keyword
https://read.qxmd.com/read/38090265/refractory-occipital-neuralgia-treatment-with-nerve-decompression-surgery-a-case-series
#21
JOURNAL ARTICLE
William G Austen, Katya Remy, Kathryn Packowski, Merel H Hazewinkel, Lisa Gfrerer, Paul G Mathew
BACKGROUND: The management of refractory occipital neuralgia (ON) can be challenging. Selection criteria for occipital nerve decompression surgery are not well defined in terms of clinical features and best preoperative medical management. METHODS: In total, 15 patients diagnosed with ON by a board-certified, fellowship-trained headache specialist and referred to a plastic surgeon for nerve decompression surgery were prospectively enrolled. All subjects received trials of occipital nerve blocks (NB), at least three preventive medications, and onabotulinum toxin (BTX) prior to surgery before referral to a plastic surgeon...
2023: Frontiers in Neurology
https://read.qxmd.com/read/38077923/neurological-complications-after-covid-19-a-narrative-review
#22
REVIEW
Ghazale Molaverdi, Zahra Kamal, Mahshid Safavi, Arman Shafiee, Sayed-Hamidreza Mozhgani, Mohadeseh Zarei Ghobadi, Mahdi Goudarzvand
COVID-19 is primarily classified as a respiratory disorder; however, various neurological symptoms have been reported in COVID-19 patients. Neurological manifestations may be the initial signs of COVID-19 and can develop in patients of different age groups and with or without underlying disease. COVID-19 causes a broad range of complications in the central nervous system. These include headaches, altered mental status, dizziness, seizures, cerebrovascular events, encephalitis, and other encephalopathies. Moreover, a broad spectrum of peripheral nervous system symptoms such as olfactory and gustatory dysfunctions, neuropathy, visual impairments, neuralgia, cranial nerves palsy, and muscle involvement could manifest as symptoms...
December 2023: ENeurologicalSci
https://read.qxmd.com/read/38074124/prescription-characteristics-of-xue-fu-zhu-yu-tang-in-pain-management-a-population-based-study-using-the-national-health-insurance-research-database-in-taiwan
#23
JOURNAL ARTICLE
Chun-En Kuo, Sheng-Feng Hsu, Ching-Chih Chen, Szu-Ying Wu, Yu-Chiang Hung, Chung Y Hsu, I-Ju Tsai, Wen-Long Hu
Objective: To explore the prevalence and distinctive features of Xue-Fu-Zhu-Yu-Tang (XFZYT) prescriptions by analyzing the National Health Insurance Research Database (NHIRD) to identify the specific medical problems for which XFZYT is prescribed. Methods: This nationwide, population-based, cross-sectional study included 109,073 XFZYT users and 532,848 XFZYT non-users among Chinese herbal product (CHP) users in NHIRD. Chi-squared tests were used to analyze disparities between the XFZYT user and XFZYT non-user cohorts, and the mean age was evaluated using the Wilcoxon rank-sum test...
2023: Frontiers in Pharmacology
https://read.qxmd.com/read/38058258/ramsay-hunt-syndrome-and-concurrent-varicella-zoster-virus-meningitis-in-denmark-a-nationwide-cohort-study
#24
JOURNAL ARTICLE
Pelle T Petersen, Jacob Bodilsen, Micha P G Jepsen, Lykke Larsen, Merete Storgaard, Jannik Helweg-Larsen, Lothar Wiese, Birgitte R Hansen, Hans R Lüttichau, Christian Ø Andersen, Henrik Nielsen, Christian T Brandt
Ramsay Hunt syndrome (RHS) is a manifestation of reactivated varicella-zoster virus (VZV) from the geniculate ganglion. Data on clinical features and outcomes of patients with RHS and concurrent VZV meningitis (henceforth RHS meningitis) are limited. Thus, we conducted a nationwide population-based cohort study of all adults hospitalized for RHS meningitis at the departments of infectious diseases in Denmark from 2015 to 2020. Patients with VZV meningitis without cranial nerve palsies were included for comparison...
December 2023: Journal of Medical Virology
https://read.qxmd.com/read/38046926/late-onset-parry-romberg-syndrome-with-atypical-neurological-manifestations-a-case-report
#25
Sema Akkus, Suban Amatya, Kriti Shrestha, Shitiz Sriwastava, Demetrios A Karides
Parry-Romberg Syndrome (PRS) is a rare neurocutaneous disorder characterized by gradual facial hemiatrophy. We present a case study of a 64-year-old woman with late-onset PRS and linear scleroderma. The patient exhibited atypical PRS symptoms including leg numbness, hyper-reflexia, trigeminal neuralgia, and severe headaches. Diagnostic evaluations revealed chronic left-sided cerebral infarction, microhemorrhages, and nerve involvement. Treatment options for PRS are limited and aim to manage symptoms. This case highlights the diagnostic challenges of late-onset PRS, emphasizing interdisciplinary approach...
January 2024: Radiology Case Reports
https://read.qxmd.com/read/38032593/a-rare-case-of-vestibular-schwannoma-manifesting-as-trigeminal-neuralgia
#26
Sowmya Ananthan, Upasana Kumar, Stephen Johnson
BACKGROUND: In this case report, the authors reviewed a rare case of a vestibular schwannoma manifesting as trigeminal neuralgia (TN). Intracranial tumors can have a variety of orofacial pain symptoms. Among benign cerebellopontine angle tumors, vestibular schwannoma is the most common cause of a TN-like manifestation. Although the most common symptoms of a vestibular schwannoma are hearing loss and vestibulopathy, the unique feature of this case was the manifestation of symptoms consistent with TN...
February 2024: Journal of the American Dental Association
https://read.qxmd.com/read/38019841/incidence-of-long-term-post-acute-sequelae-of-sars-cov-2-infection-related-to-pain-and-other-symptoms-a-systematic-review-and-meta-analysis
#27
JOURNAL ARTICLE
Hiroshi Hoshijima, Takahiro Mihara, Hiroyuki Seki, Shunsuke Hyuga, Norifumi Kuratani, Toshiya Shiga
BACKGROUND: Persistent symptoms are reported in patients who survive the initial stage of COVID-19, often referred to as "long COVID" or "post-acute sequelae of SARS-CoV-2 infection" (PASC); however, evidence on their incidence is still lacking, and symptoms relevant to pain are yet to be assessed. METHODS: A literature search was performed using the electronic databases PubMed, EMBASE, Scopus, and CHINAL and preprint servers MedRχiv and BioRχiv through January 15, 2021...
2023: PloS One
https://read.qxmd.com/read/37995295/treatment-delay-from-onset-of-occipital-neuralgia-symptoms-to-treatment-with-nerve-decompression-surgery-a-prospective-cohort-study
#28
JOURNAL ARTICLE
Merel H J Hazewinkel, Katya Remy, Grant Black, Sierra Tseng, Paul G Mathew, Anna Schoenbrunner, Jeffrey E Janis, William G Austen, Rohan Jotwani, Lisa Gfrerer
BACKGROUND: The aim of this study was to a) evaluate the time between onset of occipital neuralgia symptoms and nerve decompression surgery, b) perform a cost comparison analysis between surgical and non-surgical treatment of occipital neuralgia and c) report postoperative results of nerve decompression for occipital neuralgia. METHODS: 1,112 subjects who underwent screening for nerve decompression surgery were evaluated for occipital neuralgia. 367 (33%) patients met the inclusion criteria...
November 23, 2023: Pain Medicine
https://read.qxmd.com/read/37974634/management-of-trigeminal-neuralgia-a-multi-centre-case-study-in-general-practice
#29
JOURNAL ARTICLE
Zofia J Zakrzewska, Parinaz Hosseini-Ashrafi, Ishrat Hussain, Zachary James Moulder, Jithu Subhash, Melissa Tan, Martin Ewart Johnson, Joanna M Zakrzewska
BACKGROUND AND AIMS: Patients often first present with symptoms of trigeminal neuralgia (TN) to primary care. However, there has been little research to determine whether the diagnosis and management of this condition is carried out according to current guidelines. Furthermore, there is little up-to-date information regarding the prevalence of TN in the UK. The aim is to estimate the prevalence of TN and to audit the diagnosis and management process of TN in primary care. METHODS: Between 2019 and 2020 a search was made at five UK GP practices with a total patient population of 55,842 using EMIS and SystmOne patient record systems to review patient consultations to identify patients coded with TN or facial pain (FP)...
December 2023: British Journal of Pain
https://read.qxmd.com/read/37942652/recurrent-cryptogenic-strokes-in-a-young-female-as-a-novel-presentation-of-parry-romberg-syndrome-a-case-report-and-review
#30
JOURNAL ARTICLE
Vijaya Lakshmi Valaparla, Milena Lobaina, Chilvana Patel, Xiangping Li, Anand Vilaschandra Patel
INTRODUCTION: Parry Romberg Syndrome (PRS) is a less common genetic condition presenting with progressive hemifacial atrophy involving skin, underlying connective tissue, muscle and facial bone. Neurological manifestations include seizures, headaches, deafness and trigeminal neuralgia refractory to medications, while stroke is a less common presentation. MATERIALS AND METHODS: A 43-year-old right-handed female with previous history of Lower Motor Neuron (LMN) type facial palsy, seizure disorder and linear scleroderma, presented to our clinic with recurrent cryptogenic strokes...
November 9, 2023: International Journal of Neuroscience
https://read.qxmd.com/read/37910277/fully-endoscopic-microvascular-decompression-for-trigeminal-neuralgia-technical-note-and-early-outcomes
#31
JOURNAL ARTICLE
Hongpeng Guan, Shiting Li, Xuhui Wang
Microscopic microvascular decompression (MVD) has been considered a curative and reliable method for treating classical trigeminal neuralgia (TN) for decades. Endoscopy can provide bright illumination and a panoramic view, which enhances the visualization of the posterior fossa. In view of the above advantages of endoscopy, it gradually became an option for MVD for treating TN. This study was performed to evaluate the advantages of fully endoscopic MVD for treating TN and is presented with a description of our operative technique...
November 1, 2023: Neurosurgical Review
https://read.qxmd.com/read/37891595/fully-endoscopic-microvascular-decompression-for-the-treatment-of-hemifacial-spasm-trigeminal-neuralgia-and-glossopharyngeal-neuralgia-a-retrospective-study
#32
JOURNAL ARTICLE
Weicheng Peng, Rui Zhao, Feng Guan, Xin Liang, Bei Jing, Guangtong Zhu, Beibei Mao, Zhiqiang Hu
BACKGROUND: Microvascular decompression (MVD) is already the preferred surgical treatment for medically refractory neurovascular compression syndromes (NVC) such as hemifacial spasm (HFS), trigeminal neuralgia (TN), and glossopharyngeal neuralgia (GPN). Endoscopy has significantly advanced surgery and provides enhanced visualization of MVD. The aim of this study is to analyze the efficacy and safety of fully endoscopic microvascular decompression (E-MVD) for the treatment of HFS, TN, and GPN, as well as to present our initial experience...
October 27, 2023: BMC Surgery
https://read.qxmd.com/read/37887684/orofacial-migraine-and-other-idiopathic-non-dental-facial-pain-syndromes-a-clinical-survey-of-a-social-orofacial-patient-group
#33
JOURNAL ARTICLE
Federica Reina, Giuseppe Salemi, Mariarita Capizzi, Salvatore Lo Cascio, Antonio Marino, Giuseppe Santangelo, Andrea Santangelo, Mirko Mineri, Filippo Brighina, Vincenzo Raieli, Carmelo Attilio Costa
Background : Orofacial pain syndromes (OFPs) are a heterogeneous group of syndromes mainly characterized by painful attacks localized in facial and oral structures. According to the International Classification of Orofacial Pain (ICOP), the last three groups (non-dental facial pain, NDFP) are cranial neuralgias, facial pain syndromes resembling primary headache syndromes, and idiopathic orofacial pain. These are often clinical challenges because the symptoms may be similar or common among different disorders...
October 20, 2023: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/37886859/-a-rare-cause-of-headache-case-report-of-trigeminal-neuralgia-concomitant-with-idiopathic-intracranial-hypertension
#34
Burcu Özalp Horsanalı, Hüsnü Yılmaz, Meltem Uyar, Can Eyigör
Trigeminal neuralgia (TN) is the condition of sudden, usually unilateral, very short-lasting, stinging, and recurrent pain in the distribution area of one or more branches of the trigeminal nerve. Idiopathic intracranial hypertension (IIH) is an increase in intracranial pressure associated with normal cerebrospinal fluid composition that is not due to a secondary cause. Although not frequent, the association of IIH and TN has also been reported. We aimed to present a rare case report in which TN is concomitant with IIH...
October 2023: Journal of the Turkish Society of Algology
https://read.qxmd.com/read/37876390/neurological-manifestations-in-hospitalized-geriatric-patients-with-covid-19-at-king-abdulaziz-medical-city-in-jeddah-western-region-saudi-arabia-from-2020-to-2021-a-cross-sectional-study
#35
JOURNAL ARTICLE
Yasir O Marghalani, Abdulrahman H Kaneetah, Muhammad A Khan, Ammar A Albakistani, Sultan G Alzahrani, Abdulbari Kidwai, Khalid W Alansari, Hamid S Alhamid, Muath H Alharbi, Ahmed Attar
Introduction COVID-19 involvement in the nervous system has been reported in many cases. Viral neuroinvasion has multiple routes of entry. Neurological manifestations of COVID-19 can be divided into ones of the central nervous system (CNS), such as headache, dizziness, altered mental status, ataxia, and seizure, and of the peripheral nervous system (PNS), including ageusia, anosmia, acute illness demyelinating polyneuropathy, and neuralgia. Aim and objectives This study aims to observe and report the neurological manifestations in geriatric patients who were diagnosed with COVID-19 at KAMC-J and report the duration of admission to the in-patient and ICU wards...
September 2023: Curēus
https://read.qxmd.com/read/37875834/bmp7-alleviates-trigeminal-neuralgia-by-reducing-oligodendrocyte-apoptosis-and-demyelination
#36
JOURNAL ARTICLE
Kai Chen, Xiaojin Wei, Ruixuan Wang, Lin Yang, Dingquan Zou, Yaping Wang
BACKGROUND: BMP7 has been shown to have neuroprotective effects and to alleviate demyelination. However, its role in trigeminal neuralgia (TN) has not been well investigated. The current study aims to determine whether BMP7 plays a role in demyelination, its effects on pain behaviors and mechanism of action in rats with TN. METHODS: We used an infraorbital-nerve chronic-constriction injury (ION-CCI) to establish a rat model of TN. Adeno-associated viruses (AAVs) were injected into the rats to upregulate or downregulate BMP7...
October 24, 2023: Journal of Headache and Pain
https://read.qxmd.com/read/37858888/telemedicine-in-the-management-of-patients-with-headache-current-situation-and-recommendations-of-the-spanish-society-of-neurology-s-headache-study-group
#37
JOURNAL ARTICLE
R Belvís, S Santos-Lasaosa, P Irimia, R L Blanco, M Torres-Ferrús, N Morollón, A López-Bravo, D García-Azorín, A Mínguez-Olaondo, Á Guerrero, J Porta, E Giné-Ciprés, Á Sierra, G Latorre, C González-Oria, J Pascual, D Ezpeleta
INTRODUCTION: The COVID-19 pandemic has caused an unexpected boost to telemedicine. We analyse the impact of the pandemic on telemedicine applied in Spanish headache consultations, review the literature, and issue recommendations for the implementation of telemedicine in consultations. METHOD: The study comprised 3 phases: 1) review of the MEDLINE database since 1958 (first reported experience with telemedicine); 2) Google Forms survey sent to all members of the Spanish Society of Neurology's Headache Study Group (GECSEN); and 3) online consensus of GECSEN experts to issue recommendations for the implementation of telemedicine in Spain...
October 17, 2023: Neurología
https://read.qxmd.com/read/37831366/does-physiologic-post-concussion-disorder-cause-persistent-post-traumatic-headache
#38
REVIEW
Jacob I McPherson, Muhammad S Z Nazir, Barry S Willer, John J Leddy, Mohammad N Haider
PURPOSE OF REVIEW: One system classifies patients with symptoms after concussion into physiologic, vestibulo-ocular, cervicogenic, and mood/cognition post-concussion disorders (PCD) based upon the preponderance of specific symptoms and physical impairments. This review discusses physiologic PCD and its potential relationship to the development of persistent post-traumatic headaches (PPTH). RECENT FINDINGS: Headache is the most reported symptom after a concussion...
November 2023: Current Pain and Headache Reports
https://read.qxmd.com/read/37821818/gfap-nphr-mediated-optogenetic-inhibition-of-trigeminal-nucleus-caudalis-attenuates-hypersensitive-behaviors-and-thalamic-discharge-attributed-to-infraorbital-nerve-constriction-injury
#39
JOURNAL ARTICLE
Elina Kc, Jaisan Islam, Hyong Kyu Kim, Young Seok Park
The significance of hyperactive astrocytes in neuropathic pain is crucial. However, the association between medullary astrocytes and trigeminal neuralgia (TN)-related pain processing is unclear. Here, we examined how optogenetic inhibition of medullary astrocytes in the trigeminal nucleus caudalis (TNC) regulates pain hypersensitivity in an infraorbital nerve (ION) constricted TN model. We used adult Sprague Dawley rats subjected to infraorbital nerve (ION) constriction to mimic TN symptoms, with naive and sham rats serving as controls...
October 11, 2023: Journal of Headache and Pain
https://read.qxmd.com/read/37816519/debunking-myths-in-headache-diagnosis-for-the-pain-practitioner
#40
JOURNAL ARTICLE
Hsiangkuo Yuan, Samantha Strutner, Clara Yuh, Suwarna Anand, Gaurav Chauhan, Anand Prem, Shalini Shah, Nathaniel M Schuster
With headache being one of the most common chief complaints, it is essential for pain practitioners to interpret and differentiate a variety of headache characteristics to accurately diagnose and treat specific headache disorders. Certain misconceptions often lead to misdiagnosis. This article presents and discusses six myths about several common headache disorders (migraine, tension-type headache, cluster headache, cervicogenic headache, sinus headache, and occipital neuralgia) often encountered in clinical practice...
October 10, 2023: Regional Anesthesia and Pain Medicine
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