NEURALGIA DE ARNOLD
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...
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...
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...
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 (...
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 ...
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...
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...
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...
Chronic migraine and medication overuse: Still a debate
Progressive headache consequent to drug overuse is an old critical issue. Migraine specially and the development of its daily or near-daily presentation due to overuse of immediate-relief medications is suggested since the eighties when Mathew and col. described this transformation and named it tran...
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
The abrupt outpatient withdrawal of symptomatic medications improve the headache in chronic migraine patients. A prospective study
Patients with chronic migraine (CM) frequently overuse symptomatic medications (SM). This creates a cycle of rebound and withdrawal symptoms that transforms the headache into a daily or near-daily presentation. Some also believe this profile of overusing SM is responsible for the inefficacy of preve...
Alterações no equilíbrio funcional e relato de quedas em pacientes com migrânea crônica, migrânea com e sem aura
INTRODUÇÃO A literatura sugere que pacientes com migrânea apresentam disfunções subclínicas do sistema vestibular e do tronco cerebral,(1) além de alterações nas vias centrais vestibulares.(2-4) É também verificada a presença de alterações no equilíbrio estático,(1-3,5) especialme...