ABSTRACT
This paper will discuss evidence which supports a link between 'side locked' migraine (SLM) and the trigeminal autonomic cephalgias (TACs). Recent papers brought strictly unilateral primary headaches into focus, proposing new classification and discussing pathophysiological mechanisms. We reviewed those proposals and present evidence that SLM falls in between the well-defined TACs and side shifting migraine (SSM). It is difficult to differentiate SLM from the recently proposed headache subtype called hemicrania generis incerti (i.e. hemicrania continua unresponsive to indomethacin). We also present cases that may exemplify the considerations made in the paper.
Subject(s)
Autonomic Nervous System Diseases/diagnosis , Migraine Disorders/diagnosis , Trigeminal Neuralgia/diagnosis , Animals , Autonomic Nervous System Diseases/classification , Autonomic Nervous System Diseases/physiopathology , Brain/blood supply , Humans , Migraine Disorders/classification , Migraine Disorders/physiopathology , Reflex, Abnormal/physiology , Trigeminal Neuralgia/classification , Trigeminal Neuralgia/physiopathology , Vasodilation/physiologyABSTRACT
A 53-year-old woman presented with three types of pain. The pains had characteristics of neuralgia of the fifth cranial nerve, ninth cranial nerve, and cluster headache. On further investigation, a tumour in the posterior fossa was observed and histologically shown to be an epidermoid tumour.
Subject(s)
Cranial Fossa, Posterior/pathology , Epidermal Cyst/complications , Epidermal Cyst/diagnosis , Facial Pain/etiology , Epidermal Cyst/pathology , Female , Humans , Middle AgedABSTRACT
The occurrence of sleep troubles, recurrent abdominal pain, motion sickness, hyperactivity, dizziness, limb pain, cyclic vomiting, pseudoangine and the headache or migraine family history have been studied in 68 children migraine sufferers and compared to 68 non-headache sufferers whose ages range from 7 to 15. Data have revealed a significant predominance of those symptoms and family histories in migraine sufferers except pseudoangine which has had no significance, sleep troubles significant only in males and limb pains in females. The possibility of considering those factors as migraine risk factors is discussed.
Subject(s)
Headache/epidemiology , Migraine Disorders/epidemiology , Adolescent , Age Factors , Brazil , Child , Female , Headache/genetics , Humans , Male , Migraine Disorders/genetics , Risk Factors , Sex FactorsABSTRACT
The case of a male patient having had episodes of confusion and motor deficits at age 5, 9 and 11, admitted to the hospital on these three occasions is reported. All investigations showed negative results, except for the EEG. A clue for the clinical diagnosis of confusional state due to migraine was the past history of the patient, who suffered several migranous attacks from the age of 9. A review of the pathophysiology is made, based on the available literature.
