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  1 / 1156 MEDLINE  
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PMID:28467337
Autor:Kogan M; Morr S; Siddiqui AH
Dirección:University at Buffalo, State University of New York. mkogan@ubns.com.
Título:Serial magnetic resonance imaging findings in subarachnoid hemorrhage due to an initially angiographically occult type II spinal aneurysm: Case report.
Fuente:Acta Biomed; 88(1):74-78, 2017 Apr 28.
ISSN:0392-4203
País de publicación:Italy
Idioma:eng
Resumen:BACKGROUND: Spinal aneurysms are rare causes of spontaneous subarachnoid hemorrhage. METHODS: We present an unusual, initially occult, case of an upper thoracic intradural extramedullary isolated aneurysm arising from the T2 intercostal-radicular circulation that was initially angiographically occult but was discovered due to unique, albeit nonspecific, magnetic resonance imaging findings of spinal cord T2 hyperintensity and contrast enhancement that were noted to progress with a clinical picture of ictal rehemorrhage. RESULTS: Repeat spinal angiography revealed a spinal aneurysm that was treated surgically. CONCLUSION: In cases of sufficient clinical suspicion and nonspecific imaging findings, continued vigilance is advised in seeking an underlying pathoanatomic etiology.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  2 / 1156 MEDLINE  
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PMID:22661540
Autor:Spath NB; Amft N; Farquhar D
Dirección:From the Department of Haematology and the Department of Rheumatology, Western General Hospital, Crewe Road South, Edinburgh, EH4 2XU and Consultant Physician, St. John's Hospital, Howden Road West, Livingston, West Lothian EH54 6PP, UK nspath@nhs.net.
Título:Cerebral vasculitis in rheumatoid arthritis.
Fuente:QJM; 107(12):1027-9, 2014 Dec.
ISSN:1460-2393
País de publicación:England
Idioma:eng
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  3 / 1156 MEDLINE  
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PMID:23608886
Autor:Saur SJ; Häntschel M; Artunc F; Rittig SM; Janssen U; Kanz L; Jaschonek K; Vogel W; Kopp HG
Dirección:Medizinische Klinik, Abt. Onkologie, Hämatologie, Klinische Immunologie, Rheumatologie und Pulmologie, Universitätsklinikum Tübingen.
Título:[Unusual cause of macrohematuria in a 29-year-old woman].
Título:Seltene Ursache einer Makrohämaturie bei einer 29-jährigen Patientin..
Fuente:Dtsch Med Wochenschr; 138(16):Seite 1-30, 2013 Apr.
ISSN:1439-4413
País de publicación:Germany
Idioma:ger
Resumen:HISTORY AND ADMISSION FINDINGS: We report on the case of a young women presenting with macrohaematuria, petechiae and strong headaches. INVESTIGATIONS: Laboratory showed a thrombotic microangiopathy with helmet cells, increased LDH levels (>600 U/l), and thrombocytopenia (<40,000/µl). DIAGNOSIS, TREATMENT AND COURSE: Due to strong haemolytic activity and headache with blurred vision, immediate plasma separation with fresh frozen plasma was commenced. Markedly decreased ADAMTS13 activity and detection of anti-ADAMTS13 antibodies were consistent with the diagnosis of idiopathic thrombotic thrombocytopenic purpura. In total, 11 plasma separations were required to stop disease activity. In parallel, immunosuppressive therapy using glucocorticoids was initiated. The patient was discharged from the hospital in a good general condition and with normalized laboratory findings 26 days after hospitalization. CONCLUSIONS: All patients with anemia and thrombocytopenia should be tested for haemolysis and helmet cells. An early diagnosis and initiation of necessary therapy are determining for the clinical outcome.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
Nombre de substancia:0 (Glucocorticoids); 0 (Immunosuppressive Agents); EC 1.1.1.27 (L-Lactate Dehydrogenase); EC 3.4.24.- (ADAM Proteins); EC 3.4.24.87 (ADAMTS13 Protein); EC 3.4.24.87 (ADAMTS13 protein, human)


  4 / 1156 MEDLINE  
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PMID:23538103
Autor:Beloeil H; Viel E; Navez ML; Fletcher D; Peronnet D; Recommandation formalisée d'experts
Dirección:Service d'anesthésie-réanimation, université Rennes 1, Inserm UMR 991, CHU Pontchaillou, 35033 Rennes cedex 9, France. helene.beloeil@chu-rennes.fr
Título:[Guidelines for regional anesthetic and analgesic techniques in the treatment of chronic pain syndromes].
Título:Techniques analgésiques locorégionales et douleur chronique..
Fuente:Ann Fr Anesth Reanim; 32(4):275-84, 2013 Apr.
ISSN:1769-6623
País de publicación:France
Idioma:fre
Tipo de publicación:JOURNAL ARTICLE; PRACTICE GUIDELINE
Nombre de substancia:0 (Adrenal Cortex Hormones); 0 (Analgesics); 0 (Analgesics, Non-Narcotic); 0 (Anesthetics); 0 (Narcotics); 0 (omega-Conotoxins); 7I64C51O16 (ziconotide)


  5 / 1156 MEDLINE  
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PMID:22665449
Autor:Lance JW
Dirección:University of New SouthWales, Sydney, New South Wales NSW 2025, Australia. jimlance@bigpond.com
Título:Impact commentaries. Observations on 500 cases of migraine and allied vascular headache.
Fuente:J Neurol Neurosurg Psychiatry; 83(7):673-4, 2012 Jul.
ISSN:1468-330X
País de publicación:England
Idioma:eng
Tipo de publicación:HISTORICAL ARTICLE; JOURNAL ARTICLE
Nombre de substancia:333DO1RDJY (Serotonin)


  6 / 1156 MEDLINE  
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PMID:19818575
Autor:Delasobera BE; Osborn SR; Davis JE
Dirección:Department of Emergency Medicine, Georgetown University Hospital and Washington Hospital Center, Washington, DC, USA.
Título:Thunderclap headache with orgasm: a case of basilar artery dissection associated with sexual intercourse.
Fuente:J Emerg Med; 43(1):e43-7, 2012 Jul.
ISSN:0736-4679
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Headaches associated with sexual intercourse (coital cephalgia) have many different causes and are often divided in the literature into pre-orgasmic and orgasmic headaches. OBJECTIVE: To present a case of orgasmic headache caused by a basilar artery dissection and to present a literature-based guide to the diagnosis and management of patients presenting with headaches related to sexual activity. CASE REPORT: We report the case of a 34-year-old man without significant past medical history who presented to the Emergency Department with two episodes of orgasmic headache caused by basilar artery dissection. CONCLUSIONS: The cause of headaches related to sexual activity range from the benign to the life-threatening. Due to the dynamics of cerebral blood flow during sexual intercourse, basilar artery dissections and aneurysms should be considered in patients with sudden-onset headaches during orgasm. Appropriate brain imaging and, possibly, lumbar puncture may assist in identifying potentially life-threatening causes of coital headaches.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  7 / 1156 MEDLINE  
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PMID:22500315
Autor:Kuznetsova EA; Iakupov EZ
Título:[Neurophysiological assessment of afferent-efferent interaction in the trigeminal-cervical system in patients with secondary headaches].
Fuente:Zh Nevrol Psikhiatr Im S S Korsakova; 111(10 Pt 1):54-7, 2011.
ISSN:1997-7298
País de publicación:Russia (Federation)
Idioma:rus
Resumen:We carried out the neurophysiological assessment of functional state of the trigeminal-cervical system and studied peculiarities of afferent-efferent interaction in patients with the most frequent variants of secondary headaches: chronic posttraumatic headaches, cervicogenic headaches, vascular headaches and painful dysfunction of temporomandibular articulation. According to the results of neurophysiological studies (somatosensory, trigeminal evoked potentials, blink reflex and stimulation EMG of masticatory muscles), the functional activity of the trigeminal system in patients with secondary headaches changes less significantly compared to patients with primary headaches. In most secondary headaches, the reflex activity of the trigeminal system and the EMG activity of masticatory muscles are determined by the functional state of spinal and brainstem structures.
Tipo de publicación:ENGLISH ABSTRACT; JOURNAL ARTICLE


  8 / 1156 MEDLINE  
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PMID:20598914
Autor:Masood I; While B; Mudhar HS
Dirección:Department of Ophthalmology, Royal Hallamshire Hospital, Glossop Road, Sheffield, England, UK.
Título:Perivascular mantle cell lymphoma affecting a temporal artery--a highly unusual cause of temporal headache.
Fuente:Cardiovasc Pathol; 20(4):244-6, 2011 Jul-Aug.
ISSN:1879-1336
País de publicación:United States
Idioma:eng
Resumen:INTRODUCTION: Temporal artery biopsy is a widely performed procedure for clinically suspected temporal arteritis. We the report the case of a 79-year-old male with mantle cell non-Hodgkin's lymphoma previously treated with chemotherapy under follow-up with right-sided orbital recurrence, who developed right temporal headache, tenderness, and visual symptoms in the right eye. His symptoms were unresponsive to steroid treatment and he underwent a temporal artery biopsy. METHODS: The temporal artery was fixed in standard 10% buffered formalin, processed to paraffin wax, 4 micron sections cut through the entire artery and stained with standard haematoxylin and eosin. Some sections were exposed to CD20, CD5, and cyclin D1 immunohistochemistry. RESULTS: Histology showed a perivascular, nodular lymphoid infiltrate composed of small centrocyte-type lymphocytes around the main artery and identical lymphocytes within the wall of a main artery branch. Additionally, the lymphocytes were located around a peripheral nerve in the peri-artery connective soft tissues. These lymphocytes were positive for CD5, CD20, and cyclin D1 indicating a diagnosis of peri-neural, peri-vascular mantle cell non-Hodgkin's lymphoma of identical appearance to that in the index biopsy. CONCLUSIONS: This report describes a highly unusual histological and clinical scenario of peri-temporal artery Mantle cell lymphoma causing temporal headache from peripheral nerve and artery side branch involvement by the lymphoma immediately adjacent to the temporal artery. We propose that involvement of a temporal artery by lymphoma be considered in the differential diagnosis, in patients with an established diagnosis of lymphoma, if presenting with "temporal arteritis" type headache symptoms.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW


  9 / 1156 MEDLINE  
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PMID:20400239
Autor:Sun DQ; Carson KA; Raza SM; Batra S; Kleinberg LR; Lim M; Huang J; Rigamonti D
Dirección:Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
Título:The radiosurgical treatment of arteriovenous malformations: obliteration, morbidities, and performance status.
Fuente:Int J Radiat Oncol Biol Phys; 80(2):354-61, 2011 Jun 01.
ISSN:1879-355X
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: This study examined the single-center treatment outcomes of arteriovenous malformations (AVMs) of the brain using stereotactic radiosurgery, with regard to obliteration, predictive factors, morbidities, and patient performance status. PATIENTS AND METHODS: 127 patients were treated between 1990 and 2008 by use of linear accelerator or Gamma Knife. Their median age was 37 years, the median AVM volume was 7.3 cc (range, 0.014-113.13 cc), and the median follow-up duration was 42 months (range, 6-209 months). Forty-two percent of patients presented with intracranial hemorrhage, 31% received embolization, and 8% underwent prior resection. Thirty-one percent of patients received more than one round of radiosurgery. RESULTS: 64% of patients had complete obliteration confirmed by magnetic resonance imaging or angiography. Positive predictors of obliteration included pretreatment hemorrhage (p = 0.042), smaller AVM volume (odds ratio = 1.25; 95% CI, 1.03-1.52), and larger marginal dose (odds ratio = 0.292; 95% CI, 0.100-0.820), whereas embolization (p < 0.001) was a negative predictor . The annual risk of hemorrhage after radiosurgery was 2.2%, and the risk of death as a result of hemorrhage was 0.6-1.3%. Eleven percent of patients reported new or worsened neurologic symptoms. Radiosurgery was effective in treating AVM-related headaches (p < 0.001) but did not improve the performance status of patients. CONCLUSIONS: Stereotactic radiosurgery is an effective tool in the treatment of AVMs and amelioration of AVM-related headaches, but it did not affect the patients' performance status. Factors affecting obliteration include prior hemorrhage, marginal dose, prior embolization, and AVM volume. Risk of hemorrhage persists in the latency period after radiosurgery, and it remains finite even after complete obliteration.
Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  10 / 1156 MEDLINE  
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PMID:20807909
Autor:Benoliel R; Sharav Y; Eliav E
Dirección:The Department of Oral Medicine, Hadassah-Hebrew University, PO Box 12000, Jerusalem, Israel. benoliel@cc.huji.ac.il
Título:Neurovascular orofacial pain.
Fuente:J Am Dent Assoc; 141(9):1094-6, 2010 Sep.
ISSN:1943-4723
País de publicación:England
Idioma:eng
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
Nombre de substancia:0 (Anti-Inflammatory Agents, Non-Steroidal); 0 (Vasodilator Agents); 57Y76R9ATQ (Naproxen); 9Y8NXQ24VQ (Propranolol)



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