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Neurology
Published in Kristen Davies, Shadaba Ahmed, Core Conditions for Medical and Surgical Finals, 2020
Migraine with aura: Two or more attacks with: One or more symptoms of aura including visual/sensory symptoms or dysphasiaAura lasts <60 minutes
Hypnotherapy with a Medical Condition: Migraine Headache
Published in Assen Alladin, Michael Heap, Claire Frederick, Hypnotherapy Explained, 2018
Assen Alladin, Michael Heap, Claire Frederick
Migraine headaches are characterized by recurrent attacks of pain that vary widely in frequency, intensity and duration. The Headache Classification Committee of the International Headache Society: Second Edition (ICHD-II) (2004) lists 14 major categories of headaches. Migraine is listed as the first of the major categories, comprising migraine without aura, migraine with aura, and chronic migraine. Migraine attacks are associated with loss of appetite, nausea, vomiting and exaggerated sensitivity to light and sound, and often involve sensory, motor or mood disturbances. The migraine with aura is characterized by identifiable sensory disturbances that precede the head pain, whereas migraine without aura has a sudden onset and an intense throbbing, usually unilateral. Chronic migraine is diagnosed in patients having migraine on 15 days per month or more in the absence of medication overuse (Olesen and Lipton, 2006).
Diagnostic testing and ominous causes of headache
Published in Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby, Headache in Clinical Practice, 2018
Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby
Unless aneurysm, vasculitis, or arteriovenous malformation (AVM) is suspected, there is little reason to perform angiography when a patient has a normal neurological examination, a normal CT or MRI, and a history consistent with a benign primary headache disorder.27 Earlier case reports suggest that complications may occur when angiography is performed in migraineurs, particularly during an attack.28,29 However, Schuaib and Hachinsky have concluded that migraine does not increase the risk of complication, even if performed during the attack. Transient neurological symptoms, however, are not infrequent, especially in patients with migraine with aura.30
Altered brain activity and functional connectivity in migraine without aura during and outside attack
Published in Neurological Research, 2023
Luping Zhang, Wenjing Yu, Zhengxiang Zhang, Maosheng Xu, Feng Cui, Wenwen Song, Zhijian Cao
Recent evidence has linked brain cortical excitability to migraine cycle [6,7]. Varying cortical excitability changes in migraine patients demonstrate the existence of different migraine pathophysiologies and phases. Therefore, there is a need to understand the cortical excitability changes at different migraine phases, which could unravel the pathogenesis of this disorder. However, most studies have focused on migraine during the interictal phase. Because migraine models in most studies are triggered by external stimuli, the presence of confounding factors cannot be ruled out. To override this limitation, migraine without aura patients in spontaneous attack (MWoA-DA), migraine without aura patients at the interictal phase (MWoA-DI), and health controls (HC) were recruited in the present study. The aim of this study was to conduct a comprehensive investigation of migraine pathogenesis.
Role of endometriosis in defining cardiovascular risk: a gender medicine approach for women’s health
Published in Human Fertility, 2022
Michela Cirillo, Maria Elisabetta Coccia, Felice Petraglia, Cinzia Fatini
The subjects were considered to have hypertension if they had been diagnosed as hypertensives according to ESH/ESC guidelines (ESH/ESC Task Force for the Management of Arterial Hypertension 2013) (≥140/90 mm Hg) or were taking antihypertensive drugs (Mancia et al., 2013). Diabetes was defined in agreement with the American Diabetes Association (Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003); smokers were defined as current or recent (ex-smokers who stopped less than 5 years earlier) smokers. Metabolic Syndrome was defined according to International Diabetes Federation (Alberti et al., 2005). Diagnosis of migraine with aura had been performed by physician according to The International Classification of Headache Disorders 3rd edition (Headache Classification Committee of the International Headache Society (IHS), 2013).
The current state of acute treatment for migraine in adults in the United States
Published in Postgraduate Medicine, 2020
Wade Cooper, Erin Gautier Doty, Helen Hochstetler, Ann Hake, Vincent Martin
The two major subtypes are migraine with aura and without aura. Migraine with aura includes neurological disturbances characterized by visual symptoms such as seeing spots, lines, or gray patches; sensory symptoms including tingling or numbness; or difficulty speaking that usually precede the headache and last for up to an hour [2]. Aura usually begins with visual and then sensory symptoms followed by difficulty speaking or understanding language. Sensory aura is most commonly unilateral affecting the face and arm, and less commonly in the trunk and leg. About one-third of people with migraine experience aura before or during the attack. Migraine without aura does not include the above symptoms, although migraine attacks of both types may be accompanied by photo- or phonophobia, nausea, and/or vomiting.