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Valenca, Marcelo Moraes
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[PMID]:28460539
[Au] Autor:Silva-Néto RP; Rodrigues ÂB; Cavalcante DC; Ferreira PHPB; Nasi EP; Sousa KMH; Almeida Soares A; Peres MFP; Valença MM
[Ad] Endereço:1 Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil.
[Ti] Título:Reply to the Letter to the Editor: "Smell of migraine: Osmophobia as a clinical diagnostic marker".
[So] Source:Cephalalgia;37(9):907-908, 2017 08.
[Is] ISSN:1468-2982
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos de Enxaqueca
Olfato
[Mh] Termos MeSH secundário: Seres Humanos
Cefaleia do Tipo Tensional
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1177/0333102416658716


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[PMID]:28622332
[Au] Autor:Prabhakaran V; Drevets DA; Ramajayam G; Manoj JJ; Anderson MP; Hanas JS; Rajshekhar V; Oommen A; Carabin H
[Ad] Endereço:Department of Neurological Sciences, Christian Medical College, Vellore, India.
[Ti] Título:Comparison of monocyte gene expression among patients with neurocysticercosis-associated epilepsy, Idiopathic Epilepsy and idiopathic headaches in India.
[So] Source:PLoS Negl Trop Dis;11(6):e0005664, 2017 Jun.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Neurocysticercosis (NCC), a neglected tropical disease, inflicts substantial health and economic costs on people living in endemic areas such as India. Nevertheless, accurate diagnosis using brain imaging remains poorly accessible and too costly in endemic countries. The goal of this study was to test if blood monocyte gene expression could distinguish patients with NCC-associated epilepsy, from NCC-negative imaging lesion-free patients presenting with idiopathic epilepsy or idiopathic headaches. METHODS/PRINCIPAL FINDINGS: Patients aged 18 to 51 were recruited from the Department of Neurological Sciences, Christian Medical College and Hospital, Vellore, India, between January 2013 and October 2014. mRNA from CD14+ blood monocytes was isolated from 76 patients with NCC, 10 Recovered NCC (RNCC), 29 idiopathic epilepsy and 17 idiopathic headaches patients. A preliminary microarray analysis was performed on six NCC, six idiopathic epilepsy and four idiopathic headaches patients to identify genes differentially expressed in NCC-associated epilepsy compared with other groups. This analysis identified 1411 upregulated and 733 downregulated genes in patients with NCC compared to Idiopathic Epilepsy. Fifteen genes up-regulated in NCC patients compared with other groups were selected based on possible relevance to NCC, and analyzed by qPCR in all patients' samples. Differential gene expression among patients was assessed using linear regression models. qPCR analysis of 15 selected genes showed generally higher gene expression among NCC patients, followed by RNCC, idiopathic headaches and Idiopathic Epilepsy. Gene expression was also generally higher among NCC patients with single cyst granulomas, followed by mixed lesions and single calcifications. CONCLUSIONS/SIGNIFICANCE: Expression of certain genes in blood monocytes can distinguish patients with NCC-related epilepsy from patients with active Idiopathic Epilepsy and idiopathic headaches. These findings are significant because they may lead to the development of new tools to screen for and monitor NCC patients without brain imaging.
[Mh] Termos MeSH primário: Epilepsia/patologia
Perfilação da Expressão Gênica
Monócitos/imunologia
Neurocisticercose/complicações
Cefaleia do Tipo Tensional/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Diagnóstico Diferencial
Epilepsia/etiologia
Feminino
Seres Humanos
Índia
Masculino
Meia-Idade
Neurocisticercose/patologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005664


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[PMID]:28615434
[Au] Autor:Müller KI; Alstadhaug KB; Bekkelund SI
[Ad] Endereço:From the Department of Clinical Medicine (K.I.M., K.B.A., S.I.B.), UiT-The Arctic University of Norway; Department of Neurology (K.I.M., S.I.B.), University Hospital of North Norway, Tromsø; and Department of Neurology (K.B.A.), Nordland Hospital Trust, Bodø, Norway. kai.ivar.muller@unn.no.
[Ti] Título:A randomized trial of telemedicine efficacy and safety for nonacute headaches.
[So] Source:Neurology;89(2):153-162, 2017 Jul 11.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate long-term treatment efficacy and safety of one-time telemedicine consultations for nonacute headaches. METHODS: We randomized, allocated, and consulted nonacute headache patients via telemedicine (n = 200) or in a traditional manner (n = 202) in a noninferiority trial. Efficacy endpoints, assessed by questionnaires at 3 and 12 months, included change from baseline in Headache Impact Test-6 (HIT-6) (primary endpoint) and pain intensity (visual analogue scale [VAS]) (secondary endpoint). The primary safety endpoint, assessed via patient records, was presence of secondary headache within 12 months after consultation. RESULTS: We found no differences between telemedicine and traditional consultations in HIT-6 ( = 0.84) or VAS ( = 0.64) over 3 periods. The absolute difference in HIT-6 from baseline was 0.3 (95% confidence interval [CI] -1.26 to 1.82, = 0.72) at 3 months and 0.2 (95% CI -1.98 to 1.58, = 0.83) at 12 months. The absolute change in VAS was 0.4 (95% CI -0.93 to 0.22, = 0.23) after 3 months and 0.3 (95% CI -0.94 to 0.29, = 0.30) at 12 months. We found one secondary headache in each group at 12 months. The estimated number of consultations needed to miss one secondary headache with the use of telemedicine was 20,200. CONCLUSION: Telemedicine consultation for nonacute headache is as efficient and safe as a traditional consultation. CLINICALTRIALSGOV IDENTIFIER: NCT02270177. CLASSIFICATION OF EVIDENCE: This study provides Class III evidence that a one-time telemedicine consultation for nonacute headache is noninferior to a one-time traditional consultation regarding long-term treatment outcome and safety.
[Mh] Termos MeSH primário: Transtornos da Cefaleia Secundários/terapia
Transtornos de Enxaqueca/terapia
Avaliação de Processos e Resultados (Cuidados de Saúde)
Manejo da Dor/métodos
Telemedicina/métodos
Cefaleia do Tipo Tensional/terapia
Cefalalgias Autonômicas do Trigêmeo/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Manejo da Dor/efeitos adversos
Manejo da Dor/normas
Medição da Dor
Telemedicina/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004085


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[PMID]:28583453
[Au] Autor:Májovský M; Netuka D; Benes V
[Ad] Endereço:Department of Neurosurgery of 1st Faculty of Medicine of Charles University and Military University Hospital, Prague, Czechoslovakia. Electronic address: martin.majovsky@uvn.cz.
[Ti] Título:Conservative and Surgical Treatment of Patients with Pineal Cysts: Prospective Case Series of 110 Patients.
[So] Source:World Neurosurg;105:199-205, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A pineal cyst is a relatively common benign condition of the pineal gland. The clinical management of patients with a pineal cyst remains controversial, especially when patients present with nonspecific symptoms. METHODS: We performed a prospective study between 2000 and 2016. All patients with a pineal cyst >7 mm were included. Epidemiologic data, presenting symptoms, surgical results, and radiographic and clinical follow-up were documented. RESULTS: A total of 110 patients were enrolled in the present study. The most common presenting symptoms were tension headache (62.7%), vertigo (16.4%), migraine (12.7%), syncope (10.9%), nausea (8.2%), and diplopia (8.2%). Symptoms worsened during the follow-up period in 17 patients (15.5%), improved in 13 patients (11.8%), and remained stable in 81 patients (73.6%). The mean follow-up was 79.2 months. A pineal cyst increased in size during the follow-up in 6 patients (5.5%) and decreased in size in 9 patients (8.2%). Twenty-one patients underwent pineal cyst resection; 20 patients (95.2%) reported some improvement in their presenting symptoms, and 10 patients (47.6%) were symptom free after the surgery. CONCLUSION: We present the largest clinical series of patients with pineal cysts. Surgery, if indicated properly, is a legitimate treatment modality for symptomatic patients with satisfactory results. Relief of symptoms, even nonspecific ones, is achieved in the majority of cases. Simple growth of the cyst in the first decades of life is a part of the natural course and should not be considered as an indication for surgery.
[Mh] Termos MeSH primário: Neoplasias Encefálicas/cirurgia
Cistos/cirurgia
Neurocirurgia/métodos
Glândula Pineal/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Neoplasias Encefálicas/diagnóstico por imagem
Criança
Estudos de Coortes
Cistos/complicações
Cistos/diagnóstico por imagem
Feminino
Seres Humanos
Hidrocefalia/etiologia
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Glândula Pineal/diagnóstico por imagem
Cefaleia do Tipo Tensional/etiologia
Resultado do Tratamento
Vertigem/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE


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[PMID]:28573246
[Au] Autor:Sertel M; Bakar Y; Simsek TT
[Ad] Endereço:Kirikkale University, Faculty of Health Sciences, Departmant of Physical Therapy and Rehabilitation, Kirikkale, 71451, Turkey.
[Ti] Título:THE EFFECT OF BODY AWARENESS THERAPY AND AEROBIC EXERCISES ON PAIN AND QUALITY OF LIFE IN THE PATIENTS WITH TENSION TYPE HEADACHE.
[So] Source:Afr J Tradit Complement Altern Med;14(2):288-310, 2017.
[Is] ISSN:2505-0044
[Cp] País de publicação:Nigeria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study is to investigate the effect of Body Awareness Therapy (BAT) and Aerobic Exercises on pain and quality of life in patients with Tension-Type Headache (TTH). MATERIALS AND METHOD: Sixty individuals with TTH diagnosis who referred Neurologist were incorporated into study. The individuals were randomly grouped into 3 as BAT (n=20), aerobic exercise (n=20) and control group (n=20). Pain severity of the individuals was evaluated by Visual Analog Scale (VAS) and pain diary, disability with ache; by Pain Disability Index (PDI) and Headache Impact Tests (HIT) and quality of life was evaluated by SF-36. Subsequent to first assessments, 3 sessions of 60 minutes per week throughout 6 weeks totally. RESULTS: When the groups were compared at the end of the study, a significant decrease was observed in VAS, PDI and HIT values in the individuals in the BAT and aerobic exercise groups. With the individuals in group BAT and aerobic exercise all parameters of quality of life were observed to be increased significantly. CONCLUSION: BAT and aerobic exercise programs to be applied on TTH patients were concluded to be important in decreasing the pain, in increasing the quality of life and in reducing pain-related daily constraints of the individuals.
[Mh] Termos MeSH primário: Atividades Cotidianas
Exercício
Manejo da Dor
Dor
Modalidades de Fisioterapia
Qualidade de Vida
Cefaleia do Tipo Tensional/terapia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Meia-Idade
Medição da Dor
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.21010/ajtcam.v14i2.31


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[PMID]:28424977
[Au] Autor:Chung PW; Cho SJ; Kim WJ; Yang KI; Yun CH; Chu MK
[Ad] Endereço:Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
[Ti] Título:Restless legs syndrome and tension-type headache: a population-based study.
[So] Source:J Headache Pain;18(1):47, 2017 Dec.
[Is] ISSN:1129-2377
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recent studies have shown a significant association between restless legs syndrome (RLS) and primary headache disorders. Nevertheless, information regarding the association between tension-type headache (TTH) and RLS is limited. This study aimed to investigate the association between RLS and TTH in a population-based sample. METHODS: We selected a stratified random population sample of Koreans aged 19-69 years and assessed them using a semi-structured interview designed to identify RLS, headache type, and clinical characteristics of TTH. We determined the prevalence and clinical impact of RLS in participants with TTH. RESULTS: Of the 2695 participants, 570 (21.2%) and 142 (5.3%) were classified as having TTH and RLS, respectively. Among the 570 individuals with TTH, 113 (19.8%) also met the criteria for probable migraine (PM). The prevalence of RLS was significantly higher among individuals with TTH than among those with non-headache (6.0% vs 3.6%, p = 0.018). The prevalence of RLS was significantly higher in subjects with TTH who fulfilled PM criteria than in those with non-headache participants (8.0% vs. 3.6%, p = 0.018). However, RLS prevalence in individuals with TTH who did not fulfil PM criteria did not differ from that of participants with non-headache (5.5% vs. 3.6%, p = 0.063). TTH participants with RLS had higher visual analogue scale scores for headache intensity (5.1 ± 2.0 vs. 4.3 ± 1.8, p = 0.038), and higher prevalence of anxiety (20.6% vs. 8.8%, p = 0.022) and depression (14.7% vs. 3.5%, p = 0.002) than TTH participants without RLS. Multivariable analyses revealed that headache aggravation by movement (odds ratio [OR] = 2.4, 95% confidence interval [CI] = 1.1-5.2) and depression (OR = 3.5, 95% CI = 1.1-11.4) were significant indicators of RLS among individuals with TTH. CONCLUSIONS: The prevalence of RLS was higher among individuals with TTH than among those with non-headache. Some clinical presentations varied in accordance with the presence of RLS among participants with TTH.
[Mh] Termos MeSH primário: Vigilância da População
Síndrome das Pernas Inquietas/diagnóstico
Síndrome das Pernas Inquietas/epidemiologia
Cefaleia do Tipo Tensional/diagnóstico
Cefaleia do Tipo Tensional/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Ansiedade/diagnóstico
Ansiedade/epidemiologia
Depressão/diagnóstico
Depressão/epidemiologia
Transtorno Depressivo/diagnóstico
Transtorno Depressivo/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Distribuição Aleatória
República da Coreia/epidemiologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1186/s10194-017-0754-x


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[PMID]:28421374
[Au] Autor:Krøll LS; Hammarlund CS; Westergaard ML; Nielsen T; Sloth LB; Jensen RH; Gard G
[Ad] Endereço:Department of Health Sciences, Lund University, P.O. Box 157, 221 00, Lund, Sweden. lotte.skytte.kroell@regionh.dk.
[Ti] Título:Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain.
[So] Source:J Headache Pain;18(1):46, 2017 Dec.
[Is] ISSN:1129-2377
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The prevalence of migraine with co-existing tension-type headache and neck pain is high in the general population. However, there is very little literature on the characteristics of these combined conditions. The aim of this study was to investigate a) the prevalence of migraine with co-existing tension-type headache and neck pain in a clinic-based sample, b) the level of physical activity, psychological well-being, perceived stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain compared to healthy controls, c) the perceived ability of persons with migraine and co-existing tension-type headache and neck pain to perform physical activity, and d) which among the three conditions (migraine, tension-type headache or neck pain) is rated as the most burdensome condition. METHODS: The study was conducted at a tertiary referral specialised headache centre where questionnaires on physical activity, psychological well-being, perceived stress and self-rated health were completed by 148 persons with migraine and 100 healthy controls matched by sex and average age. Semi-structured interviews were conducted to assess characteristics of migraine, tension-type headache and neck pain. RESULTS: Out of 148 persons with migraine, 100 (67%) suffered from co-existing tension-type headache and neck pain. Only 11% suffered from migraine only. Persons with migraine and co-existing tension-type headache and neck pain had lower level of physical activity and psychological well-being, higher level of perceived stress and poorer self-rated health compared to healthy controls. They reported reduced ability to perform physical activity owing to migraine (high degree), tension-type headache (moderate degree) and neck pain (low degree). The most burdensome condition was migraine, followed by tension-type headache and neck pain. CONCLUSIONS: Migraine with co-existing tension-type headache and neck pain was highly prevalent in a clinic-based sample. Persons with migraine and co-existing tension-type headache and neck pain may require more individually tailored interventions to increase the level of physical activity, and to improve psychological well-being, perceived stress and self-rated health.
[Mh] Termos MeSH primário: Exercício/psicologia
Transtornos de Enxaqueca/psicologia
Cervicalgia/psicologia
Satisfação Pessoal
Estresse Psicológico/psicologia
Cefaleia do Tipo Tensional/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Nível de Saúde
Seres Humanos
Masculino
Meia-Idade
Transtornos de Enxaqueca/complicações
Transtornos de Enxaqueca/fisiopatologia
Cervicalgia/complicações
Cervicalgia/fisiopatologia
Estresse Psicológico/complicações
Estresse Psicológico/fisiopatologia
Inquéritos e Questionários
Cefaleia do Tipo Tensional/complicações
Cefaleia do Tipo Tensional/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1186/s10194-017-0753-y


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[PMID]:28416342
[Au] Autor:Crowley J; Thaçi D; Joly P; Peris K; Papp KA; Goncalves J; Day RM; Chen R; Shah K; Ferrándiz C; Cather JC
[Ad] Endereço:Bakersfield Dermatology, Bakersfield, California. Electronic address: Crowley415@aol.com.
[Ti] Título:Long-term safety and tolerability of apremilast in patients with psoriasis: Pooled safety analysis for ≥156 weeks from 2 phase 3, randomized, controlled trials (ESTEEM 1 and 2).
[So] Source:J Am Acad Dermatol;77(2):310-317.e1, 2017 Aug.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Randomized, controlled trials demonstrated efficacy and safety of apremilast for moderate-to-severe plaque psoriasis and psoriatic arthritis. OBJECTIVE: Assess long-term safety of oral apremilast in psoriasis patients. METHODS: Safety findings are reported for 0 to ≥156 weeks from the Efficacy and Safety Trial Evaluating the Effects of Apremilast in Psoriasis (ESTEEM) 1 and 2. RESULTS: The 0 to ≥156-week apremilast-exposure period included 1184 patients treated twice daily with apremilast 30 mg (1902.2 patient-years). During 0 to ≤52 weeks, the adverse events (AEs) that occurred in ≥5% of patients included diarrhea, nausea, upper respiratory tract infection, nasopharyngitis, tension headache, and headache. From 0 to ≥156 weeks, no new AEs (affecting ≥5% of the population) were reported. AEs, serious AEs, and study drug discontinuations caused by AEs did not increase with long-term exposure. During the 0 to ≥156-week period, the rates of major cardiac events (exposure-adjusted incidence rate [EAIR] 0.5/100 patient-years), malignancies (EAIR 1.2/100 patient-years), depression (EAIR 1.8/100 patient-years), or suicide attempts (EAIR 0.1/100 patient-years) did not increase in comparison with the rates found during the 0 to ≤52-week period. No serious opportunistic infections, reactivation of tuberculosis, or clinically meaningful effects on laboratory measurements were reported. LIMITATIONS: This study had a high dropout rate (21% of patients ongoing >156 weeks); most were unrelated to safety concerns. CONCLUSIONS: Apremilast demonstrated an acceptable safety profile and was generally well tolerated for ≥156 weeks.
[Mh] Termos MeSH primário: Anti-Inflamatórios não Esteroides/efeitos adversos
Doenças Cardiovasculares/epidemiologia
Depressão/epidemiologia
Neoplasias/epidemiologia
Psoríase/tratamento farmacológico
Talidomida/análogos & derivados
[Mh] Termos MeSH secundário: Adulto
Diarreia/induzido quimicamente
Feminino
Cefaleia/induzido quimicamente
Seres Humanos
Incidência
Masculino
Meia-Idade
Nasofaringite/induzido quimicamente
Náusea/induzido quimicamente
Infecções Respiratórias/induzido quimicamente
Tentativa de Suicídio/estatística & dados numéricos
Cefaleia do Tipo Tensional/induzido quimicamente
Talidomida/efeitos adversos
Fatores de Tempo
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE III; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents, Non-Steroidal); 4Z8R6ORS6L (Thalidomide); UP7QBP99PN (apremilast)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE


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[PMID]:28410431
[Au] Autor:Børte S; Winsvold BS; Stensland SØ; Småstuen MC; Zwart JA
[Ad] Endereço:Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
[Ti] Título:The effect of foetal growth restriction on the development of migraine and tension-type headache in adulthood. The HUNT Study.
[So] Source:PLoS One;12(4):e0175908, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is little knowledge about how factors early in life affect the development of migraine and tension-type headache. We aimed to examine whether growth restriction in utero is associated with development of migraine and frequent tension-type headache in adults. METHODS: The population-based Nord-Trøndelag Health Study (HUNT 3) contained a validated headache questionnaire, which differentiated between migraine and tension-type headache. These data were linked to information on weight and gestational age at birth from the Norwegian Medical Birth Registry. In total 4557 females and 2789 males, aged 19-41 years, were included in this registry-based study. Participants were categorized as appropriate for gestational age (AGA, 10th-90th percentile), small for gestational age (SGA, 3rd-10th percentile) or very small for gestational age (VSGA, < 3rd percentile). Logistic regression was used to calculate odds ratios (OR) with 95% confidence intervals (CI) for migraine and tension-type headache, with exposure being growth restriction at birth. RESULTS: The effect of growth restriction on migraine was modified by sex, with a significant association in males (p<0.001), but not in females (p = 0.20). In particular, males born VSGA were at increased risk of developing migraine (OR 2.73, 95% CI 1.63-4.58, p<0.001), with an intermediate risk among those born SGA (OR 1.50, 95% CI 0.96-2.35, p = 0.08) compared to those born AGA. There was no significant association between growth restriction and frequent TTH (p = 0.051). CONCLUSION: Growth restriction was associated with increased risk of migraine in adulthood among males, but not among females. This suggests that migraine might, in part, be influenced by early life events, and that males seem to be particularly vulnerable.
[Mh] Termos MeSH primário: Retardo do Crescimento Fetal/etiologia
Transtornos de Enxaqueca/diagnóstico
Cefaleia do Tipo Tensional/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Peso ao Nascer
Feminino
Retardo do Crescimento Fetal/epidemiologia
Idade Gestacional
Inquéritos Epidemiológicos
Seres Humanos
Recém-Nascido
Modelos Logísticos
Masculino
Transtornos de Enxaqueca/complicações
Transtornos de Enxaqueca/epidemiologia
Noruega/epidemiologia
Razão de Chances
Gravidez
Sistema de Registros
Fatores de Risco
Cefaleia do Tipo Tensional/complicações
Cefaleia do Tipo Tensional/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0175908


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[PMID]:28401498
[Au] Autor:Fernández-de-Las-Peñas C; Benito-González E; Palacios-Ceña M; Wang K; Castaldo M; Arendt-Nielsen L
[Ad] Endereço:Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain. cesar.fernandez@urjc.es.
[Ti] Título:Identification of subgroups of patients with tension type headache with higher widespread pressure pain hyperalgesia.
[So] Source:J Headache Pain;18(1):43, 2017 Dec.
[Is] ISSN:1129-2377
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Identification of subgroups of patients with different levels of sensitization and clinical features can help to identify groups at risk and the development of better therapeutic strategies. The aim of this study was to identify subgroups of patients with tension type headache (TTH) with different levels of sensitization, clinical pain features, and psychological outcomes. METHODS: A total of 197 individuals with TTH participated. Headache intensity, frequency, and duration and medication intake were collected with a 4-weeks diary. Pressure pain thresholds were assessed bilaterally over the temporalis muscle, C5-C6 joint, second metacarpal and tibialis anterior muscle to determine widespread pressure pain hyperalgesia. The Hospital Anxiety and Depression Scale assessed anxiety and depression. The State-Trait Anxiety Inventory evaluated the state and trait levels of anxiety. The Headache Disability Inventory evaluated the burden of headache. Health-related quality of life was determined with the SF-36 questionnaire. Groups were considered as positive (three or more criteria) or negative (less than three criteria) on a clinical prediction rule: headache duration <8.5 h/day; headache frequency <5.5 days/week; bodily pain <47 and vitality <47.5. RESULTS: The ANCOVA revealed that subjects in group 1 (positive rule, n = 89) exhibited longer headache history, shorter headache duration, lower headache frequency, higher widespread pressure hyperalgesia, higher anxiety trait levels, and lower quality of life (all, P < 0.01) than those subjects within group 2 (negative rule, n = 108). Differences were similar between men and women. CONCLUSIONS: This study identified a subgroup of patients with TTH with higher sensitization, higher chronicity of headaches and worse quality of life but lower frequency and duration of headache episodes. This subgroup of individuals with TTH may need particular attention and specific therapeutic programs for avoiding potential chronification.
[Mh] Termos MeSH primário: Ansiedade/fisiopatologia
Hiperalgesia/fisiopatologia
Limiar da Dor/fisiologia
Qualidade de Vida
Cefaleia do Tipo Tensional/classificação
Cefaleia do Tipo Tensional/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Cefaleia do Tipo Tensional/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1186/s10194-017-0751-0



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