1,256 results match your criteria Current Pain and Headache Reports [Journal]


Migraine: Stigma in Society.

Curr Pain Headache Rep 2019 Feb 9;23(1). Epub 2019 Feb 9.

Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.

Migraine is a prevalent disease with a substantial socioeconomic impact. However, stigma affects social attitude toward migraine, accruing additional burden on individuals with migraine and isolating them from a society that should be supporting them. PURPOSE OF THIS REVIEW: This review will discuss the following concepts: (1) the emergence of stigma toward migraine and its impact on medical care; (2) internalized stigma among those with migraine and its detrimental effect on quality of life and patient-physician relationships; (3) the structural impact of stigma on research funding, workplace support, and specialized care; and (4) strategies for "rebranding" the disease and alleviating stigma toward migraine. Read More

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http://dx.doi.org/10.1007/s11916-019-0743-7DOI Listing
February 2019
2 Reads

Sellar and Parasellar Pain Syndromes.

Authors:
Ajay P Abad

Curr Pain Headache Rep 2019 Feb 2;23(1). Epub 2019 Feb 2.

Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14203, USA.

Purpose Of Review: Sellar and parasellar lesions are numerous and varying in terms of their patholphysiology and physical and radiographic characteristics but often incite pain syndromes that are similar in semiology. The goal of this review was to familiarize the reader with a variety of sellar and parasellar lesions grouped together based on common clinical symptomatology, with a focus on important imaging characteristics that are often distinguishing features diagnostically.

Recent Findings: In most cases, tissue acquisition via surgical resection or stereotactic biopsy are the mainstay for definitive diagnosis of sellar and parasellar lesions. Read More

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http://link.springer.com/10.1007/s11916-019-0740-x
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http://dx.doi.org/10.1007/s11916-019-0740-xDOI Listing
February 2019
3 Reads

History of NSAID Use in the Treatment of Headaches Pre and Post-industrial Revolution in the United States: the Rise and Fall of Antipyrine, Salicylic Acid, and Acetanilide.

Curr Pain Headache Rep 2019 Jan 23;23(1). Epub 2019 Jan 23.

Department of Neurology, Northwell Health Hofstra School of Medicine, 300 Community Drive Manhasset, Manhasset, NY, 11030, USA.

Purpose Of Review: Non-steroid anti-inflammatory drugs (NSAIDs) constitute a vital class of medications in today's headache regimen. However, up until the nineteenth century, they were largely unknown to most of the medical community. The purpose of this review is to explore the evolution of NSAIDs in the treatment of headaches spurred on by the Industrial Revolution in the USA. Read More

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http://dx.doi.org/10.1007/s11916-019-0744-6DOI Listing
January 2019
5 Reads

Adherence to Behavioral Therapy for Migraine: Knowledge to Date, Mechanisms for Assessing Adherence, and Methods for Improving Adherence.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

NYU School of Medicine , New York, USA.

Purpose Of Review: In other disease states, adherence to behavioral therapies has gained attention, with a greater amount of studies discussing, defining, and optimizing adherence. For example, a meta-analysis formally discussed adherence in 25 studies of CBT for 11 different disorders, with only 6 of the 25 omitting addressing or defining adherence. Many studies have discussed the use of text messages, graph-based adherence rates, and email/telephone reminders to improve adherence. Read More

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http://link.springer.com/10.1007/s11916-019-0739-3
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http://dx.doi.org/10.1007/s11916-019-0739-3DOI Listing
January 2019
4 Reads

A Systematic Review of Radiofrequency Treatment of the Ankle for the Management of Chronic Foot and Ankle Pain.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA.

Background: Chronic pain of the lower extremity remains challenging to manage. Radiofrequency treatment applies heat to nerve fibers with the goal of mitigating chronic pain conditions. The clinical efficacy has not yet been adequately established for pathologies of the ankle and foot. Read More

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http://dx.doi.org/10.1007/s11916-019-0745-5DOI Listing
January 2019
1 Read

Imaging of Carotid Dissection.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Department of Medicine, Neurology Division, Univ. of South Carolina School of Medicine-Greenville, Greenville Health System, 200 Patewood Dr., Suite #B350, Greenville, SC, 29615, USA.

Purpose Of Review: Here, we describe the four primary imaging modalities for identification of carotid artery dissection, advantages, limitations, and clinical considerations. In addition, imaging characteristics of carotid dissection associated with each modality will be described.

Recent Findings: Recent advances in etiopathogenesis describe the genetic factors implicated in cervical artery dissection. Read More

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http://dx.doi.org/10.1007/s11916-019-0741-9DOI Listing
January 2019
2 Reads

The Status of Pain Research in Academia and how We Are Doing in the United States.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

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http://dx.doi.org/10.1007/s11916-019-0746-4DOI Listing
January 2019
1 Read

Episodic Migraine Comorbidities: Avoiding Pitfalls and Taking Therapeutic Opportunities.

Curr Pain Headache Rep 2019 Jan 12;23(1). Epub 2019 Jan 12.

Mount Sinai Beth Israel, New York, NY, USA.

Migraine is a common neurologic disorder. This article will discuss a few factors that influence migraine (mostly episodic) and its treatment, such as sleep, obstructive sleep apnea (OSA), obesity, and affective disorders, as well as autoimmune diseases. Practitioners must be aware of these coexisting conditions (comorbidities) as they affect treatment. Read More

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http://link.springer.com/10.1007/s11916-019-0742-8
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http://dx.doi.org/10.1007/s11916-019-0742-8DOI Listing
January 2019
5 Reads

Correction to: Migraine Aura Without Headache.

Curr Pain Headache Rep 2018 Oct 20;22(12):85. Epub 2018 Oct 20.

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, MC 9322, Dallas, TX, 75390-9322, USA.

The original version of this article contains an error in the title. The title should be: Migraine Aura Without Headache. The title is corrected in this correction article. Read More

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http://dx.doi.org/10.1007/s11916-018-0738-9DOI Listing
October 2018
1 Read

What Are We Missing in the Diagnostic Criteria for Migraine?

Curr Pain Headache Rep 2018 Oct 5;22(12):84. Epub 2018 Oct 5.

George Washington University-Medical Faculty Associates, Washington, DC, USA.

Purpose Of Review: This review is intended to examine how the diagnostic criteria for migraine have evolved over the past 45 years and to evaluate the strengths and weaknesses of the current diagnostic criteria promulgated by the International Classification of Headache Disorders (ICHD).

Recent Findings: The ICHD is a comprehensive and systematic classification system for headache disorders. As the pathophysiology of migraine is more fully elucidated and more sophisticated diagnostic technologies are developed (e. Read More

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http://link.springer.com/10.1007/s11916-018-0733-1
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http://dx.doi.org/10.1007/s11916-018-0733-1DOI Listing
October 2018
7 Reads

Buprenorphine for Chronic Pain: a Systemic Review.

Curr Pain Headache Rep 2018 Oct 5;22(12):83. Epub 2018 Oct 5.

Center for Interventional Pain and Spine, Wilmington, DE, USA.

Purpose Of Review: The purpose of this review is to evaluate and explain our current understanding of the clinical use of buprenorphine in the treatment of chronic pain.

Recent Findings: There has been few high-quality, unbiased studies performed on the use of buprenorphine in the treatment of chronic pain. Buprenorphine is an effective and safe analgesic that is tolerated at least as well, if not better, than other opioids. Read More

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http://link.springer.com/10.1007/s11916-018-0732-2
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http://dx.doi.org/10.1007/s11916-018-0732-2DOI Listing
October 2018
10 Reads

Triggers, Protectors, and Predictors in Episodic Migraine.

Curr Pain Headache Rep 2018 Oct 5;22(12):81. Epub 2018 Oct 5.

Department of Neurology, Jefferson Headache Clinic, Thomas Jefferson University, Philadelphia, PA, USA.

Purpose Of Review: A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice. Read More

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http://link.springer.com/10.1007/s11916-018-0734-0
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http://dx.doi.org/10.1007/s11916-018-0734-0DOI Listing
October 2018
23 Reads

Episodic Migraine With and Without Aura: Key Differences and Implications for Pathophysiology, Management, and Assessing Risks.

Curr Pain Headache Rep 2018 Oct 5;22(12):78. Epub 2018 Oct 5.

Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, 1153 Centre St Suite 4H, Jamaica Plain, Boston, MA, 02130, USA.

Purpose Of Review: To review the pathophysiologic, epidemiologic, and clinical evidence for similarities and differences between migraine with and without aura.

Recent Findings: The ICHD-3 has recently refined the diagnostic criteria for aura to include positive symptomatology, which better differentiates aura from TIA. Although substantial evidence supports cortical spreading depression as the cause of visual aura, the role (if any) of CSD in headache pain is not well understood. Read More

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http://dx.doi.org/10.1007/s11916-018-0735-zDOI Listing
October 2018
4 Reads

A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment.

Curr Pain Headache Rep 2018 Oct 5;22(12):82. Epub 2018 Oct 5.

New York Institute of Technology College of Osteopathic Medicine, Glen Head, NY, USA.

Purpose Of Review: This review highlights the importance of osteopathic manipulative treatment (OMT) in headache sufferers. OMT is a viable option for patients who either do not wish to use pharmaceuticals or who have contraindications to pharmaceuticals. Patients with headaches that are refractory to other treatment options may also be candidates for OMT. Read More

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http://link.springer.com/10.1007/s11916-018-0736-y
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http://dx.doi.org/10.1007/s11916-018-0736-yDOI Listing
October 2018
12 Reads

A Critical Exploration of Migraine as a Health Disparity: the Imperative of an Equity-Oriented, Intersectional Approach.

Curr Pain Headache Rep 2018 Oct 5;22(12):79. Epub 2018 Oct 5.

Departments of Anesthesiology and Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Purpose Of Review: Despite recognition of rising prevalence and significant burden, migraine remains underestimated, underdiagnosed, and undertreated. This is especially true among groups who have been historically, socially, and economically marginalized such as communities of color, women, people experiencing poverty, people with lower levels of education, and people who hold more than one of these marginalized identities. While there is growing public and professional interest in disparities in migraine prevalence, there is a paucity of research focusing on racial/ethnic and socioeconomic disparities, and the social and structural determinants of health and equity that perpetuate these disparities. Read More

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http://link.springer.com/10.1007/s11916-018-0731-3
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http://dx.doi.org/10.1007/s11916-018-0731-3DOI Listing
October 2018
3 Reads

Unique Populations with Episodic Migraine: Pregnant and Lactating Women.

Authors:
Simy K Parikh

Curr Pain Headache Rep 2018 Oct 5;22(12):80. Epub 2018 Oct 5.

Jefferson Headache Center, Thomas Jefferson University, Suite 200, Philadelphia, PA, 19107, USA.

Purpose Of Review: Migraine is a disabling and prevalent neurological disease, commonly affecting women during their reproductive years. It is crucial for providers to be able to adequately counsel women who are pregnant, planning pregnancy, or nursing, regarding preventive and abortive treatment options for episodic migraine. This review will discuss (1) the expected course of migraine during pregnancy and the post-partum period, (2) recommended preventive therapies for migraine during pregnancy and lactation, and (3) recommended abortive medications for migraine during pregnancy and lactation. Read More

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http://link.springer.com/10.1007/s11916-018-0737-x
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http://dx.doi.org/10.1007/s11916-018-0737-xDOI Listing
October 2018
17 Reads

Current Aura Without Headache.

Curr Pain Headache Rep 2018 Sep 17;22(11):77. Epub 2018 Sep 17.

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, MC 9322, Dallas, TX, 75390-9322, USA.

Purpose Of Review: This review evaluates and explains our current understanding of a rare subtype of migraine, typical aura without headache, also known as migraine aura without headache or acephalgic migraine.

Recent Findings: Typical aura without headache is a known entity within the spectrum of migraine. Its pathophysiology is suggested to be similar to classic migraines, with cortical spreading depression leading to aura formation but without an associated headache. Read More

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http://link.springer.com/10.1007/s11916-018-0725-1
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http://dx.doi.org/10.1007/s11916-018-0725-1DOI Listing
September 2018
19 Reads

The Pivotal Role of Pediatric Psychology in Chronic Pain: Opportunities for Informing and Promoting New Research and Intervention in a Shifting Healthcare Landscape.

Curr Pain Headache Rep 2018 Sep 11;22(11):76. Epub 2018 Sep 11.

Department of Anesthesia, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, 02115, USA.

Purpose Of Review: In the context of new efforts to formulate more comprehensive diagnostic and treatment processes for chronic pain conditions, this review aims to provide an overview of some of the most salient developments in the diagnosis and clinical treatment of pediatric chronic pain and to delineate the current and future role of clinical pediatric psychologists in these efforts.

Recent Findings: The acceptance and promotion of the multidisciplinary approach to pediatric pain management has had an especially significant impact on the field of pediatric psychology. Though chronic pain was historically conceptualized as a biomedical problem, psychology is increasingly viewed as a routine, integral, and component part of treatment. Read More

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http://dx.doi.org/10.1007/s11916-018-0726-0DOI Listing
September 2018
3 Reads

Factors Associated with Sport-Related Post-concussion Headache and Opportunities for Treatment.

Curr Pain Headache Rep 2018 Sep 10;22(11):75. Epub 2018 Sep 10.

Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 125 Fetzer Hall, CB# 8700, Chapel Hill, NC, 27599, USA.

Purpose Of Review: The purpose of this review is to (1) describe factors both pre- and post-injury that are associated with post-concussion headache, (2) describe the influence of post-concussion headache on recovery following concussion, and (3) provide potential post-concussion treatment options that may reduce the burden of headache, as well as other symptoms to facilitate recovery.

Recent Findings: Various factors may be associated with post-concussion headache presentation. These may include pre-injury or historical factors such as sex, family and self-history of headache and migraine, concussion history, and mood disorders. Read More

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http://link.springer.com/10.1007/s11916-018-0724-2
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http://dx.doi.org/10.1007/s11916-018-0724-2DOI Listing
September 2018
15 Reads

The Evolution of Surgical Enhanced Recovery Pathways: a Review.

Curr Pain Headache Rep 2018 Aug 31;22(11):74. Epub 2018 Aug 31.

Departments of Anesthesiology and Pharmacology, LSU Health Science Center, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA.

Purpose Of Review: Enhanced recovery pathways are a well-defined perioperative health care program utilizing evidence-based interventions in a protocol-like manner designed to standardize techniques including drug selection and dosing to improve results and to reduce overall costs including facilitating earlier discharge from hospitals after surgery.

Recent Findings: A PubMed and World Wide Web search was performed with the following key words: enhanced recovery, surgical enhanced recovery, recovery pathways, and enhanced recovery pathways surgery. This introduction to enhanced recovery pathways reflects its 20-year history, worldwide appeal, and ever growing presence in our practices. Read More

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http://dx.doi.org/10.1007/s11916-018-0727-zDOI Listing
August 2018
14 Reads

The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis.

Curr Pain Headache Rep 2018 Aug 27;22(11):73. Epub 2018 Aug 27.

Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Purpose Of Review: The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).

Recent Findings: Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers' approach to pain treatment. Read More

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http://link.springer.com/10.1007/s11916-018-0728-y
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http://dx.doi.org/10.1007/s11916-018-0728-yDOI Listing
August 2018
36 Reads

Naloxone Academic Detailing: Role of Community Outreach Teaching.

Curr Pain Headache Rep 2018 Aug 27;22(11):72. Epub 2018 Aug 27.

Henry Predolin School of Nursing, Edgewood College, Madison, WI, USA.

Purpose Of Review: Testing the efficacy of academic detailing in improving the practice of prescribing naloxone for patients on high-dose opioids.

Recent Findings: Academic detailing has been identified as an effective method for improving health care practices through focused community education. We found that academic detailing is an effective method in improving health care providers' knowledge about the importance of prescribing naloxone for patients on high-dose opioids. Read More

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http://dx.doi.org/10.1007/s11916-018-0730-4DOI Listing
August 2018
2 Reads

Is Medication Overuse Drug Specific or Not? Data from a Review of Published Literature and from an Original Study on Italian MOH Patients.

Curr Pain Headache Rep 2018 Aug 27;22(11):71. Epub 2018 Aug 27.

Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.

Purpose Of Review: The aim is twofold. First, to give an insight on the role exerted by different classes of drugs in favouring migraine chronification. Second, to explore the relationship between type and amount of overused medications and history of previous withdrawal treatment and of frequent relapses. Read More

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http://link.springer.com/10.1007/s11916-018-0729-x
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http://dx.doi.org/10.1007/s11916-018-0729-xDOI Listing
August 2018
30 Reads

The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS).

Curr Pain Headache Rep 2018 Aug 25;22(10):70. Epub 2018 Aug 25.

DENT Neurologic Institute, Amherst, NY, USA.

Purpose Of Review: The purpose of this review is to give a better understanding of the pathogenesis of cystic formations of the mobile spine (CYFMOS) and the correlating imaging findings. This would help with medical decision-making, given the plethora of conservative, interventional, and surgical treatment options.

Recent Findings: There has been a general understanding that CYFMOS are associated with degenerative spine changes. Read More

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http://dx.doi.org/10.1007/s11916-018-0723-3DOI Listing
August 2018
2 Reads

A Contemporary Perspective on the Management of Post-Craniotomy Headache and Pain.

Curr Pain Headache Rep 2018 Aug 14;22(10):69. Epub 2018 Aug 14.

Division of Neurological Anesthesia, Jefferson Hospital for Neurosciences, 900 Walnut St., Philadelphia, PA, 19107, USA.

Purpose Of Review: This article discusses the etiology and management of post-craniotomy headache and pain. A review of available as well as investigatory treatment modalities is offered, followed by suggestions for optimal management of post-craniotomy headache.

Recent Findings: There is a dearth of evidence-based practice regarding the differential diagnosis, natural history, and management of post-craniotomy headache. Read More

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http://dx.doi.org/10.1007/s11916-018-0722-4DOI Listing
August 2018
18 Reads

Bath-Related Headache.

Curr Pain Headache Rep 2018 Aug 2;22(10):68. Epub 2018 Aug 2.

Headache Medicine Fellowship Program, Neurology Residency Program, Department of Neurology, Jefferson Headache Center, Thomas Jefferson University, 900 Walnut St., Suite 200, Philadelphia, PA, 19107-5509, USA.

Purpose Of Review: The purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder.

Recent Findings: Initially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Read More

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http://dx.doi.org/10.1007/s11916-018-0714-4DOI Listing
August 2018
3 Reads

Strides Toward Better Understanding of Post-Traumatic Headache Pathophysiology Using Animal Models.

Authors:
Dara Bree Dan Levy

Curr Pain Headache Rep 2018 Aug 2;22(10):67. Epub 2018 Aug 2.

Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue/DA 717, Boston, MA, 02215, USA.

Purpose Of Review: In recent years, the awareness of the detrimental impact of concussion and mild traumatic brain injuries (mTBI) is becoming more apparent. Concussive head trauma results in a constellation of cognitive and somatic symptoms of which post-traumatic headache is the most common. Our understanding of post-traumatic headache is limited by the paucity of well validated, characterized, and clinically relevant animal models with strong predictive validity. Read More

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http://dx.doi.org/10.1007/s11916-018-0720-6DOI Listing
August 2018
3 Reads

Digital Technology and Mobile Health in Behavioral Migraine Therapy: a Narrative Review.

Curr Pain Headache Rep 2018 Jul 31;22(10):66. Epub 2018 Jul 31.

Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, NO-7489, Trondheim, Norway.

Purpose Of Review: This article reviews the recent research and development of electronic health (eHealth) and, in particular, mobile health (mHealth) strategies to deliver behavioral treatment for migraine. Prospects for future development and research of mobile health in migraine are suggested.

Recent Findings: Advances in digital technology and mobile technology have led to an era where electronic and mobile approaches are applied to several aspects of healthcare. Read More

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http://dx.doi.org/10.1007/s11916-018-0718-0DOI Listing
July 2018
4 Reads

Exploding Head Syndrome: a Review.

Curr Pain Headache Rep 2018 Jul 30;22(10):63. Epub 2018 Jul 30.

Jefferson Headache Center, 900 Walnut Street, Suite, Philadelphia, PA, 200, USA.

Purpose Of Review: To explain our current understanding of exploding head syndrome (EHS), an unusual and underreported sensory parasomnia.

Recent Findings: Based on findings from recent studies of EHS, the prevalence is higher than previously suggested by the literature, which historically has consisted mostly of case reports. The typical presentation also has been better illustrated by recent case series, and diagnostic criteria have been defined. Read More

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http://dx.doi.org/10.1007/s11916-018-0717-1DOI Listing
July 2018
3 Reads

Imaging Post-Traumatic Headache.

Curr Pain Headache Rep 2018 Jul 30;22(10):64. Epub 2018 Jul 30.

Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ, 85054, USA.

Purpose Of Review: Headache is a frequent and debilitating symptom after mild traumatic brain injury, yet little is known about its pathophysiology and most effective treatments. The goal of this review is to summarize findings from imaging studies used during the clinical evaluation and research investigation of post-traumatic headache (PTH).

Recent Findings: There are no published recommendations or guidelines for when to acquire imaging studies of the head or neck in patients with PTH. Read More

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http://dx.doi.org/10.1007/s11916-018-0719-zDOI Listing
July 2018
10 Reads

Health Behaviors in Episodic Migraine: Why Behavior Change Matters.

Curr Pain Headache Rep 2018 Jul 30;22(10):65. Epub 2018 Jul 30.

Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA.

Purpose Of Review: Episodic migraine is common. Everyday behavioral patterns are associated with migraine attacks and disability. This paper reviews health behaviors that can be targeted in people with episodic migraine to enhance migraine-related outcomes. Read More

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http://dx.doi.org/10.1007/s11916-018-0721-5DOI Listing
July 2018
13 Reads

Forecasting Migraine Attacks and the Utility of Identifying Triggers.

Curr Pain Headache Rep 2018 Jul 16;22(9):62. Epub 2018 Jul 16.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.

Purpose Of Review: This review synthesizes the utility of measuring migraine triggers for the purpose of forecasting future headache attacks. The nature of forecasting models, headache triggers as inputs to such models, and how these trigger exposures can be measured for forecasting are reviewed. A critical evaluation of the existing forecasting models in the context of their potential application for preemptive treatment is considered. Read More

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http://dx.doi.org/10.1007/s11916-018-0715-3DOI Listing
July 2018
7 Reads

Emerging Treatments in Episodic Migraine.

Curr Pain Headache Rep 2018 Jul 16;22(9):61. Epub 2018 Jul 16.

Department of Neurology, Mayo Clinic Arizona, Scottsdale, AZ, USA.

Purpose Of Review: The purpose of this review is to evaluate and describe recent and emerging treatment options for episodic migraine.

Recent Findings: Recent advances have been made in better understanding the pathophysiology of migraine, which has led to further investigation of potential new pharmacologic and non-pharmacologic treatment options. A number of new medications are emerging for the acute and preventive treatment of migraine, including CGRP monoclonal antibodies, CGRP receptor antagonists, serotonin 5-HT agonists, and PACAP receptor monoclonal antibodies. Read More

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http://dx.doi.org/10.1007/s11916-018-0716-2DOI Listing
July 2018
6 Reads

A Review of Recent Advances in Ultrasound, Placed in the Context of Pain Diagnosis and Treatment.

Curr Pain Headache Rep 2018 Jul 10;22(9):60. Epub 2018 Jul 10.

Department of Neurological Surgery, University of Washington, Seattle, WA, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0711-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061208PMC
July 2018
4 Reads

Complexities of Perioperative Pain Management in Orthopedic Trauma.

Curr Pain Headache Rep 2018 Jul 10;22(9):58. Epub 2018 Jul 10.

Yale Anesthesiology, Yale-New Haven Hospital, 20 York Street, New Haven, CT, 06510, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0713-5DOI Listing
July 2018
44 Reads

Occipital Headaches and Neuroimaging in Children.

Curr Pain Headache Rep 2018 Jul 10;22(9):59. Epub 2018 Jul 10.

The University of California, San Francisco (UCSF), Department of Neurology, Pediatric Brain Center, Child & Adolescent Headache Program, Mission Hall, Box 0137, 550 16th Street, 4th Floor, San Francisco, California, 94158, USA.

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. Read More

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http://link.springer.com/10.1007/s11916-018-0712-6
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http://dx.doi.org/10.1007/s11916-018-0712-6DOI Listing
July 2018
29 Reads

Headaches in Patients with Pituitary Tumors: a Clinical Conundrum.

Curr Pain Headache Rep 2018 Jul 4;22(8):57. Epub 2018 Jul 4.

The Neurological Institute of New York, 710 West 168th St, New York, NY, 10032, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0709-1DOI Listing
July 2018
24 Reads

SUNCT and SUNA: an Update and Review.

Curr Pain Headache Rep 2018 Jun 21;22(8):56. Epub 2018 Jun 21.

Mayo Clinic Arizona, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0707-3DOI Listing
June 2018
3 Reads

Relapsing Painful Ophthalmoplegic Neuropathy: No longer a "Migraine," but Still a Headache.

Curr Pain Headache Rep 2018 Jun 14;22(7):50. Epub 2018 Jun 14.

Center for Pain Medicine, Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0705-5DOI Listing
June 2018
12 Reads

Syncope and Headache.

Authors:
Ramesh K Khurana

Curr Pain Headache Rep 2018 Jun 15;22(8):54. Epub 2018 Jun 15.

Department of Medicine, MedStar Union Memorial Hospital, 201 East University Parkway, Baltimore, MD, 21218, USA.

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). Read More

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http://dx.doi.org/10.1007/s11916-018-0706-4DOI Listing
June 2018
5 Reads

Clinical Presentation and Management of Headache in Pituitary Tumors.

Curr Pain Headache Rep 2018 Jun 15;22(8):55. Epub 2018 Jun 15.

Department of Neurology, MedStar Georgetown University Hospital, Washington DC, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0710-8DOI Listing
June 2018
5 Reads

Chiari Headache.

Curr Pain Headache Rep 2018 Jun 14;22(7):49. Epub 2018 Jun 14.

Department of Neurology, Yale School of Medicine, New Haven, USA.

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. Read More

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http://link.springer.com/10.1007/s11916-018-0702-8
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http://dx.doi.org/10.1007/s11916-018-0702-8DOI Listing
June 2018
12 Reads

Perioperative Management of Patients with Addiction to Opioid and Non-opioid Medications.

Curr Pain Headache Rep 2018 Jun 14;22(7):52. Epub 2018 Jun 14.

Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street TMP 3, New Haven, CT, 06520, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0704-6DOI Listing
June 2018
4 Reads

Virtual Reality as a Clinical Tool for Pain Management.

Curr Pain Headache Rep 2018 Jun 15;22(8):53. Epub 2018 Jun 15.

Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, 2120 L St., Washington, DC, 20037, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0708-2DOI Listing
June 2018
22 Reads

Headache Attributed to Airplane Travel: A Review of Literature.

Curr Pain Headache Rep 2018 Jun 14;22(7):48. Epub 2018 Jun 14.

Inova Medical Group, Department of Neurology, McLean, VA, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0701-9DOI Listing
June 2018
7 Reads

An Update on Repetitive Transcranial Magnetic Stimulation for the Treatment of Co-morbid Pain and Depressive Symptoms.

Curr Pain Headache Rep 2018 Jun 14;22(7):51. Epub 2018 Jun 14.

Department of Psychiatry, University of Toronto, Toronto, Canada.

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. Read More

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http://link.springer.com/10.1007/s11916-018-0703-7
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http://dx.doi.org/10.1007/s11916-018-0703-7DOI Listing
June 2018
14 Reads

The Challenges of Cervicogenic Headache.

Curr Pain Headache Rep 2018 Jun 13;22(7):47. Epub 2018 Jun 13.

University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0699-zDOI Listing
June 2018
13 Reads

Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention.

Curr Pain Headache Rep 2018 May 31;22(7):46. Epub 2018 May 31.

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0695-3DOI Listing
May 2018
6 Reads

Motor Cortex Stimulation for Deafferentation Pain.

Curr Pain Headache Rep 2018 May 23;22(6):45. Epub 2018 May 23.

Department of Neurosurgery, University of Illinois at Chicago, 912 South Wood Street, 451-N NPI, (MC 799), Chicago, IL, 60612, USA.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0697-1DOI Listing
May 2018
12 Reads

Animal Models of Chronic Migraine.

Curr Pain Headache Rep 2018 May 19;22(6):44. Epub 2018 May 19.

Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan.

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. Read More

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http://dx.doi.org/10.1007/s11916-018-0693-5DOI Listing
May 2018
4 Reads