Headache
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Approximately 1 in 50 Americans is afflicted by chronic migraine (CM). Many patients with CM describe cervicogenic headache. Options for treating CM effectively are at present quite limited. ⋯ For suppression of CCM, ONBs may offer an attractive alternative to orally administered prophylactic therapy.
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Medication overuse headache (MOH) is a secondary headache, whose diagnostic criteria were settled by the Second Edition of the International Classification of Headache Disorders and its subsequent revisions. Its diagnosis and treatment represent a growing problem worldwide and a challenge for headache specialists. ⋯ The protocol was generally effective, safe, and well-tolerated. The results tend to remain stable with time, and seem to be encouraging about long-term use of this therapeutic protocol on a larger number of patients suffering from MOH.
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Case Reports
Implanted auriculotemporal nerve stimulator for the treatment of refractory chronic migraine.
To report a case of improved pain control and function in a patient with chronic migraine after treatment with auriculotemporal nerve stimulation. ⋯ Auriculotemporal nerve stimulation may be useful tool in the treatment of refractory pain in the temporal distribution due to chronic migraine.
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Migraine aggregates within families. Nonetheless the familial aggregation of chronic daily headaches (CDH) and of episodic headaches of different frequencies has been very poorly studied. Accordingly herein we test the hypothesis that frequency of primary headaches aggregates in the family. ⋯ Frequency of headaches in children is influenced by frequency of headaches in the mother and seems to aggregate in families. Future studies should focus on the determinants of headache aggregation, including genetic and non-genetic factors.
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized, placebo-controlled trial of acetaminophen for treatment of migraine headache.
To evaluate the efficacy and safety of acetaminophen 1000 mg for the treatment of episodic migraine headache. ⋯ Acetaminophen 1000 mg, a nonprescription drug, is an effective and well-tolerated treatment for episodic and moderate migraine headache. In addition, acetaminophen generally provided a beneficial effect on associated symptoms of migraine including nausea, photophobia, phonophobia, and functional disability.