Neuroradiology and headaches

Romano, Andrea; Cipriani, Valentina; Bozzao, Alessandro

doi:10.1007/s10194-006-0347-6

Cited by 5 publications

(1 citation statement)

References 45 publications

(46 reference statements)

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“…There are a number of possible warning features that may be encountered in the history or on examination (Table 4). Many secondary headaches call for detailed neurological examination, and, when they remain still in the differential diagnosis, their confirmation or exclusion through investigations including neuroimaging [19] and/or lumbar puncture (LP).…”

Section: Headache In the Emergency Departmentmentioning

confidence: 99%

Acute migraine in the Emergency Department: extending European principles of management

2008

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The World Health Organization (WHO) placed migraine 19th among all causes of disability (12th in women) measured in years of healthy life lost to disability (YLD). The importance of headache disorders, particularly of the primary forms, is established by their distribution worldwide, their duration (the majority being life-long conditions) and their imposition of both disability and life-style restrictions among large numbers of people. For these reasons, headache disorders should represent a public-health priority. In the Emergency Department (ED), as elsewhere, migraine is often under-diagnosed-and under-treated when it is diagnosed. The result is likely to be failure of treatment. Particular attention to diagnosis is needed in ED patients with acute headache, since there is a higher probability of secondary headache due to underlying pathologies. According to European principles of management, acute migraine treatment generally is stepwise. Of the two main steps, the first relies on symptomatic medication, preferably NSAIDs with or without antiemetics. The second step uses specific therapies, usually triptans. Modifications to routine practice are appropriate in the ED. Parenteral administration of symptomatic therapies is a preferred first choice, whilst immediate resort to triptans may be appropriate, and achieve better outcomes, in patients with severe headache and diagnostic confirmation of migraine.

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Section: Headache In the Emergency Departmentmentioning

confidence: 99%

Acute migraine in the Emergency Department: extending European principles of management

2008

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Diagnostics to Look beyond the Normal Appearing Brain Tissue (NABT)? A Neuroimaging Study of Patients with Primary Headache and NABT Using Magnetization Transfer Imaging and Diffusion Magnetic Resonance

et al. 2013

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The present study lends evidence, for the first time to the best of our knowledge, for a statistically significant microstructural change in the occipital lobes, as measured by ADC, in patients with primary headache who exhibit a NABT on MRI. Importantly, future longitudinal mechanistic clinical studies of primary headache (e.g., vis-à-vis neuroimaging biomarkers) would be well served by characterizing, via DWI, occipital white matter microstructural changes to decipher their broader biological significance.

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Usefulness of Transcatheter Patent Foramen Ovale Closure in Migraineurs With Moderate to Large Right-to-Left Shunt and Instrumental Evidence of Cerebrovascular Damage

Papa

Gaspardone

Fracasso

et al. 2009

The American Journal of Cardiology

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Neuroradiology and headaches

Cited by 5 publications

References 45 publications

Acute migraine in the Emergency Department: extending European principles of management

Acute migraine in the Emergency Department: extending European principles of management

Diagnostics to Look beyond the Normal Appearing Brain Tissue (NABT)? A Neuroimaging Study of Patients with Primary Headache and NABT Using Magnetization Transfer Imaging and Diffusion Magnetic Resonance

Usefulness of Transcatheter Patent Foramen Ovale Closure in Migraineurs With Moderate to Large Right-to-Left Shunt and Instrumental Evidence of Cerebrovascular Damage

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