive therapy in a schizophrenic patient with headache


A case of a schizophrenic 48-year-old man, who presented a temporary remisson of his migraine after electroconvulsive therapy, is reported....




Publicado na 3ª edição de 2009

Migraine and inflammation


The migraine attacks seem to be associated with inflammation. This inflammation process would be triggered by some peptides such as substance P and CGRP. Those peptides are released by free terminals of trigeminal nerve. However, little is known about the actual role of inflammation in the migraine ...




Publicado na 3ª edição de 2009

Hemiplegic migraine: report of an affected family


Introduction: Hemiplegic migraine is a rare type of migraine with aura that courses with motor deficits, being genetic factors present or not. The present article describes a family on which three members present a clinical picture compatible with hemiplegic migraine, mentioning the...




Publicado na 3ª edição de 2009

Headache prevalence and impact on the employees of a company: assessment with the help of the Workers' Association


Objectives: To assess headache frequency, prevalence and impact (using HIT) within one year period, on Vilma employees. Method: In October of 2008, we handed out questionnaires regarding headache presence and frequency during the year prior to the research to all o...




Publicado na 1ª edição de 2009

Attitudes and knowledge of headache physicians towards temporomandibular disorders


Objective: To observe the attitudes and the knowledge of the headache specialists towards the Temporomandibular Dysfunction (TMD) and Orofacial Pain odontological specialty, as well as, the referral of the patients who had eventually sought for them due to a complaint probably rela...




Publicado na 1ª edição de 2009

Headache and Nutrition


Introduction: There is an important association between nutrition and headache because the patients with headache can have obesity, attacks precipitated by long fasting, appetite increase and/or weight gain, constipation, and dizziness. Many of these complaints can be clinical mani...




Publicado na 1ª edição de 2009

Comparative analysis between chronic and episodic migraine attacks trigger factors in patients from a headache clinic of the Teaching Hospital of the Universidade Federal de Sergipe (HU-UFS)


Introduction: As much as its classifications and symptoms, there is also variation among the trigger factors already established in clinical practice and literature for migraine attacks. Objective: Describe the most prevalent trigger factors in patients suffering fr...




Publicado na 1ª edição de 2009

The forgotten lumbar puncture


With the advent of neuroimaging exams, in special magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), many physicians started to considering the lumbar puncture as an ancient, invasive and even forgotten procedure. But we must remember that this procedure is crucial in the dia...




Publicado na 1ª edição de 2009

The role of cognitive-behavioral orientation to patients with miofascial pain – A brief review


Pain is an alertness mechanism of unpleasant and regional sensation. We get sick due to bad quality interactions of biological, social and psycological issues. Temporomandibular disorder (TMD) is a term used to define clinical changes that may happen in masticatory muscles, in the temporomandibular ...




Publicado na 1ª edição de 2009

Headache trigger points


Introduction: It is known that from the earliest times headaches are a concern for men. Recent studies indicate the central sensitization as a present mechanism, and the myofascial disfunction may be an important contributing factor. Objective: The aim of this study...




Publicado na 1ª edição de 2009

SUNCT syndrome and hypophyseal adenomas: a review


Background: SUNCT syndrome (short-lasting unilateral neuralgiform headache with conjuntival injection and tearing) is a rare type of headache, recently classified by the International Headache Society. The mechanisms involved in the physiopathology of this headache remains poorly u...




Publicado na 4ª edição de 2008

Headache associated with the Chiari type I malformation


The aim of this study was to perform a brief review of the literature on headache associated with the Chiari type 1 malformation (CM-1). The clinical presentation of CM-1 is very varied. It may be asymptomatic or progress as a medullary syndrome affecting the long motor pathways with spasticity of a...




Publicado na 4ª edição de 2008

Postdural puncture headache: the new diagnostic criteria of the ICHD II-2004 must be modified


In this study we evaluate the validity of the ICHD II-2004 diagnostic criteria of post-dural (post-lumbar) puncture headache (PDPH) in 640 patients submitted to a raquianesthesia. Forty eight patients (7.5%) presented PDPH. The period of latency between the lumbar puncture and the headache onset var...




Publicado na 4ª edição de 2008

Swimmer's primary exertional headache


The aim of the present study was to investigate the prevalence of primary exertional headache of swimmers. The sample was composed of 16 swimmers, in the categories youthful, adult and master, participants of state, national and international competitions, being six women and ten men, aged 24.2± 9....




Publicado na 4ª edição de 2008

Hemicrania continua and primary cough headache in a 71 years of age woman


Introduction: Hemicrania continua (HC) is an uncommon primary headache disorder which clinically is considered a syndrome with two pivotal characteristics: strictly and steady unilateral headache, and absolute response to indomethacin. Primary cough headache is an uncommon headache...




Publicado na 4ª edição de 2008

Idiopathic stabbing headache and its clinical forms


The idiopathic stabbing headache (ISH) may occur as a primary entity alone but usually it is associated with other types of headache. The present paper has studied the clinical differences between patients with isolated ISH (isolated-ISH, n=27) versus patients with ISH associated with other type of ...




Publicado na 4ª edição de 2008

Impacto da migrânea em estudantes universitários


Objectives: To perform a descriptive epidemiological study about the impact of headaches in a medical student population. Background: Medical students are a group at special high risk to suffer headache and migraine. As far as we know, there are not specific studie...




Publicado na 4ª edição de 2008

Sporadic hemiplegic migraine


Background: Neuroimaging studies have contributed significantly to the comprehension of the physiopathology of migraine. However a better characterization of the aura phenomena is still lacking. Objective: To report a case of sporadic hemiplegic migraine in which i...




Publicado na 4ª edição de 2008

The impact of migraine on quality of life is more incapacitating in women


Objectives: Study the impact of migraine on quality of life in a series of patient with headache. Method: 424 individuals were interviewed using the MIDAS questionnaire. Results: Severe disability was significantly higher in the women (35% of the wo...




Publicado na 4ª edição de 2008

Headache prevalence and impact on the employees of a company: assessment with the help of the Workers' Association


Objectives: To assess headache frequency, prevalence and impact (using HIT) within one year period, on CODEMIG employees. Method: In October of 2008, we handed out questionnaires regarding headache presence and frequency during the year prior to the research to all of the company's...




Publicado na 4ª edição de 2008

Is there a relationship between cervicogenic headache and Eagle syndrome?


The Eagle's syndrome is characterized by the development of symptoms associated with elongated styloid process. In this report we described the cases of two patients with Eagle's syndrome associated with symptomatology similar to cervicogenic headache....




Publicado na 3ª edição de 2008

Anne Frank's headache


Introduction: Annelies Marie Frank was a German Jewish teenager who was forced into hiding along with her family and four more people during Second World War. On June 12, 1942, she turned 13 and received a diary as a gift. She started then to write her experiences, which include som...




Publicado na 3ª edição de 2008

A nationwide epidemiologic study of headache in Brazil


Objectives: To estimate the prevalence of migraine, tensiontype headache (TTH) and chronic daily headache (CDH), and to estimate the degree of their association with some sociodemographic characteristics in Brazilian population. Methods: This is a cross-sectional, population-based study. We conducte...




Publicado na 3ª edição de 2008

The role of GABA in chronic migraine pathophysiology


Chronic Migraine (CM) is a common and debilitating neurological disorder. Its pathophysiology is multifactorial, with probable involvement of the main aminoacids GABA and glutamate. Gabaergic medications are used in migraine treatment including topiramate, divalproate, and propofol. Gabaergic defici...




Publicado na 3ª edição de 2008

Migraine and the small cerebrum


Embora Herophilus (335-280 a.C.) seja usualmente citado como quem pela primeira vez reconheceu o cerebelo (do latim, "pequeno cérebro"), como uma estrutura distinta, Aristóteles o fez anteriormente (A História dos Animais, livro I, parte XVI, 350 d.C.). Galeno (131-200 d.C. ) chamou o verme cereb...




Publicado na 3ª edição de 2008

Migraine and other primary headaches treatment: the new, the current, the old and the millenary


Foi com prazer que selecionamos, dos artigos publicados nos últimos meses, alguns artigos relacionados ao tratamento das cefaléias primárias. Vamos a eles!!!!!!...




Publicado na 2ª edição de 2008

Justification for the use of the placebo in the headache treatment clinical trials: brief review


Placebo effect is recognized since a long time and keeps intriguing considerations. In the guides for protocols of research of the treatment of the chronic headaches, even so this effect can be uncomfortable, it is consensual and justified by reasons revised in pertinent literature....




Publicado na 2ª edição de 2008

Sentinel headache: warning sign of the subarachnoid hemorrhage from intracranial aneurysm rupture


Sentinel headache: warning sigh of the subarachnoid hemorrhage from intracranial aneurysm rupture. Headaches are a highly prevalent complaint in the world. Among many causes of headaches, the subarachnoid hemorrhage due to aneurysm rupture is one of the most important, because of the high rate of mo...




Publicado na 2ª edição de 2008

Headache and hypothyroidism


Hypothyroidism and headache are frequent clinical issues that may interfere in the quality of life of the affected population. Objective: Evaluate the frequency of the symptom headache among hypothyroid patients with new diagnosis and compare the characteristics found in the groups ...




Publicado na 2ª edição de 2008

Epidemiological survey of headache in the period from 1998 to 2008 in the backland of Pernambuco – Brazil


Objective: To accomplish through a epidemiological survey the frequency of headache during a period of ten years. Method: This is a retrospective study with analysis of the headache complains of all the patients who were attended at the Service of Neurology between 1998 and 2008. 19.900 patients (59...




Publicado na 2ª edição de 2008

Management of headache calendar


Diary or the headache calendar, when well guided for the doctor and well recorded for the patient, it contributes for the clarification of the diagnosis, improves in the accompaniment how much to the effectiveness of the treatments, identification and orientation for the avoidance of precipitating f...




Publicado na 2ª edição de 2008

Acute treatment of migraine. Fundamentals for increasing efficacy


Migraine is a highly prevalent neurological disorder. It promotes disability resulting in suffering and considerable economic and social losses. The acute treatment of migraine aims at restoring the patient to normal function as fast and consistent as possible. Although numerous drugs are available ...




Publicado na 2ª edição de 2008

Fears associated with migraine pain


Objective: To investigate the fears, concerns and worries of migraine patients at the peak of pain intensity. Although many patients fulfill the IHS-2004 criteria for migraine and do not need neuroimaging for diagnosis, they may insist in having these exams due to the worries that s...




Publicado na 2ª edição de 2008

Primary headache in obesity: current aspects and metabolic


Migraine and obesity are highly prevalent disturbs in general population, but little is known about their association. Obesity and migraine are risk factors for stroke and cardiovascular diseases and obesity seems to interfere in the natural history of migraine. This review article was realized base...




Publicado na 2ª edição de 2008

Neuropsychology of headaches


In clinical practice, patients with headache, mainly migraine, complaint frequently about cognitive decline affecting memory and attention functions. Indeed there is a growing body of evidence suggesting compromise of verbal memory, visual memory and executive function in migraine patients. These co...




Publicado na 2ª edição de 2008

Frequency of headache types in patients seen at the urgent care ward of the University of Minas Gerais Hospital


Introduction: Headache is a common reason for seeking urgent medical care. Knowing its main causes in emergency tertiary centers can help in the differential diagnosis and in the treatment of these patients. Objective: To assess the frequency of headache types in pa...




Publicado na 2ª edição de 2008

SUNCT syndrome: clinical diagnostic difficulties


Introduction: SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) syndrome is a rare condition characterized by marked impairment of the quality of life of affected patients. The disease is generally refractory to drug treatment, wi...




Publicado na 2ª edição de 2008

Cough headache attributed to Chiari type I malformation


The authors described the case of a man with cough headache attributed to Chiari type I malformation, who responded to both indomethacin and neurosurgical procedure....




Publicado na 2ª edição de 2008

The posterior deep temporal artery


Introduction: The posterior deep temporal artery is a branch of the maxillary artery from which emerges near the origin of the middle meningeal artery. The role of the maxillary artery has never been discussed in migraine, and yet it gives origin to the two most important arteries ...




Publicado na 1ª edição de 2008

Unilateral side-locked headache secondary to meningioma


Introduction: Approximately 15% of all headaches are unilateral, and these are very rarely associated with ominous causes. Case report: We report a case of a 60 year old woman with a side locked unilateral headache secondary to an expansive intracranial lesion. She had complete head...




Publicado na 1ª edição de 2008

Nocturnal headache, nightmares and lithium


Objective: To estimate the efficacy of the lithium in patients with nocturnal headache and on awakening, or nightmares, or both. Method: All the fifty three patients with headache upon awakening and nightmares (50 with nocturnal headache and three with diurnal heada...




Publicado na 1ª edição de 2008

Prevalence of temporomandibular disorders symptoms in primary headache patients attended in a public tertiary care outpatient clinic


Introduction: Patients with chronic headache may present more than one type of cephalic pain. Objective: To assess the presence of symptoms of temporomandibular dysfunction, parafunctional habits, and the use of prostheses in patients with primary headaches....




Publicado na 1ª edição de 2008

Biofeedback in migraine: a study of 123 patients


Objectives: Evaluate the muscular tension and relaxation capacities of migraine patients. Select a group to train in muscular relaxation techniques to help reduce migraine occurrences. Method: The study consists of 123 migraine patients, diagnosed in accordance to I...




Publicado na 1ª edição de 2008

Headache in children: Clinical and epidemiological characteristics


Introdution: Headache is one of the main complaints in the pediatric and neuropediatric clinics. Objective: To survey clinical and epidemiological characteristics of children reporting headache assisted at two hospitals of Belém. Methods: This is a...




Publicado na 1ª edição de 2008

Amitriptyline as a preventive therapy for dialysis headache


Introduction: Hemodialysis headache (HDH), in spite of being a common disease, has its pathophysiology and therapy unknown. Currently it is treated just with pain killers during the attacks. Objective: To report the effectiveness of amitriptyline in preventing HDH ...




Publicado na 1ª edição de 2008

Neuralgia trigeminal associada a artéria trigeminal primitiva


The trigeminal neuralgia or tic douloureux is a frequent painful condition in which the pathophysiological mechanism is poorly understood. Trigeminal neuralgia is sometimes described as the most excruciating pain known to humanity. It is the most common cause of neuralgic facial pain in the geriatri...




Publicado na 3ª edição de 2007

New daily-persistent headache and International Headache Society criteria: A retrospective analysis of 62 patients


Introduction. New Daily-Persistent Headache (NDPH) is described as a type of daily headache that becomes continuous in a short period of time (a maximum of three days). As any newly recognised headache condition, there is a paucity of reports. Therefore, its characteristics in diff...




Publicado na 3ª edição de 2007

Headache research in a developing country


Introduction. As compared to developed countries, the amount of research in Brazil remains low. Being so, it is advisable to discuss the reasons that justify this disparity. Objectives. By using an analysis of the current situation, to offer proposals for solving t...




Publicado na 3ª edição de 2007

Choroid plexus papilloma: primary or secondary headache?


Paciente com 47 anos, sexo feminino, queixa-se de cefaléia pulsátil, esporadicamente em aperto, hemicraniana, sempre à direita, de moderada intensidade, ocorrendo uma vez ao mês com duração de sete dias, acompanhada de tontura e, eventualmente, por vômitos. Não havia relato de foto e/ou fono...




Publicado na 3ª edição de 2007

Harry Potter, sorcery, and headache


Se nem os bruxos escapam, o que esperar da humanidade sem superpoderes? Quem rasga o céu em emocionantes partidas de quidditch poderia, pelo menos em teoria, controlar a fúria de impulsos nervosos anormais no córtex predisposto dos enxaquecosos e suas conseqüências neurovasculares? Bem, aparent...




Publicado na 2ª edição de 2007

Psychiatric disorders in migraine


Migraine is a common type of primary headache that leads to a significant negative impact on the quality of life. The possible comorbidity between migraine and psychiatric disorders is extremely relevant as it has therapeutic and conceptual implications. In the later case, it is related to the compr...




Publicado na 2ª edição de 2007

Gustav Mahler’s illness


Introduction: There are a significant number of famous people who suffered from headaches and bipolar disorder and exerted some form of influence on politics, literature or the course of history. The great composer and conductor Gustav Mahler, although certainly not altering the cou...




Publicado na 2ª edição de 2007

Headache: prevalence and relationship with the academic performance of medical students


Introduction: Headache is frequent condition among general population, with lifetime prevalence higher than 90% in several researches. The study of this disease in specific populations contributes to better comprehension of it’s repercussion on the quality of life. Objectiv...




Publicado na 2ª edição de 2007

Eagle’s syndrome: a rare cause of headache and neck pain


Paciente do sexo feminino, com 45 anos, procurou o Ambulatório de Neurologia do Instituto de Neurologia de Curitiba com queixa de cefaléia de localização na região têmporo-parietal e retro-auricular direita, acompanhada de dor profunda na região cervical ipsilateral, sensação de corpo estra...




Publicado na 1ª edição de 2007

Treatment of prolonged migrainous aura in familial hemiplegic migraine (FHM) and in migraine with unilateral motor symptoms (MUMS) with intravenous verapamil


Introduction: The treatment of migraine aura has scarcely been studied. Familial hemiplegic migraines (FHM) and migraines with unilateral motor symptoms (MUMS) have clinical and pathophysiological features that make them appropriate for testing new approaches for the management of m...




Publicado na 1ª edição de 2007

Patent poramen ovale and migraine headache: an association or coincidence?


Introduction: Migraines have a high occurance and create a negative impact on the quality of life. Migraines, mainly with aura, have been proven to be an independent risk factor for ischemic cerebrovascular events. Migraneurs frequently present scattered white matter lesions or sile...




Publicado na 1ª edição de 2007

Obesity and migraine progression: Evidence and associations


Introduction/Context: Migraine and obesity are associated in many aspects. First, both are prevalent and disabling conditions, influenced by biological and environmental risk factors. Second, migraine with aura and obesity are risk factors for cardiovascular disorders. Finally, lar...




Publicado na 1ª edição de 2007

Chronic daily headaches: Critical considerations and proposals


Introduction/Context: The IHS-2004 revised proposal brings new facets to the classification of chronic headaches, but, as with any classification, it has the bias of its creators. The author brings his extensive clinical experience to this subject in order to make an individual cont...




Publicado na 1ª edição de 2007

Hypnic headache


Background: Hypnic headache is a rare, benign and sleeprelated recurrent headache disorder of the elderly described by Raskin in 1988. Although the mean age of onset for this type of headache is 60 years, we report the case of a 36-year-old man with bipolar disorder and an intravent...




Publicado na 1ª edição de 2007

Familial hemiplegic migraine in twins: MRI images


Alterações na substância branca visualizadas em exames de ressonância magnética em pacientes portadores de enxaqueca têm sido alvo de vários estudos clínicos. Do ponto de vista clínico, são subdivididos em duas categorias: infartos silenciosos (principalmente em circulação posterior) e a...




Publicado na 4ª edição de 2006

Childhood headache: initial treatment and forwarding of cases


Introduction: Primary headaches are frequent in childhood and are usually seen by Paediatricians, who give the initial treatment and forward the case to other specialists, if they consider it to be necessary. Objective: To assess the initial treatment and the forwar...




Publicado na 4ª edição de 2006

Assessment of pain intensity


Introduction: Pain intensity is subjective, but quantitative assessment is required for pain to be diagnosed and for treatment follow-up. Objective: To review the literature regarding the objective assessment of pain intensity, particularly for headache. Met...




Publicado na 4ª edição de 2006

CLassification of the Headaches: a brief historic review


Introduction: Although the international classification of headache is recent, in our view the attempts to classify headache (or at least to separate it into primary and secondary headache) date back a long time, even if such attempts were made empirically. Objectives




Publicado na 4ª edição de 2006

Occipito-nucal headache due to os odontoideum


Introduction: Os odontoideum is a condition in which the odontoid process is separated from the body of the second cervical vertebra (axis), whose etiology remains controversial. It can cause several neurological symptoms, amongst them occipital headaches and cervical pain. The dia...




Publicado na 4ª edição de 2006

Fístula dural do seio cavernoso


Um paciente masculino, com 50 anos, foi atendido durante o primeiro episódio de cefaléia, de caráter excruciante, em região supra e retro-orbitária direita. As crises tinham duração de 15 a 60 minutos e ocorriam numa freqüência de uma a três vezes ao dia, principalmente à tarde. Durante o...