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Current Pain and Headache Reports

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https://www.readbyqxmd.com/read/29987680/a-review-of-recent-advances-in-ultrasound-placed-in-the-context-of-pain-diagnosis-and-treatment
#1
REVIEW
Michael S Bobola, Lucas Chen, Chikodinaka K Ezeokeke, Katy Kuznetsova, Annamarie C Lahti, Weicheng Lou, Aleksey N Myroniv, Nels W Schimek, Madison L Selby, Pierre D Mourad
Ultrasound plays a significant role in the diagnosis and treatment of pain, with significant literature reaching back many years, especially with regard to diagnostic ultrasound and its use for guiding needle-based delivery of drugs. Advances in ultrasound over at least the last decade have opened up new areas of inquiry and potential clinical efficacy in the context of pain diagnosis and treatment. Here we offer an overview of the recent literature associated with ultrasound and pain in order to highlight some promising frontiers at the intersection of these two subjects...
July 10, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29987515/complexities-of-perioperative-pain-management-in-orthopedic-trauma
#2
REVIEW
Daniel H Wiznia, Theodore Zaki, Michael P Leslie, Thomas M Halaszynski
PURPOSE OF REVIEW: This review discusses both obvious and hidden barriers in trauma patient access to pain management specialists and provides some suggestions focusing on outcome optimization in the perioperative period. RECENT FINDINGS: Orthopedic trauma surgeons strive to provide patients the best possible perioperative pain management, while balancing against potential risks of opioid abuse and addiction. Surgeons often find they are ill-prepared to effectively manage postoperative pain in patients returning several months following trauma surgery, many times still dependent on opioids for pain control...
July 10, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29987497/occipital-headaches-and-neuroimaging-in-children
#3
REVIEW
Samantha L Irwin, Amy A Gelfand
PURPOSE OF REVIEW: The goal of this review is to outline the prevalence and significance of occipital headaches in children and how they relate to neuroimaging findings. We seek to evaluate the concern that occipital headaches in children are indicative of secondary headache pathology by reviewing the yield of neuroimaging in pediatric patients with occipital headache location. RECENT FINDINGS: Occipital headaches are a common presentation of primary headache disorders in children, seen in 7-16% of children presenting for evaluation of headache and in up to 20% of children diagnosed with migraine in the emergency department...
July 10, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29974273/headaches-in-patients-with-pituitary-tumors-a-clinical-conundrum
#4
REVIEW
Laura E Donovan, Mary R Welch
PURPOSE OF REVIEW: Pituitary tumors account for approximately 17% of all intracranial neoplasms, with the majority being pituitary adenomas. Often, these are found incidentally during a workup for headache; however, the relationship between symptom and pathology remains unclear. The purpose of this article is to review the most recent literature on the epidemiology, pathophysiology, and management of headaches in patients with pituitary tumors. RECENT FINDINGS: The current literature is limited, with few prospective trials focusing on this question...
July 4, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29931416/sunct-and-suna-an-update-and-review
#5
REVIEW
Karissa N Arca, Rashmi B Halker Singh
PURPOSE OF REVIEW: The purpose of this review is to provide an update on the clinical features, diagnosis, pathogenesis, epidemiology, and treatment of the rare primary headache disorders short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with autonomic symptoms (SUNA). Together these entities are known as short-lasting unilateral neuralgiform headache attacks (SUNHA). RECENT FINDINGS: Recent case reports of secondary SUNCT and SUNA due to medullary infarcts support the theory that the trigeminohypothalamic pathway is involved in the pathophysiology of SUNHA...
June 21, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904895/syncope-and-headache
#6
REVIEW
Ramesh K Khurana
PURPOSE OF REVIEW: We review the literature on co-occurrence of syncope and headache and share clinical experience. RECENT FINDINGS: Headache in relation to syncope has been the subject of recent interest. Orthostatic intolerance has an expanding spectrum with three well-defined entities: orthostatic hypotension (OH), neurally mediated hypotension (NMH), and postural tachycardia syndrome (PoTS). Syncope occurs in patients with OH as well as in patients with episodically occurring NMH...
June 15, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904889/clinical-presentation-and-management-of-headache-in-pituitary-tumors
#7
REVIEW
Himanshu Suri, Carrie Dougherty
PURPOSE OF REVIEW: This article provides an overview of headache in the setting of pituitary adenoma. The purpose of this article is to educate providers on the association, possible pathophysiology, and the clinical presentation of headache in pituitary tumor. RECENT FINDINGS: Recent prospective evaluations indicate that risk factors for development of headache in the setting of pituitary adenoma include highly proliferative tumors, cavernous sinus invasion, and personal or family history of headache...
June 15, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904806/virtual-reality-as-a-clinical-tool-for-pain-management
#8
REVIEW
Ali Pourmand, Steven Davis, Alex Marchak, Tess Whiteside, Neal Sikka
PURPOSE OF REVIEW: To evaluate the use of virtual reality (VR) therapies as a clinical tool for the management of acute and chronic pain. RECENT FINDINGS: Recent articles support the hypothesis that VR therapies can effectively distract patients who suffer from chronic pain and from acute pain stimulated in trials. Clinical studies yield promising results in the application of VR therapies to a variety of acute and chronic pain conditions, including fibromyalgia, phantom limb pain, and regional specific pain from past injuries and illnesses...
June 15, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904898/relapsing-painful-ophthalmoplegic-neuropathy-no-longer-a-migraine-but-still-a-headache
#9
REVIEW
Stacy V Smith, Nathaniel M Schuster
PURPOSE OF REVIEW: Recurrent painful ophthalmoplegic neuropathy (RPON), formerly known as ophthalmoplegic migraine, is an uncommon disorder with repeated episodes of ocular cranial nerve neuropathy associated with ipsilateral headache. This review discusses the clinical presentation, current understanding of the pathophysiology, key differential diagnoses, and evaluation and treatment of RPON. RECENT FINDINGS: The literature is limited due to the rarity of the disorder...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904826/chiari-headache
#10
REVIEW
Amit Mehta, Priyanka Chilakamarri, Adeel Zubair, Deena Kuruvilla
PURPOSE OF REVIEW: Chiari malformations (CM) are a group of neuroanatomical pathologies resulting from overcrowding of the hindbrain. The purpose of this review is to characterize Chiari headache (CH) and describe diagnosis and treatment of the condition. RECENT FINDINGS: Recent research has helped solidify the criteria for diagnosis of CH. Imaging studies have expanded our understanding of the morphological features producing them and helped to better characterize the pathophysiology...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904819/perioperative-management-of-patients-with-addiction-to-opioid-and-non-opioid-medications
#11
REVIEW
Donna-Ann Thomas, Praba Boominathan, Jyotsna Goswami, Sudipta Mukherjee, Nalini Vadivelu
PURPOSE OF REVIEW: With the rise of the opioid epidemic, anesthesiologists will find themselves faced with opioid-addicted patients more frequently. Addiction to opioids may also occur concurrently with abuse of other non-opioid medications. Our review article seeks to outline an armamentarium of pain management strategies in the perioperative period for these patients with addiction to opioid and non-opioid medications. RECENT FINDINGS: Statistics from the CDC demonstrate a shocking increase in opioid prescription rates and opioid-related deaths...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904804/headache-attributed-to-airplane-travel-a-review-of-literature
#12
REVIEW
Hida Nierenburg, Katelin Jackfert
PURPOSE OF REVIEW: Headaches due to airplane travel are rare but documented in the literature. We aim to provide a review of diagnostic criteria and treatment for this condition. RECENT FINDINGS: Several cases of this syndrome have been reported since it was first described in 2004. Airplane headache is classified as unilateral, stabbing, orbito-frontal pain, lasting under 30 min, and occurs during ascent or descent of a plane. Patients with this condition can develop anxiety and fear of flying given the intensity and severity of the pain...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904802/an-update-on-repetitive-transcranial-magnetic-stimulation-for-the-treatment-of-co-morbid-pain-and-depressive-symptoms
#13
REVIEW
Jonathan H Hsu, Zafiris J Daskalakis, Daniel M Blumberger
PURPOSE: Review recent meta-analyses and clinical trials investigating the therapeutic use of repetitive transcranial magnetic stimulation (rTMS) for concurrent pain and depressive symptoms. RECENT FINDINGS: Recent meta-analyses have included both pain and depression outcomes in fibromyalgia and chronic pain. Randomized controlled trials have also been conducted in post-herpetic neuralgia, trauma-related headache, and neuropathic pain with attention to both pain and depressive symptoms...
June 14, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29900508/the-challenges-of-cervicogenic-headache
#14
REVIEW
Andrew Blumenfeld, Sara Siavoshi
PURPOSE OF REVIEW: The purpose of this manuscript is to illuminate the diagnostic challenges in patients who present with both headache and neck pain. RECENT FINDINGS: The differential diagnosis for headache and neck pain includes many conditions. Furthermore, cervical musculoskeletal abnormalities including head forward posture and myofascial trigger points may play an overlapping role in many of these conditions. Multiple headache disorders may be present within the same patient...
June 13, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29855852/labeling-morphine-milligram-equivalents-on-opioid-packaging-a-potential-patient-safety-intervention
#15
REVIEW
Alexander B Stone, Richard D Urman, Alan D Kaye, Michael C Grant
PURPOSE OF REVIEW: Given that the primary cause of overdose death in the USA is related to prescribed opioids, one potential strategy to improve awareness and decrease morbidity and/or mortality could include improved labeling. Specific patient populations which significantly struggle with adverse outcomes related to opioid abuse are seen in palliative care, chronic pain, and acute pain treatment settings. RECENT FINDINGS: An unexplored option for improving the healthcare quality and safety for patients currently prescribed opioids would be to require pharmaceutical companies to provide a morphine milligram equivalent (MME) on opioid packaging...
May 31, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29796941/motor-cortex-stimulation-for-deafferentation-pain
#16
REVIEW
Ahmed E Hussein, Darian R Esfahani, Galina I Moisak, Jamil A Rzaev, Konstantin V Slavin
PURPOSE OF REVIEW: Since the early 1990s, motor cortex stimulation (MCS) has been a unique treatment modality for patients with drug-resistant deafferentation pain. While underpowered studies and case reports have limited definitive, data-driven analysis of MCS in the past, recent research has brought new clarity to the MCS literature and has helped identify appropriate indications for MCS and its long-term efficacy. RECENT FINDINGS: In this review, new research in MCS, repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS) are analyzed and compared with historical landmark papers...
May 23, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29779126/animal-models-of-chronic-migraine
#17
REVIEW
Tse-Ming Chou, Shih-Pin Chen
PURPOSE OF REVIEW: Chronic migraine (CM) is a recalcitrant subtype of migraine which causes high degrees of disability, poor treatment responses, and frequent recurrences in sufferers. However, the pathophysiological mechanisms underlying the development and chronification of migraine attacks remain incompletely understood. A validated animal model could help to decipher the pathogenic mechanism of the disease, facilitating the development of possible therapeutic strategies for CM. In this review, we aimed to summarize current animal models of CM and discuss the validity of these models...
May 19, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29725917/pain-headache-and-other-non-motor-symptoms-in-myasthenia-gravis
#18
REVIEW
Olivia Tong, Leslie Delfiner, Steven Herskovitz
PURPOSE OF REVIEW: Myasthenia gravis (MG) is traditionally conceptualized as a disease with purely motor manifestations. This paper reviews the supporting evidence and pathophysiology of non-motor symptoms in MG, including pain, headache, special sense and autonomic dysfunction, sleep disturbance, and cognitive and psychosocial issues. RECENT FINDINGS: Work in this area has been limited. Recent studies have identified bodily pain and headache as common complaints in patients with MG...
May 3, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29725875/obesity-and-migraine-in-childhood
#19
REVIEW
Tal Eidlitz Markus, Irene Toldo
PURPOSE OF REVIEW: The purpose of this work was to review the current literature on the epidemiology and pathophysiology of pediatric obesity and migraine, underlying pathogenic mechanisms that may explain the association between the two disorders, and the effects of treatment. RECENT FINDINGS: In children and adolescents, the bulk of the available data support an association between obesity and headache disorders in general, though a small number of studies contradict these findings...
May 3, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29725874/atypical-facial-and-head-pain-in-childhood-and-adolescence
#20
REVIEW
Licia Grazzi, Emanuela Sansone, Paul Rizzoli
PURPOSE OF REVIEW: This review will consider forms of atypical facial and head pain in children and adolescents. A brief and general overview of typical head and facial pains and treatments will be offered. Moreover, atypical head and face pain will be discussed with treatment options. RECENT FINDINGS: The most recent literature including case reports will be evaluated; possible pathophysiological mechanisms, resulting disabilities, and family and social impact will be discussed...
May 3, 2018: Current Pain and Headache Reports
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