Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately...Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately, one of the siblings was already dead. However, clear and detailed information from close relatives and her general practitioner confirmed the diagnosis of SUNCT. It is likely that genetic factors contribute to all types of trigeminal autonomic cephalalgias.展开更多
Verapamil is an effective prophylactic treatment for cluster headaches and, t herefore, is widely used. This report describes four patients with cluster heada che who developed gingival enlargement after initiating tr...Verapamil is an effective prophylactic treatment for cluster headaches and, t herefore, is widely used. This report describes four patients with cluster heada che who developed gingival enlargement after initiating treatment with verapamil . In two patients, it was possible to control this side effect adequately by opt imising oral hygiene and dental plaque control. In the other two patients, lower ing of the verapamil dose, in addition to optimal oral hygiene and dental plaque control, was necessary; in one patient verapamil had to be stopped completely t o reverse the gingival enlargement. Doctors treating cluster headache with verap amil need to be aware of this side effect, especially as it may be preventable w ith good dental hygiene and dental plaque control, is reversible with reduction or cessation of verapamil, and can lead to dental loss.展开更多
A case of migraine is presented with visual aura triggered on two separate occasions by glyceryl trinitrate (GTN). Positron emission tomography was carried out during the second triggering session. Activation in the p...A case of migraine is presented with visual aura triggered on two separate occasions by glyceryl trinitrate (GTN). Positron emission tomography was carried out during the second triggering session. Activation in the primary visual area of the occipital cortex was demonstrated during the aura. This is the first published case of migraine aura triggered reproducibly by GTN.展开更多
文摘Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately, one of the siblings was already dead. However, clear and detailed information from close relatives and her general practitioner confirmed the diagnosis of SUNCT. It is likely that genetic factors contribute to all types of trigeminal autonomic cephalalgias.
文摘Verapamil is an effective prophylactic treatment for cluster headaches and, t herefore, is widely used. This report describes four patients with cluster heada che who developed gingival enlargement after initiating treatment with verapamil . In two patients, it was possible to control this side effect adequately by opt imising oral hygiene and dental plaque control. In the other two patients, lower ing of the verapamil dose, in addition to optimal oral hygiene and dental plaque control, was necessary; in one patient verapamil had to be stopped completely t o reverse the gingival enlargement. Doctors treating cluster headache with verap amil need to be aware of this side effect, especially as it may be preventable w ith good dental hygiene and dental plaque control, is reversible with reduction or cessation of verapamil, and can lead to dental loss.
文摘A case of migraine is presented with visual aura triggered on two separate occasions by glyceryl trinitrate (GTN). Positron emission tomography was carried out during the second triggering session. Activation in the primary visual area of the occipital cortex was demonstrated during the aura. This is the first published case of migraine aura triggered reproducibly by GTN.