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SYNOPSIS
Hemicrania continua (HC) is a rare, strictly unilateral, non-paroxysmal headache disorder characterized by its absolute responsiveness to indomethacin. The pain is usually moderate in intensity and frequently associated with a superimposed"jabs and jolts" headache.
We report two cases of HC which presented as chronic daily headache (CDH) with abortive medication overuse.
CDH can be due to transformed migraine (TM), new daily persistent headache (NDPH), chronic tension-type headache, and HC. All can be unilateral, and all can be associated with medication overuse. Our two cases meet the criteria for HC based on indomethacin responsiveness. One meets the criteria for TM, the other NDPH. Is HC a distinct disorder, or a subset of these other disorders? CDH with medication overuse includes in its differential diagnosis HC. 相似文献
Hemicrania continua (HC) is a rare, strictly unilateral, non-paroxysmal headache disorder characterized by its absolute responsiveness to indomethacin. The pain is usually moderate in intensity and frequently associated with a superimposed"jabs and jolts" headache.
We report two cases of HC which presented as chronic daily headache (CDH) with abortive medication overuse.
CDH can be due to transformed migraine (TM), new daily persistent headache (NDPH), chronic tension-type headache, and HC. All can be unilateral, and all can be associated with medication overuse. Our two cases meet the criteria for HC based on indomethacin responsiveness. One meets the criteria for TM, the other NDPH. Is HC a distinct disorder, or a subset of these other disorders? CDH with medication overuse includes in its differential diagnosis HC. 相似文献
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Irritable bowel syndrome is a common problem which, while not fatal, can have a major effect on an individual's quality of life. There is good evidence for the use of relaxation techniques and dietary avoidance, and some evidence for the use of other approaches in this condition. The evidence available is discussed in this article and an overview provided. 相似文献
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M.D. M. Niederberger Max Kade Foundation Fellow from Kardiolog M.D. F.A.C.C. B.A. Bruce Professor of Medicine Co-Director M.D. F.A.C.C. G.E. Dower Consultant to the Division of Cardiology B.A. V. Hofer Scientific Programmer 《Journal of electrocardiology》1973,6(4)
Spatial magnitudes of three well defined ST vectors, , and , and of the maximal T vector, , were studied in three groups of men at rest and immediately after maximal exercise on a treadmill. The groups consisted of 29 normal young men, 27 normal middle-aged men and 14 middle-aged men who showed typical “ischemic ST-segment depression” in a bipolar transthoracic ECG lead after exercise.Age alone had little effect on spatial vector magnitudes MST2, MST4, MST6 and MT either at rest or after exercise. At discriminants between normal and ischemic middle-aged subjects, the most effective were the MT-MST2 difference and the 4(MT-MST2)/3RT slope.A theoretical basis for interpretation of ischemic changes in the magnitude tracing is discussed, and a conceptual model, showing construction of the ischemic pattern in the magnitude tracing by subtraction of “subepicardial” from “subendocardial” monophasic action potentials is presented. 相似文献
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Transcranial Doppler: Technique and Application to Headache 总被引:5,自引:0,他引:5
William B. Young M.D. Attending Neurologist Clinical Instructor Stephen D. Silberstein M.D. F.A.C.P. Co-Director Associate Professor 《Headache》1992,32(3):136-142
This article reviews the technique and physics relevant to a functional understanding of transcranial doppler. The frequently contradictory findings in migraine are reviewed. Several studies suggest increased flow velocities are common in the interictal period. There are disparate findings between studies of the ictal period. In cluster headache, there appear to be more easily reproduced changes between and during cluster attacks. 相似文献
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Joseph P. Primavera III Co-Director Stephanie Patterson Clinical Social Worker 《Headache》1991,31(9):619-621
A study to examine the feasibility of using the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS) as a screening instrument was undertaken at an inpatient headache treatment program. Nine patients diagnosed with chronic daily headache and drug rebound were administered the HGSHS. Analysis of the results showed no significant difference in hypnotic susceptibility when headache patients were compared to a control group. After taking the HGSHS, three of the five subjects who had headache at the time of testing reported a 25% reduction in pain, one was unchanged, and one reported a 13% increase in pain. The results obtained did not suggest a correlation between level of hypnotic susceptibility and reduction of headache. 相似文献
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