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Successful treatment of palmoplantar pustulosis with isotretinoin.
CONCLUSIONS AND RELEVANCE: Acitretin represents an important treatment for PPP, but is limited by adverse effects and extended teratogenicity. Our experience supports the utility of isotretinoin as a potential therapeutic alternative, which may be particularly beneficial in patients who are poor candidates for or unable to tolerate acitretin therapy. PMID: 26437168 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 9, 2015 Category: Dermatology Authors: Wilken R, Sharma A, Patel F, Maverakis E Tags: Dermatol Online J Source Type: research
Fluticasone as Treatment for Cluster Headaches in a Navy Aircrew Member.
We present a case of refractory CH in an active duty air crewman, treated with fluticasone, which resulted in a remarkable reduction in symptoms allowing him to resume his primary flight duties. We propose that fluticasone's effectiveness in improving his CH symptoms stems from its anti-inflammatory properties. PMID: 26444480 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 8, 2015 Category: Global & Universal Tags: Mil Med Source Type: research
Why DO hangovers give you a headache and how can you banish them?
A team of nutritionists reveal their top tips to help beat the dreaded hangover. They reveal how the vinegar in pickle juice boosts the liver and soothes the stomach and yoga increases blood flow. (Source: the Mail online | Health)
Source: the Mail online | Health - October 7, 2015 Category: Consumer Health News Source Type: news
Migraines triggered by protein deep in the brain
A peptide that over-excites neurons controlling facial feeling is to blame for migraines – so drugs that constrict blood vessels won't work (Source: New Scientist - Health)
Source: New Scientist - Health - October 7, 2015 Category: Consumer Health News Source Type: research
The influence of communication and information sources upon decision‐making around complementary and alternative medicine use for back pain among Australian women aged 60–65 years
This study examined factors influencing decision‐making on complementary and alternative medicine (CAM) use for back pain and back pain sufferers' communication about CAM use. A cross‐sectional postal survey was conducted in 2011/2012 as a sub‐study of the Australian Longitudinal Study on Women's Health (ALSWH). The sample contained 1620 women from the 1945–1951 cohort of the ALSWH, aged 60–65 years who were eligible for the sub‐study, as they had experienced back pain during 12 months prior to the survey. Of these, 1310 (80.9%) returned completed questionnaires. A significant proportion of women consulted a ...
Source: Health and Social Care in the Community - October 7, 2015 Category: Health Management Authors: Vijayendra Murthy, Jon Adams, Alex Broom, Emma Kirby, Kathryn M. Refshauge, David Sibbritt Tags: Original Article Source Type: research
Prevention for Pediatric and Adolescent Migraine
This article reviews the indications and evidence for the use of migraine preventatives, such as antidepressants, antihypertensives, anticonvulsants, antihistamines, and botulinum toxin, in this population. (Source: Headache: The Journal of Head and Face Pain)
Source: Headache: The Journal of Head and Face Pain - October 7, 2015 Category: Neurology Authors: Carolyn Hickman, Kara Stuart Lewis, Robert Little, Reena Gogia Rastogi, Marcy Yonker Tags: Features Accepted Source Type: research
Imaging the Patient With Migraine: A Response
(Source: Headache: The Journal of Head and Face Pain)
Source: Headache: The Journal of Head and Face Pain - October 7, 2015 Category: Neurology Authors: Randolph W. Evans, Josefine S. Timm, David S. Baskin Tags: Comment Observation and Rebuttals Source Type: research
Severe Headache With Left Nasal Discharge: Is it Always Due to Autonomic Over Activity?
(Source: Headache: The Journal of Head and Face Pain)
Source: Headache: The Journal of Head and Face Pain - October 7, 2015 Category: Neurology Authors: Shakya Bhattacharjee, Mohammed Elkider, Sean O'Sullivan Tags: Images From Headache Source Type: research
[Research Articles] Neuronal PAC1 receptors mediate delayed activation and sensitization of trigeminocervical neurons: Relevance to migraine
The pathogenesis of migraine is not well understood. To dissect the relative contributions of endogenous peripheral and central mechanisms in triggering migraine, we examined the effects of two pharmacologically similar, but clinically different, vasodilator neuropeptides, vasoactive intestinal peptide (VIP) and pituitary adenylate cyclase-activating peptide 38 (PACAP-38), on dural meningeal vessels and the response properties of central trigeminovascular neurons. Both VIP and PACAP-38 caused short-lived meningeal vasodilation mediated by VPAC2 receptors, which did not coincide with activation of central trigeminovascular ...
Source: Science Translational Medicine - October 7, 2015 Category: Biomedical Science Authors: Akerman, S., Goadsby, P. J. Tags: Research Articles Source Type: research
'Is Mommy Okay?'
"Is Mommy okay?" The words always came out as a whisper. Maybe I didn't want to wake my little brother, maybe because it was late in the night and that is just what people do, or maybe I was scared of the answer. A few minutes before I nervously asked my question, I had been awakened by the sound of a low moan. Most children would conjure up ghosts in their closets or a monster under their bed, but I knew exactly what it was; I tiptoed past my sleeping brother,and hurried to my parents' room. I lightly placed my hand on their door and slowly pushed it open, the fear rising in my chest. I would not step into their room....
Source: Healthy Living - The Huffington Post - October 6, 2015 Category: Consumer Health Advice Source Type: news
Grazoprevir plus elbasvir in treatment-naive and treatment-experienced patients with hepatitis C virus genotype 1 infection and stage 4–5 chronic kidney disease (the C-SURFER study): a combination phase 3 study
This study assesses an all-oral, ribavirin-free regimen in patients with HCV genotype 1 infection and stage 4–5 chronic kidney disease. Methods In this phase 3 randomised study of safety and observational study of efficacy, patients with HCV genotype 1 infection and chronic kidney disease (stage 4–5 with or without haemodialysis dependence) were randomly assigned to receive grazoprevir (100 mg, NS3/4A protease inhibitor) and elbasvir (50 mg, NS5A inhibitor; immediate treatment group) or placebo (deferred treatment group) once daily for 12 weeks. Randomisation was done centrally with an interactive voice response syste...
Source: The Lancet - October 6, 2015 Category: Journals (General) Source Type: research
Neuromodulation in chronic headache
Manmohan SinghNeurology India 2015 63(5):650-651 (Source: Neurology India)
Source: Neurology India - October 6, 2015 Category: Neurology Authors: Manmohan Singh Source Type: research
Neuromodulation as a last resort option in the treatment of chronic daily headaches in patients with idiopathic intracranial hypertension
Conclusions: Bilateral ONS may be a useful treatment option in the management of selected patients with IIH, after standard surgical interventions have been attempted. Bilateral ONS may provide therapeutic option for management of residual headaches in these complicated patients. (Source: Neurology India)
Source: Neurology India - October 6, 2015 Category: Neurology Authors: Andrew B ShawMayur SharmaAmmar ShaikhouniEvan S MarlinDaniel S IkedaJohn M McGregorMilind Deogaonkar Source Type: research
Transient oculomotor synkinesis in a case of ophthalmoplegic migraine
Subasree Ramakrishnan, Pradeep Kallollimath, Girish B Kulkarni, Veerendrakumar MustareNeurology India 2015 63(5):778-780 (Source: Neurology India)
Source: Neurology India - October 6, 2015 Category: Neurology Authors: Subasree RamakrishnanPradeep KallollimathGirish B KulkarniVeerendrakumar Mustare Source Type: research
Clinically Diagnosed Acute Diverticulitis in Outpatients: Misdiagnosis in Patients with Irritable Bowel Syndrome
Conclusions Multiple types of indirect and concordant evidence suggest misattribution of IBS pain to diverticulitis and unnecessary antibiotic therapy in outpatients. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - October 6, 2015 Category: Gastroenterology Source Type: research
Nonmydriatic Ocular Fundus Photography in the Emergency Department: How It Can Benefit Neurologists
Semin Neurol 2015; 35: 491-495DOI: 10.1055/s-0035-1563576Examination of the ocular fundus is a critical aspect of the neurologic examination. For example, in patients with headache the ocular fundus examination is needed to uncover “red flags” suggestive of secondary etiologies. However, ocular fundus examination is infrequently and poorly performed in clinical practice. Nonmydriatic ocular fundus photography provides an alternative to direct ophthalmoscopy that has been studied as part of the Fundus Photography versus Ophthalmoscopy Trial Outcomes in the Emergency Department (FOTO-ED) Study. Herein, the results of the...
Source: Seminars in Neurology - October 6, 2015 Category: Neurology Authors: Bruce, Beau B. Source Type: research
Morphology of muscular function in chronic tension-type headache: a pilot study
Abstract Chronic pain has been thought to induce muscular changes in chronic tension-type headache (CTTH) patients. As the knowledge of muscular responses in CTTH is inconsistent, we decided to introduce new electromyogram signal shape descriptors. We also wanted to compare the discriminatory power of proposed indices with classical measures to establish their potential to act as markers for CTTH. Thirty-eight headache patients with twenty healthy volunteers were recruited. Twenty patients had CTTH, while 18 had migraine without aura. Surface electromyogram data were recorded from right sternocleidomastoid and lef...
Source: Acta Neurologica Belgica - October 6, 2015 Category: Neurology Source Type: research
20 Mistakes You're Making With Your Teeth
by Lauren Oster Taking care of your pearly whites isn't rocket science, but it's easy to slip into habits that could cause heartache--er, toothache--in the long run. We got the latest on giving your teeth the TLC they need from two New York City pros: Alice Lee, DDS, an assistant professor in the Department of Dentistry for Montefiore Health System, and Alison Newgard, DDS, an assistant professor of clinical dentistry at Columbia University College of Dentistry, will clue you in on where you could be going wrong. RELATED: 20 Things That Can Ruin Your Smile Multitasking while you brush Every minute in the morning feels pre...
Source: Healthy Living - The Huffington Post - October 5, 2015 Category: Consumer Health Advice Source Type: news
The Neuroscience Report—Vol. 23 (October 5, 2015): Traumatic Brain Injury
The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to 5 journal articles, 5 news articles, and 5 wildcard picks. Brought to you by Innovations in Clinical Neuroscience—your source for peer-reviewed, evidence-based information. This Week’s Topic: Traumatic Brain Injury Journal Articles Altered Cognitive Control Activations after Moderate-to-Severe Traumatic Brain Injury and Their Relationship to Injury Severity and Everyday-Life Function Is Routine Repeated Head CT Necessary f...
Source: Innovations in Clinical Neuroscience - October 5, 2015 Category: Neuroscience Authors: ICN Online Editor Tags: Behavioral and Cognitive Neurology Epilepsy Headache Mood Disorders Neurologic Systems and Symptoms Patient Assessment Primary Care Psychiatry The Neuroscience Report Concussion TBI traumatic brain injury Source Type: research
CGRP Inhibitors May Prevent Migraine (CME/CE)
(MedPage Today) -- Early phase II studies showed positive results in episodic and chronic migraine (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - October 5, 2015 Category: Anesthesiology Source Type: news
Jane Ebel who spent £12k trying to treat her migraines finally gets relief
Jane Ebel, from Salisbury, was getting chronic migraines every 10 days that would last 36 hours. She tried medication, hypnosis and Botox before the Cefaly electronic pulse-emitting headband. (Source: the Mail online | Health)
Source: the Mail online | Health - October 5, 2015 Category: Consumer Health News Source Type: news
Allegiance Health Faces Lawsuits, Tax Liens
The abrupt resignation last month of the CEO of North Metro Medical Center in Jacksonville is the latest in a series of problems facing the company that manages the hospital, Allegiance Health Management Inc. of Shreveport. A whistleblower lawsuit filed in 2010 in U.S. District Court in Arkansas accused Allegiance Health of providing medically unnecessary psychotherapy services. The case against Allegiance is pending, but 16 of its client hospitals — including two in Arkansas — recently agreed to pay almost $16 million to settle the False Claims Act allegations. Since December, the IRS has filed three federal ...
Source: Arkansas Business - Health Care - October 5, 2015 Category: American Health Source Type: news
Emergency Neurologic Life Support: Meningitis and Encephalitis
Abstract Bacterial meningitis and viral encephalitis, particularly herpes simplex encephalitis, are severe neurological infections that, if not treated promptly and effectively, lead to poor neurological outcome or death. Because treatment is more effective if given early, the topic of meningitis and encephalitis was chosen as an Emergency Neurological Life Support protocol. This protocol provides a practical approach to recognition and urgent treatment of bacterial meningitis and encephalitis. Appropriate imaging, spinal fluid analysis, and early empiric treatment is discussed. Though uncommon in its full form, t...
Source: Neurocritical Care - October 5, 2015 Category: Neurology Source Type: research
Reversible cerebral vasoconstriction syndrome associated with fingolimod treatment in relapsing-remitting multiple sclerosis three months after childbirth
We describe the case of a 29-year-old woman with RCVS associated with fingolimod three months after childbirth. This case represents the first report of RCVS in fingolimod treatment. (Source: Multiple Sclerosis)
Source: Multiple Sclerosis - October 5, 2015 Category: Neurology Authors: Kraemer, M., Weber, R., Herold, M., Berlit, P. Tags: Case Reports Source Type: research
Dr. Ninan T. Mathew - A "Tribute" (1937-2015).
PMID: 26436881 [PubMed - as supplied by publisher] (Source: Headache)
Source: Headache - October 5, 2015 Category: Neurology Authors: Rapoport AM, Ravishankar K Tags: Headache Source Type: research
Interictal, circulating sphingolipids in women with episodic migraine: A case-control study
Conclusion: These results suggest that sphingolipid metabolism is altered in women with EM and that serum sphingolipid panels may have potential to differentiate EM presence or absence. Classification of evidence: This study provides Class III evidence that serum sphingolipid panels accurately distinguish women with migraine from women without migraine. (Source: Neurology)
Source: Neurology - October 5, 2015 Category: Neurology Authors: Peterlin, B. L., Mielke, M. M., Dickens, A. M., Chatterjee, S., Dash, P., Alexander, G., Vieira, R. V. A., Bandaru, V. V. R., Dorskind, J. M., Tietjen, G. E., Haughey, N. H. Tags: All Headache, Migraine ARTICLE Source Type: research
Comment: Altered sphingolipid metabolism--A marker for episodic migraine?
A biological marker for migraine would be of great value in clinical practice. This collaborative study evaluated interictal, circulating sphingolipids in 52 female patients with episodic migraine compared with 36 women who did not have headaches. Total ceramide and its precursor, dihydroceramide, were decreased in the migraineurs as compared with controls, and, furthermore, some very long sphingomyelin species were increased in those with migraine. The authors suggest that serum sphingolipid panels have the potential to differentiate patients with episodic migraine from controls. (Source: Neurology)
Source: Neurology - October 5, 2015 Category: Neurology Authors: Ekbom, K. Tags: Migraine ARTICLE Source Type: research
Prevalence of primary headache disorders in Fayoum Governorate, Egypt
Conclusions Primary headache disorders are common in Egypt; prevalence rate was comparable with western countries with exception of episodic tension headache. Still headache is under-estimated and under-recognized in Egypt and this problem should be targeted by health care providers. (Source: The Journal of Headache and Pain)
Source: The Journal of Headache and Pain - October 5, 2015 Category: Neurology Source Type: research
Elevated blood pressure and headache disorders in China – associations, under-treatment and implications for public health
Conclusions We found no clear-cut associations between eBP and any headache disorder. The associations with demographic and anthropometric variables may have acted as confounders in past reports to the contrary. We did find an alarmingly high prevalence of eBP, recognizing that this signals substantial under-treatment in China of a serious condition, and therefore a major public-health concern. (Source: The Journal of Headache and Pain)
Source: The Journal of Headache and Pain - October 5, 2015 Category: Neurology Source Type: research
Increased Brainstem Serotonergic Transporter Availability in Adult Migraineurs: an [ 18 F]FP-CIT PET Imaging Pilot Study
Conclusions Increased SERT availability in the brainstem of adult migraineurs indicates low serotonin neurotransmission during headache-free phase. Patients who experience more painful headaches have lower serotonin neurotransmission. [18F]FP-CIT PET is a useful in vivo imaging technique for evaluating brainstem SERT availability in migraineurs. (Source: Nuclear Medicine and Molecular Imaging)
Source: Nuclear Medicine and Molecular Imaging - October 5, 2015 Category: Nuclear Medicine Source Type: research
Effect of electroacupuncture pretreatment at GB20 on behaviour and the descending pain modulatory system in a rat model of migraine.
CONCLUSIONS: EA pretreatment ameliorates behavioural changes in a rat model of recurrent migraine, possibly via modulation of the brainstem descending pathways. PMID: 26438555 [PubMed - as supplied by publisher] (Source: Acupuncture in Medicine : journal of the British Medical Acupuncture Society)
Source: Acupuncture in Medicine : journal of the British Medical Acupuncture Society - October 5, 2015 Category: Complementary Medicine Authors: Pei P, Liu L, Zhao L, Cui Y, Qu Z, Wang L Tags: Acupunct Med Source Type: research
Photographer Adam Jacobs went from lying in a dark room to snapping Nelson Mandela
EXCLUSIVE: Adam Jacobs, 30, from London, began suffering migraines at university. He was eventually diagnosed with Postural Orthostatic Tachycardia Syndrome, an abnormality of the nervous system. (Source: the Mail online | Health)
Source: the Mail online | Health - October 4, 2015 Category: Consumer Health News Source Type: news
5 Ways Your Body Actually Improves With Age
There are so many negative stereotypes related to getting older -- "the middle-age sag," or being "over the hill." It's easy to buy into the myth that everything really is headed downhill. But according to studies and science, things really aren't as bad as they might seem. Here are five ways your body actually improves with age: 1. You might have fewer migraines. Any sufferer knows there's nothing worse than the searing pain, nausea and sensitivity of migraines. The good news is that you might be able to kiss this unfriendly visitor goodbye as you get older. According to some neurologists, the average onset of migraines i...
Source: Healthy Living - The Huffington Post - October 4, 2015 Category: Consumer Health Advice Source Type: news
Experience from two decades of the Cambridge Rapid Access Neurology Clinic.
We report on the evolution of the rapid access neurology clinic (established in 1995) at Addenbrooke's Hospital, Cambridge. Annualised attendance data demonstrate an ever increasing demand, with primary headache disorders now accounting for more than 40% of referrals. Secondary causes of headache (including intracranial tumours, idiopathic intracranial hypertension, carotid or vertebral artery dissection and subdural haematomas) remain infrequent. In all such cases, there were additional diagnostic clues. The number of patients referred with problems related to chronic neurological diseases has fallen considerably, reflect...
Source: Clinical Medicine - October 4, 2015 Category: Journals (General) Authors: Axinte LT, Fiddes BD, Donaghy A, Whyte A, Allen C, Sawcer SJ, Adam RJ, Stacpoole SR Tags: Clin Med Source Type: research
MRI Guided Focused Ultrasound Thalamotomy for Moderate-to-Severe Tremor in Parkinson's Disease.
Conclusions. Thalamotomy using MRgFUS is safe and effective in PD patients. Large randomized studies are needed to assess prolonged efficacy and safety. PMID: 26421209 [PubMed] (Source: Parkinsons Disease)
Source: Parkinsons Disease - October 3, 2015 Category: Neurology Tags: Parkinsons Dis Source Type: research
An unusual case of reversible empty sella.
CONCLUSIONS: The case here reported demonstrates that an empty sella can be a reversible condition in rare cases. Its disappearance can be due to the reduction in intracranial pressure caused by the lumbar puncture itself. The changes in the characteristics of the headache, in particular its worsening in the orthostatic position, should lead to the suspicion of CSF leak through a fistula and consequent intracranial hypotension, a dangerous and sometimes life-threatening condition. PMID: 26423581 [PubMed - as supplied by publisher] (Source: Endocrine, Metabolic and Immune Disorders Drug Targets)
Source: Endocrine, Metabolic and Immune Disorders Drug Targets - October 3, 2015 Category: Drugs & Pharmacology Tags: Endocr Metab Immune Disord Drug Targets Source Type: research
Psychiatric disorders in Ehlers–Danlos syndrome are frequent, diverse and strongly associated with pain
Abstract Ehlers–Danlos syndromes (EDS) are a heterogeneous group of hereditary connective tissue disorders characterized by joint hypermobility, widespread musculoskeletal pain and tissue fragility. Psychiatric disorders and psychosocial impairment are common, yet poorly characterized, findings in EDS patients. We investigated the frequency and types of psychiatric disorders and their relationship to systemic manifestations in a cohort of 106 classic and hypermobility type EDS patients. In this retrospective study, extensive medical chart review was performed for patients referred at two genetics clinics who wer...
Source: Rheumatology International - October 3, 2015 Category: Rheumatology Source Type: research
Young Man with Sore Throat, Headache, and Rash
Meningitis is a feared diagnosis in emergency department (ED) patients with any combination of headache, neck stiffness, or fever. Varicella zoster virus (VZV), the cause of herpes zoster (HZ), commonly presents secondary to immunodeficiencies when the virus reactivates inside dorsal nerve root ganglia, but it also infects the autonomic nerve ganglia and cranial nerve ganglia (1,2). This reactivation causes a diverse pattern of disease that is classically associated with a painful rash. VZV has also been found to inhabit various cell types within the central nervous system (CNS) that lead to a wide variety of disease prese...
Source: The Journal of Emergency Medicine - October 3, 2015 Category: Emergency Medicine Authors: Frank Dicker, Ryan Walsh, Ian C. May Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Cannabis 'IS safe when treating chronic pain but only if you're an experienced user'
Canadian scientists found no evidence of harmful effects of using cannabis on cognitive function or blood tests, and saw improvement in pain level. They did not increased risk of headache and nausea. (Source: the Mail online | Health)
Source: the Mail online | Health - October 2, 2015 Category: Consumer Health News Source Type: news
Systemic connective tissue features in women with fibromuscular dysplasia
In conclusion, in a cohort of women with FMD, there was a prevalence of moderately severe myopia, high palate, dental crowding, and early-onset osteoarthritis. However, a characteristic phenotype was not discovered. Several connective tissue features such as high palate and pneumothorax were more prominent among FMD patients with a high vascular risk profile. (Source: Vascular Medicine)
Source: Vascular Medicine - October 2, 2015 Category: Internal Medicine Authors: O'Connor, S., Kim, E. S., Brinza, E., Moran, R., Fendrikova-Mahlay, N., Wolski, K., Gornik, H. L. Tags: Original Articles Source Type: research
Comorbidity in Migraine with Functional Somatic Syndromes, Psychiatric Disorders and Inflammatory Diseases: A Matter of Central Sensitization?
Abstract To approach the questions as to why migraine appears to be associated with functional somatic syndromes (FSSs) and whether central sensitization may be an underlying mechanism, the present study investigated (i) comorbidity with diagnoses of three FSSs, three psychiatric disorders and three inflammatory diseases, (ii) degree of mental health problems (stress, burnout, anxiety, depression and somatization), and (iii) prevalence of ten cognitive/affective and nine airway symptoms in persons with migraine in the general population. From a randomized and stratified Swedish adult sample, questionnaire data were...
Source: Behavioral Medicine - October 2, 2015 Category: Psychiatry Authors: Grassini S, Nordin S Tags: Behav Med Source Type: research
CAPOS syndrome and hemiplegic migraine in a novel pedigree with the specific mutation
Objective.Identification and characterization of a novel pedigree with ATP1A3 mutations presenting with CAPOS syndrome and hemiplegic migraine. (Source: Journal of the Neurological Sciences)
Source: Journal of the Neurological Sciences - October 2, 2015 Category: Neurology Authors: Ana Potic, Bruce Nmezi, Quasar S. Padiath Tags: Short Communication Source Type: research
Mental Status Changes—A Red Flag
A man brings a 51-year-old woman by wheelchair to triage. He says his wife has the flu, vomited, and might also have a urinary tract infection. You use your critical thinking and know not to trust a patient “diagnosis” at face value. You speak directly to the patient and ask, “What symptoms you are experiencing?” The patient states that she feels weak and has a headache. On questioning, she admits to pain in the left kidney area. When you ask, “When did it begin?,” she becomes vague and seems to drift in thought. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - October 2, 2015 Category: Nursing Authors: Diane Gurney Tags: Triage Decisions Source Type: research
Endoscopic fenestration of intraventricular cerebrospinal fluid cysts: the contralateral approach.
CONCLUSIONS The contralateral approach to ventricular cysts can achieve excellent surgical outcomes while minimizing approach-related trauma to the dominant hemisphere. Careful case selection is essential to ensure that the contralateral endoscopic trajectory is the best possible exposure for sufficient cyst fenestration and restoration of CSF circulation. PMID: 26430844 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - October 2, 2015 Category: Neurosurgery Authors: Hugelshofer M, Koechlin NO, Marcus HJ, Reisch R Tags: J Neurosurg Source Type: research
Philips And Massachusetts Institute Of Technology Team Up To Make Managing Brain Injuries Less Of A Headache
Royal Philipshas teamedwith the Massachusetts Institute of Technology (MIT) to research the use of Philips ultrasound technology and MIT physiological modeling as a less invasive way to measure intracranial pressure (ICP), an essential tool in managing patients with brain injuries. It could also allow doctors to use the measurement on less critical patients, who might not normally be considered for such monitoring. (Source: Medical Design Online News)
Source: Medical Design Online News - October 1, 2015 Category: Medical Equipment Source Type: news
Safety Concerns About an Epidural Blood Patch in a Patient with Extensive Epidural Fluid Accumulation
We present a case of postdural puncture headache in a patient with extensive epidural fluid accumulation. An initial epidural blood patch was aborted because of concern about increased risk of complications. After magnetic resonance imaging, we proceeded with epidural blood patch with a good therapeutic result. We discuss the imaging results and safety concerns we considered when assessing the benefits and risks of epidural blood patch in this patient. (Source: A&A Case Reports)
Source: A&A Case Reports - October 1, 2015 Category: Anesthesiology Tags: Case Reports Source Type: research
Acute Migraine Management in Children
Abstract: Migraines are common, incapacitating, and often stress inducing for pediatric patients and parents alike. According to the Agency for Healthcare Research and Quality, more than 1 million Americans seek emergency care every year due to migraines, with increasing frequency among adolescents. The disease can vary in severity and character, often mimicking life-threatening conditions, requiring prompt nuanced recognition by emergency personnel and implementation of an effective treatment strategy. Development of emergency department guidelines for the management of pediatric migraines should be based on up-to-date ev...
Source: Pediatric Emergency Care - October 1, 2015 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Acute Migraine Management in Children
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2015 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Management of Intracranial Pressure
Purpose of Review:: Intracranial pressure (ICP) can be elevated in traumatic brain injury, large artery acute ischemic stroke, intracranial hemorrhage, intracranial neoplasms, and diffuse cerebral disorders such as meningitis, encephalitis, and acute hepatic failure. Raised ICP is also known as intracranial hypertension and is defined as a sustained ICP of greater than 20 mm Hg. Recent Findings:: ICP must be measured through an invasive brain catheter, typically an external ventricular catheter that can drain CSF and measure ICP, or through an intraparenchymal ICP probe. Proper recognition of the clinical signs of elevated...
Source: CONTINUUM - October 1, 2015 Category: Neurology Tags: Review Articles Source Type: research
Cardiac Arrest in Children: Long-Term Health Status and Health-Related Quality of Life*
Conclusions: Considering the impact of cardiac arrest, the overall outcome after cardiac arrest in childhood is reasonably good. Prospective long-term outcome research in large homogeneous groups is needed. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research