No abstract available.
Diagnosis* ; Headache*

No abstract available.
Diagnosis* ; Headache*

No abstract available.
Child* ; Diagnosis* ; Headache* ; Humans

Middle turbinate headache syndrome is rare, and the true incidence of headache from this cause is unknown. Pneumatization or hypertrophy of the middle turbinate can result in its contact with the septum or the lateral nasal wall and may give rise to headache in the periorbital region. It may occur in the absence of inflammatory sinus disease. Clinical history, nasal endoscopic examination, and coronal CT -scan should point to the diagnosis. Treatment is achieved by relieving the contact point by medical or surgical means. The authors experienced a case of middle turbinate headache syndrome, therefore we report this case with a review of literature.
Diagnosis ; Headache Disorders* ; Headache* ; Hypertrophy ; Incidence ; Turbinates*

Headaches are common in children and become more common and increase in frequency during adolescence. There are various causes of headaches. The majority of cases are considered as primary and include migraine and tension headaches. The rational evaluation of headache begins with careful history. Migraine is genetically determined recurrent pain syndrome accompanied by neurological and gastrointestinal features, involving interaction of external triggers and internal pathophysiology and the causes of considerable disability to suffers. Establishing the correct diagnosis is essential for successful treatment. Treatment of pediatric migraine includes an individually tailored regimen of both nonpharmacologic and pharmacologic measures.
Adolescent ; Child* ; Diagnosis ; Headache* ; Humans ; Migraine Disorders ; Tension-Type Headache

BACKGROUND: The International Classification of Headache Disorders, an essential tool in the diagnosis of headache disorders, has been revised as its 3rd edition, beta (ICHD-IIIbeta). The clinical application in practice is needed to test the feasibility and usefulness of the Korean version of ICHD-IIIbeta. METHODS: Neurologists enrolled consecutive first-visit headache patients from February to March 2014. The classification of headache disorder was done by each investigator according to ICHD-IIIbeta based on the initial structured questionnaire, clinical evaluation, and neuroimaging studies, if needed. A consensus meeting dealt with the cases that were difficult to diagnose. The feasibility and usefulness of this version was assessed by the proportion of unclassified headache disorders using ICHD-IIIbeta compared to the previous version. RESULTS: A total of 207 patients were enrolled: the mean age was 41 years (16-87 years) and women constituted 63.3%. Primary headache disorders were diagnosed in 167 patients (80.7%): 82 migraines, 37 tension-type headaches, 3 cluster headaches, and 45 other primary headache disorders. Thirty-five patients (16.9%) had secondary headache disorders or painful cranial neuropathies/other facial pain and 5 patients (2.4%) could not be classified by ICHD-IIIbeta. The diagnoses differed as compared to the previous version in 32 patients (15.5%): 14.5% differed due to the mitigation of the previous strict criteria and 1% differed due to the introduction of a new diagnostic category. CONCLUSIONS: Classifications by ICHD-IIIbeta are possible in more than 97% of the first-visit headache patients and ICHD-IIIbeta has proved to be more useful than its previous version.
Classification* ; Cluster Headache ; Consensus ; Diagnosis ; Facial Pain ; Female ; Headache ; Headache Disorders* ; Headache Disorders, Primary ; Headache Disorders, Secondary ; Humans ; Migraine Disorders ; Neuroimaging ; Surveys and Questionnaires ; Research Personnel ; Tension-Type Headache

BACKGROUND AND PURPOSE: Cluster headache (CH) is frequently either not diagnosed or the diagnosis is delayed. We addressed this issue by developing the self-administered Cluster Headache Screening Questionnaire (CHSQ). METHODS: Experts selected items from the diagnostic criteria of CH and the characteristics of migraine. The questionnaire was administered to first-visit headache patients at nine headache clinics. The finally developed CHSQ included items based on the differences in responses between CH and non-CH patients, and the accuracy and reliability of the scoring model were assessed. RESULTS: Forty-two patients with CH, 207 migraineurs, 73 with tension-type headache, and 18 with primary stabbing headache were enrolled. The CHSQ item were scored as follows: 3 points for ipsilateral eye symptoms, agitation, and duration; 2 points for clustering patterns; and 1 point for the male sex, unilateral pain, disability, ipsilateral nasal symptoms, and frequency. The total score of the CHSQ ranged from 0 to 16. The mean score was higher in patients with CH than in non-CH patients (12.9 vs. 3.4, p < 0.001). At a cutoff score of >8 points, the CHSQ had a sensitivity, specificity, positive predictive value, and negative predictive value of 95.2%, 96%, 76.9%, and 99.3%, respectively. CONCLUSIONS: The CHSQ is a reliable screening tool for the rapid identification of CH.
Cluster Headache* ; Diagnosis ; Dihydroergotamine ; Headache ; Headache Disorders, Primary ; Humans ; Male ; Mass Screening* ; Migraine Disorders ; Prevalence ; Sensitivity and Specificity ; Tension-Type Headache

Only a few cases of primary position downbeat nystagmus (PPDN) during an acute vestibular migraine (VM) have been reported but without details of the nystagmus pattern. A 15-year old girl with a history of recurrent headache and oscillopsia presented with PPDN, which lasted about 12 hours and resolved spontaneously. VM should be considered in the differential diagnosis of PPDN which are presumed to be caused by the dysfunction of the vestibular cerebellum and its connection.
Cerebellum ; Diagnosis, Differential ; Headache ; Migraine Disorders ; Vertigo

Headache disorders, one of most common disease in general population, have been developed according to many versions of international classifications. The primary headaches are those in which no consistently identified organic cause can be determined. It is divided into the following categories: (1) migraine, (2) tension-type headache, (3) cluster headache and other trigeminal autonomic cephalalgias, (4) other primary headaches. This review described a diagnosis of primary headache disorders based on International Classification of Headache Disorders (ICHD)-3 beta criteria.
Classification ; Cluster Headache ; Dental Clinics* ; Diagnosis* ; Headache Disorders ; Headache Disorders, Primary ; Headache* ; Migraine Disorders ; Temporomandibular Joint Disorders ; Tension-Type Headache ; Trigeminal Autonomic Cephalalgias

Facial and head pains are common symptoms and etiology is recognized in majority of cases, However, in some instances, the complex anatomy and emotional overlay make diagnosis difficult. The key components of any differential diagnosis are thorough knowedge of the anatomy, including the neuologic and vascular distributions, and adetailed history, Closed locking of the TMJ has been ascribed to internal derangment secondary to anteromedial disk displacement without reduction. Although the true etiologic fator of disk displacement and the process of the devolopment of internal derangment have notbeen clarified, many clinical, surgical arthrographic, and arthroscopic studies support this concept of the cause. A condition of sudden, severe, and sudden, severe, and persistant limited mouth opening, which readily responds to arthrocentesis, is postulated to a vacuum between disc and fossa in the upper compartment of temporomandibular joint. This simple treatment was found to be highiy effective in restablishing normal opening and relieving pain. Thirty-four patients(39 joints) who had sudden-onset. persistent limited mouth opening were of this study. These patients who complained TMD was treated by this arthrocenthesis limited mouth opening were subjects of this study. These patients who complained TMD was treated by this arthrocenthesis. The overall improvement, as expressed in pain and dysfunction level was 74.4%, with no recurrence of severe closed lock. So the authour thinks that this arthocenthesis is simple, effective and predictable procedure.
Diagnosis ; Diagnosis, Differential ; Headache ; Humans ; Mouth ; Recurrence ; Temporomandibular Joint* ; Vacuum