Advances and Future Trends in the Diagnosis and Management of Subarachnoid Hemorrhage
Major advances in neurocritical care and the modalities used to treat aneurysms have led to improvement in the outlook of patients with aneurysmal subarachnoid hemorrhage. Yet, several knowledge gaps remain widely open. Variability in practices stems from the lack of solid evidence to guide management, which recent guidelines from professional organizations aim to mitigate. In this article, the authors review some of these gaps in knowledge, highlight important messages from recent management guidelines, emphasize aspects of our practice that we consider particularly useful to optimize patient outcomes, and suggest future ...
Source: Neurologic Clinics - April 24, 2024 Category: Neurology Authors: Giuseppe Lanzino, Alejandro A. Rabinstein Source Type: research
The Pseudotumor Cerebri Syndrome
This study addresses the diagnosis and management of IIH including new insights into the pathobiology of IIH, updates in therapeutics and causes of overdiagnosis. (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Authors: Deborah I. Friedman Source Type: research
Secondary Headaches
NEUROLOGIC CLINICS (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Authors: Randolph W. Evans Source Type: research
Copyright
ELSEVIER (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Source Type: research
Contributors
RANDOLPH W. EVANS, MD (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Source Type: research
Contents
Randolph W. Evans (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Source Type: research
Forthcoming Issues
Current Advances and Future Trends in Vascular Neurology (Source: Neurologic Clinics)
Source: Neurologic Clinics - April 3, 2024 Category: Neurology Source Type: research
Spontaneous Intracranial Hypotension
Spontaneous intracranial hypotension (SIH) typically presents as an acute orthostatic headache during an upright position, secondary to spinal cerebrospinal fluid leaks. New evidence indicates that a lumbar puncture may not be essential for diagnosing every patient with SIH. Spinal neuroimaging protocols used for diagnosing and localizing spinal cerebrospinal fluid leaks include brain/spinal MRI, computed tomography myelography, digital subtraction myelography, and radionuclide cisternography. Complications of SIH include subdural hematoma, cerebral venous thrombosis, and superficial siderosis. Treatment options encompass ...
Source: Neurologic Clinics - February 28, 2024 Category: Neurology Authors: Jr-Wei Wu, Shuu-Jiun Wang Source Type: research
Preface
Although an estimated 90% of headaches are of the primary type, the other 10% are secondary headache disorders, which are diverse and fascinating, at times potentially life-threatening, and sometimes challenging to diagnose. We update our well-received second issue on this topic, which appeared in May 2014. (Source: Neurologic Clinics)
Source: Neurologic Clinics - February 24, 2024 Category: Neurology Authors: Randolph W. Evans Source Type: research
Headache due to Vascular Disorders
Headache and cerebrovascular disease (CVD) are inextricably linked. Although in some cases headache complicating CVD may be little more than a symptomatic afterthought, in other cases, early recognition of headache ’s role in the CVD process is critical to effective management. In other words, headaches secondary to CVD span a spectrum, and in this article, we will review that spectrum. (Source: Neurologic Clinics)
Source: Neurologic Clinics - February 13, 2024 Category: Neurology Authors: John F. Rothrock Source Type: research
Headaches Attributed to Disorders of Homeostasis
Headaches attributed to disorders of homeostasis include those different headache types associated with metabolic and systemic diseases. These are headache disorders occurring in temporal relation to a disorder of homeostasis including hypoxia, high altitude, airplane travel, diving, sleep apnea, dialysis, autonomic dysreflexia, hypothyroidism, fasting, cardiac cephalalgia, hypertension and other hypertensive disorders like pheochromocytoma, hypertensive crisis, and encephalopathy, as well as preeclampsia or eclampsia. The proposed mechanism behind the causation of these headache subtypes including diagnostic criteria, eva...
Source: Neurologic Clinics - February 7, 2024 Category: Neurology Authors: Ana Marissa Lagman-Bartolome, James Im, Jonathan Gladstone Source Type: research
The Postconcussion Syndrome and Posttraumatic Headaches in Civilians, Soldiers, and Athletes
Posttraumatic headaches are one of the most common and controversial secondary headache types. After a mild traumatic brain, an estimated 11% to 82% of people develop a postconcussion syndrome, which has been controversial for more than 160 years. Headache is estimated as present in 30% to 90% of patients after a mild head injury. Most headaches are tension-type-like or migraine-like. Headaches in civilians, soldiers, athletes, and postcraniotomy are reviewed. The treatments are the same as for the primary headaches. Persistent postt raumatic headaches can continue for many years. (Source: Neurologic Clinics)
Source: Neurologic Clinics - January 16, 2024 Category: Neurology Authors: Randolph W. Evans Source Type: research
Temporomandibular Disorders, Bruxism and Headaches
Temporomandibular disorders (TMDs) and headache disorders are highly prevalent in the population. TMDs can present headache symptoms as a secondary headache and, in addition, be comorbid with primary headache disorders. This overlap has significant clinical implications for which it is essential for the physician to be aware, and they should screen for the potential presence of TMDs in a headache patient. Bruxism is a parafunctional behavior also prevalent in the population which has a role in TMDs and may influence headache symptomatology, but it is still necessary to clarify this relationship. (Source: Neurologic Clinics)
Source: Neurologic Clinics - January 13, 2024 Category: Neurology Authors: Marcela Romero-Reyes, Jennifer P. Bassiur Source Type: research
Headaches and Vasculitis
Vasculitis refers to heterogeneous clinicopathologic disorders that share the histopathology of inflammation of blood vessels. Unrecognized and therefore untreated, vasculitis of the nervous system leads to pervasive injury and disability making this a disorder of paramount importance to all clinicians. Headache may be an important clue to vasculitic involvement of central nervous system (CNS) vessels. CNS vasculitis may be primary, in which only intracranial vessels are involved in the inflammatory process, or secondary to another known disorder with overlapping systemic involvement. Primary neurologic vasculitides can be...
Source: Neurologic Clinics - January 12, 2024 Category: Neurology Authors: David S. Younger Source Type: research
Headache in Brain Tumors
This article reviews the current findings related to epidemiologic details, clinical manifestations, mechanisms, diagnostic approaches, and management of headache in association with brain tumors. (Source: Neurologic Clinics)
Source: Neurologic Clinics - January 12, 2024 Category: Neurology Authors: Soomi Cho, Min Kyung Chu Source Type: research
