Authors:Karl Bjørnar Alstadhaug, Grete Bakkejord, Hans Kristian Bø Abstract: Cephalalgia Reports, Volume 6, Issue , January-December 2023. Objective:Describe and discuss a typical case with recurrent painful ophthalmoplegic neuropathy (RPON), and demonstrate a likely extrinsic compression of the sixth cranial nerve by a vascular loop.Background:RPON is a rare, but well-known entity, characterized by attacks of ophthalmoplegia associated with ipsilateral headache. The etiology is unknown, but a neurovascular conflict (NVC) has been suggested as a cause.Method:A 62-year-old woman presented in the emergency department with a horizontal diplopia that developed a few hours after the onset of a left temporal headache. In the past she had presented to the clinic with the same problem several times. She had been thoroughly examined, but no cause had been found. The symptoms had resolved by themselves. In addition to a classic finding in RPON, gadolinium enhancement and thickening of a cranial nerve, the new MRI scanning detected an NVC. Herein we discuss the relevance of this finding.Conclusion:A neurovascular conflict causing inflammatory demyelination of a single cranial nerve and relapsing remitting painful ophthalmoplegic neuropathy is an alluring idea. However, it is hard to conceive theoretically, and more reported cases with compelling data are needed to give credibility to such an idea. Citation: Cephalalgia Reports PubDate: 2023-02-27T04:47:52Z DOI: 10.1177/25158163231157628 Issue No:Vol. 6 (2023)
Authors:Lukrecija Jakuš, Darija Mahović, Claire Alexandra Sangster Jokić, Matea Bračić, Ivan Jurak Abstract: Cephalalgia Reports, Volume 6, Issue , January-December 2023. Background:Studies reporting the prevalence of headaches in Croatia have methodological differences that make it difficult to consolidate their results. This study aimed to assess the prevalence of the most common primary headaches in a student population using the standardized HARDSHIP questionnaire (in Croatian).Methods:This cross-sectional epidemiological study collected data regarding the 1-year prevalence of headaches in a student population using the diagnostic algorithm of the HARDSHIP questionnaire. The chi-squared test was used to analyze gender differences, and Cramer’s V was used for effect size interpretation.Results:The questionnaire was administered to 1350 university students enrolled in health profession programs (81.3% female; 18.7% male; average age: 23 years). The 1-year prevalence of migraine was 38.9% (male: female ratio, 1:1.5), and that of tension-type headache was 35.6% (male: female ratio, 1:0.9). Overall, 91.0% of participants responded positively to the question regarding the incidence of headache in the past 12 months.Conclusions:We report a high prevalence of primary headaches among students of health professions in Croatia. The differences in prevalence may be attributed to various sociocultural, geographical, genetic, and methodological differences. Population-specific studies may facilitate a more accurate assessment of headache prevalence and enable more effective targeting of public health activities. Citation: Cephalalgia Reports PubDate: 2023-02-17T02:45:48Z DOI: 10.1177/25158163231154936 Issue No:Vol. 6 (2023)
Authors:Ahmed Almuwais, Tjerk J Lagrand, Alexander C Lehn Abstract: Cephalalgia Reports, Volume 6, Issue , January-December 2023. Background:Chronic migraine can be challenging to treat and despite recent advances in treatment, there are cases that do not respond to current available pharmacological therapies.Case:We report a case of a 64-year-old male with a long history of chronic migraine who developed severe tremor-dominant Parkinson’s disease.Conclusion:After implantation of subthalamic deep brain stimulation (DBS), he reported not only benefit for his parkinsonian symptoms, but also a complete remission of his migraine attacks. Citation: Cephalalgia Reports PubDate: 2023-02-03T06:06:35Z DOI: 10.1177/25158163221150618 Issue No:Vol. 6 (2023)
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