Artigos Ano 2011


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 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

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 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 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 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 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