Latest & greatest articles for headache

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Top results for headache

1. gammaCore for cluster headache

gammaCore for cluster headache gammaCore for cluster headache Medical technologies guidance Published: 3 December 2019 www.nice.org.uk/guidance/mtg46 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected (...) , and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. gammaCore for cluster headache (MTG46) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2019 National Institute for Health and Clinical Excellence - Medical technologies

2. Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm: A Systematic Review and Meta-Analysis

Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm: A Systematic Review and Meta-Analysis Background and Purpose- While unruptured intracranial aneurysms may be discovered incidentally in the workup of chronic headache, it remains unclear whether their treatment ultimately impacts headache severity. We aim to conduct a systematic review and meta-analysis assessing headache severity after treatment of unruptured intracranial aneurysm. Methods- MEDLINE and EMBASE were (...) systematically reviewed. Results- Data from 7 studies met inclusion criteria (309 nonduplicated patients). The standard mean difference in pre- and post-intervention headache severity was estimated at -0.448 (95% CI, -0.566 to -0.329) under a random effects model. No significant heterogeneity was noted nor was any significant publication bias demonstrated. Conclusions- This is the first systematic review assessing postoperative headache severity following treatment of unruptured intracranial aneurysm. While

2019 EvidenceUpdates

3. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache This clinical policy from the American College of Emergency Physicians addressed key issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical (...) questions: (1) In the adult emergency department patient presenting with acute headache, are there risk-stratification strategies that reliably identify the need for emergent neuroimaging? (2) In the adult emergency department patient treated for acute primary headache, are nonopioids preferred to opioid medications? (3) In the adult emergency department patient presenting with acute headache, does a normal noncontrast head computed tomography scan performed within 6 hours of headache onset preclude

2019 EvidenceUpdates

4. Acupuncture for migraine headaches

Acupuncture for migraine headaches Acupuncture for migraine headaches Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Acupuncture for migraine headaches View/ Open Date 2010-04 Format Metadata Abstract Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management

2019 Clinical Inquiries

5. Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society

Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society To provide evidence-based recommendations for the acute symptomatic treatment of children and adolescents with migraine.We performed a systematic review of the literature and rated risk of bias of included studies according to the American Academy (...) , acetaminophen (in children and adolescents), and triptans (mainly in adolescents) for the relief of migraine pain, although confidence in the evidence varies between agents. There is high confidence that adolescents receiving oral sumatriptan/naproxen and zolmitriptan nasal spray are more likely to be headache-free at 2 hours than those receiving placebo. No acute treatments were effective for migraine-related nausea or vomiting; some triptans were effective for migraine-related phonophobia

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2019 EvidenceUpdates

6. Occipital nerve stimulation for medically refractory chronic cluster headache

Occipital nerve stimulation for medically refractory chronic cluster headache Occipital nerve stimulation - Health Technology Wales > Occipital nerve stimulation Occipital nerve stimulation Topic Status Incomplete Occipital nerve stimulation for medically refractory chronic cluster headache. Summary Health Technology Wales researchers searched for evidence on the use of occipital nerve stimulation (ONS) for the treatment of medically refractory chronic cluster headaches. Based on the evidence

2019 Health Technology Wales

7. Practice guideline update summary: Pharmacologic treatment for pediatric migraine prevention: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society

Practice guideline update summary: Pharmacologic treatment for pediatric migraine prevention: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society To provide updated evidence-based recommendations for migraine prevention using pharmacologic treatment with or without cognitive behavioral therapy in the pediatric population.The authors systematically reviewed literature from January 2003 (...) to August 2017 and developed practice recommendations using the American Academy of Neurology 2011 process, as amended.Fifteen Class I-III studies on migraine prevention in children and adolescents met inclusion criteria. There is insufficient evidence to determine if children and adolescents receiving divalproex, onabotulinumtoxinA, amitriptyline, nimodipine, or flunarizine are more or less likely than those receiving placebo to have a reduction in headache frequency. Children with migraine receiving

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2019 EvidenceUpdates

8. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache 1 1 2 Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the 3 Emergency Department With Acute Headache 4 Approved by the ACEP Board of Directors, June 26, 2019 5 6 7 From the American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on 8 Acute Headache: 9 10 Steven A. Godwin, MD (...) Liaison, Clinical Policies Committee and Subcommittee on Acute Headache 50 Rhonda R. Whitson, RHIA, Staff Liaison, Clinical Policies Committee 51 52 53 54 2 ABSTRACT 55 56 This clinical policy from the American College of Emergency Physicians addressed key issues in the evaluation 57 and management of adult patients presenting to the emergency department with acute headache. A writing 58 subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer 59

2019 American College of Emergency Physicians

9. Trial of Galcanezumab in Prevention of Episodic Cluster Headache. (PubMed)

Trial of Galcanezumab in Prevention of Episodic Cluster Headache. Episodic cluster headache is a disabling neurologic disorder that is characterized by daily headache attacks that occur over periods of weeks or months. Galcanezumab, a humanized monoclonal antibody to calcitonin gene-related peptide, may be a preventive treatment for cluster headache.We enrolled patients who had at least one attack every other day, at least four total attacks, and no more than eight attacks per day during (...) a baseline assessment, as well as a history of cluster headache periods lasting at least 6 weeks, and randomly assigned them to receive galcanezumab (at a dose of 300 mg) or placebo, administered subcutaneously at baseline and at 1 month. The primary end point was the mean change from baseline in the weekly frequency of cluster headache attacks across weeks 1 through 3 after receipt of the first dose. The key secondary end point was the percentage of patients who had a reduction from baseline of at least

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2019 NEJM Controlled trial quality: predicted high

10. Headache

Headache Date of origin: 1996 Last review date: 2013 ACR Appropriateness Criteria ® 1 Headache American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Headache Variant 1: Chronic headache. No new features. Normal neurologic examination. Radiologic Procedure Rating Comments RRL* MRI head without and with IV contrast 4 O MRI head without IV contrast 4 O CT head without IV contrast 3 ??? CT head without and with IV contrast 3 ??? CT head with IV contrast 3 ??? MRA head (...) without and with IV contrast 2 O MRA head without IV contrast 2 O Arteriography cervicocerebral 2 ??? CTA head with IV contrast 2 ??? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Chronic headache with new feature or neurologic deficit. Radiologic Procedure Rating Comments RRL* MRI head without and with IV contrast 8 O MRI head without IV contrast 7 O CT head without IV contrast 7 ??? CT head without and with IV

2019 American College of Radiology

11. Acupuncture for migraine headaches

Acupuncture for migraine headaches Acupuncture for migraine headaches Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Acupuncture for migraine headaches View/ Open Date 2010-04 Format Metadata Abstract Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management

2019 Clinical Inquiries

12. Intravenous Fluid for the Treatment of Emergency Department Patients With Migraine Headache: A Randomized Controlled Trial

Intravenous Fluid for the Treatment of Emergency Department Patients With Migraine Headache: A Randomized Controlled Trial The objective of this pilot study is to assess the feasibility and necessity of performing a large-scale trial to measure the effect of intravenous fluid therapy on migraine headache pain.This was a single-center, pilot randomized controlled trial. We randomized adult emergency department migraine headache patients to receive 1 L of normal saline solution during 1 hour

2019 EvidenceUpdates

13. Atraumatic needles reduce headaches following lumbar puncture

Atraumatic needles reduce headaches following lumbar puncture Atraumatic needles reduce headaches following lumbar puncture Discover Portal Discover Portal Atraumatic needles reduce headaches following lumbar puncture Published on 17 April 2018 doi: Use of atraumatic needles rather than conventional needles for lumbar puncture more than halves the rate of post-procedure headache. Moreover, this improvement does not come at the expense of procedure success rates. Lumbar puncture involves (...) inserting a needle in the lower back into the spinal canal to collect cerebrospinal fluid for diagnosis, or to inject a treatment or anaesthetic into it. A common side effect is a headache, often from leakage of fluid from the puncture. Atraumatic needles leave a smaller puncture. After piercing the skin with an introducer needle, the atraumatic needle is inserted through the introducer. This spreads apart the fibres of the canal lining rather than cutting through it with a conventional needle

2019 NIHR Dissemination Centre

14. Paracetamol is a weak painkiller for regular tension headaches

Paracetamol is a weak painkiller for regular tension headaches Paracetamol is a weak painkiller for regular tension headaches Discover Portal Discover Portal Paracetamol is a weak painkiller for regular tension headaches Published on 13 September 2016 doi: Paracetamol is only slightly more effective than dummy tablets (placebo) at relieving pain in people who experience regular tension-type headaches. A Cochrane review found that 24 out of 100 people who took paracetamol for regular tension (...) -type headaches were pain free at two hours, compared with 19 out of 100 who took an inactive placebo. There was no difference in risk of side effects between paracetamol and placebo. Paracetamol is a cheap drug that is readily available over-the-counter. Because serious side effects are so uncommon and the “placebo effect” is so strong, this drug could be considered as an option for treating regular tension-type headache for people who find that it helps them. However, clinicians treating regular

2019 NIHR Dissemination Centre

15. Occipital nerve stimulation (ONS) for non-migrainous chronic headaches : a systematic review protocol

Occipital nerve stimulation (ONS) for non-migrainous chronic headaches : a systematic review protocol Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web

2019 PROSPERO

16. The differences of the pericranial Total Tenderness Score in patients with migraine, tension-type headache, cervicogenic headache and healthy controls. A systematic review

The differences of the pericranial Total Tenderness Score in patients with migraine, tension-type headache, cervicogenic headache and healthy controls. A systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation

2019 PROSPERO

17. The incidence of post-dural puncture headache in the obese parturient compared to the non-obese parturient after an accidental dural puncture: systematic review protocol

The incidence of post-dural puncture headache in the obese parturient compared to the non-obese parturient after an accidental dural puncture: systematic review protocol Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

18. Efficacy of tuina in the management of cervical headache: a systematic review and meta-analysis

Efficacy of tuina in the management of cervical headache: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

19. Non-invasive vagus nerve stimulation for headache

Non-invasive vagus nerve stimulation for headache Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith

2019 PROSPERO

20. Protocol for a comparison of therapies for cluster headache systematic review, updated meta-analysis, and network meta-analysis of medication effect by class (acute and preventative) and by headache subtype (episodic and chronic)

Protocol for a comparison of therapies for cluster headache systematic review, updated meta-analysis, and network meta-analysis of medication effect by class (acute and preventative) and by headache subtype (episodic and chronic) Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate

2019 PROSPERO