Researchers found data that support intervention in chronic migraine for both the mother and child because headache frequency in children correlates with that of their mothers. Avoiding caffeine, barbiturates, and narcotics is recommended in the primary care in migraine. Interventions that are suggested are for behavioral and pharmacologic therapy with a consideration to use topiramate for children who are obese; weight maintenance; preventing overmedication; and testing and monitoring for comorbidities.
Researchers found data that in adults who had headaches as children, cognitive and psychomotor ability are compromised. In a Norwegian study, it was found that attention deficits were associated with migraine and nonclassifiable headache in patients aged 15 to 17 years. Metacognitive skills and anxiety, depression, motivation, academic performance, human social interactions, and stress symptoms are common headache triggers that researchers posit can be controlled and monitored by patients.
Researchers found that radiofrequency ablation is a safe and effective therapeutic modality for treatment of resistant headaches associated with pericranial neuralgias; patients also reported less dizziness and insomnia.
Researchers found data that showed, after consultation with an expert, optimal prevention of migraine headaches for patients who present in the emergency department includes both antiseizure medications, specifically, divalproex sodium, sodium valproate, or topiramate, and β-blockers, namely, metoprolol, propranolol, and timolol. In addition, triptans are suggested, as well as antidepressants, amitriptyline, and venlafaxine.
When combined with other serotonergic agents, selective serotonin reuptake inhibitors can lead to a potentially fatal condition called serotonin syndrome, the incidence of which is likely underestimated.
A team of investigators from both Brigham and Women’s Hospital and the Massachusetts Institute of Technology analyzed data on thousands of inactive ingredients in approved medications to further characterize them and enhance our knowledge of their safety.
Although the number of injuries due to roller coaster rides is low, emergency department physicians should keep the possibility in mind in cases in which there are inexplicable symptoms consistent with head injury,and ask patients about any amusement park visits in the previous 3 months.
As rates of physician burnout continue to climb, a diverse group of researchers weigh in on enhancing resilience and particularly emphasize enlightening educators about how resilience develops during residency.
Researchers found that intranasal lidocaine is effective in the treatment of acute migraine and cluster headache because of its ability to block the sphenopalatine ganglion, which is associated with facial pain from the trigeminal nerve.
A multidisciplinary group of experts, assembled to reflect a team approach to treating pediatric patients with severe traumatic brain injury, have released updated evidence-based guidelines for 2019 to optimize critical care and improve outcomes of critically ill children with TBI
Although it is estimated that more than 166 million Americans use dietary supplements, many healthcare providers are unfamiliar with how these substances are regulated by the US Food and Drug Administration.
In order to revise the guidelines, the Task Force reviewed clinical trials presented at the annual scientific meetings of the ACC, AHA, HRS, and European Society of Cardiology in addition to other peer-reviewed, published data.
Pharmacologic interventions including oral and injected drugs are a mainstay of spasticity management; however, drug therapies alone are not considered sufficient, and the general consensus supports a broader therapeutic strategy.