Patent foramen ovale in trigeminal autonomic cephalalgias and hemicrania continua: a non-specific pathophysiological occurrence?

Amaral, Vanise Campos Gomes; Freitas, Gabriel R. de; Rodrigues, Bruno; Christoph, Daniel de Holanda; Pinho, Carlos A. de; Góes, Cristiana de Faria P; Vincent, Maurice

doi:10.1590/s0004-282x2010000400028

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…It is also worth saying that MA patients have higher prevalence of PFO than the rest of the population 40,41 . Our group also found an increased incidence of PFO in patients with trigeminal autonomic cephalalgias and hemicrania continua 42 . Therefore, could PFO not only play a role as a trigger for MA attacks, but also could it possibly be a causative factor for infarcts?…”

Section: Patent Foramen Ovale: Should We Close the Question?supporting

confidence: 73%

Migraine patients should be cautiously followed for risk factors leading to cardiovascular disease

Silva

Freitas

2013

Arq. Neuro-Psiquiatr.

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Migraine and ischemic strokes (IS) are two of the most prevalent diseases worldwide. Around 12 to 21% of women suffer migraine attacks and 2 in 1,000 per year people (older than 65 years-old) will have an acute ischemic stroke [1][2][3] . Therefore, frequently, neurologists and emergency medicine personnel face the challenge of dealing with symptoms that could be attributed to both pathologies, or even struggling to decide the best tests and therapy for the patient. Besides having some coincident symptomatology, for long researchers have been searching for a possible causal relation between these diseases, however the overlap of some risk factors makes the road even more tortuous. The aim of this review was not only to dissect some of the more compelling evidence based on data regarding this association, but also to discuss on how it would impact the clinical practice. We approached the subject in a problem-based fashion, discussing four of the most intriguing questions about the matter, always focusing on the clinical implications. In the end, we have introduced some diagnostic and therapeutic clinical pearls, presenting a stepped approach to difficult cases. CAN MIGRAINE BE A VASCULAR RISK FACTOR?The question about migraine being a risk factor for IS has been asked in several previous studies for the past half century. Two cohort studies 4,5 and three meta-analysis 6-8 consistently reported doubled risk for IS among migraine patients, with more robust evidence among young female patients with associated aura. This interesting observation would make us ABSTRACTMigraine and ischemic strokes are two of the most prevalent diseases worldwide. Besides having a coincident symptomatology, for long researchers have been searching for a possible causal relation between these diseases. Current evidence based on data suggest that patients with aura migraine could have a doubled risk of developing an ischemic stroke, when compared to the rest of the population. At the same time, migraine sufferers apparently have higher incidences of risk factors for cardiovascular events. The aim of this review was not only to dissect some of the more compelling evidence based on data regarding this association, but also to discuss the possible clinical and therapeutic implications.Key words: brain ischemia, cerebrovascular disorders, migraine, stroke. RESUMOMigrânea e acidentes vasculares cerebrais isquêmicos (AVCI) são duas das doenças de maior prevalência em todo o mundo. Além de apresentarem alguns sintomas em comum, há muito tempo pesquisadores procuram investigar uma relação causal entre as duas. As informações atuais baseadas em evidência sugerem que pacientes com migrânea com aura podem ter um risco duas vezes maior de desenvolver AVCI, quando comparados com o restante da população. Ao mesmo tempo, aqueles sofrem de migrânea possuem aparentemente maior incidência de fatores de risco para eventos cardiovasculares. O objetivo desta revisão foi não apenas avaliar grande parte das mais importantes e convincentes evidências científica...

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Section: Patent Foramen Ovale: Should We Close the Question?supporting

confidence: 73%

Migraine patients should be cautiously followed for risk factors leading to cardiovascular disease

Silva

Freitas

2013

Arq. Neuro-Psiquiatr.

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“…Amaral et al 10 described a higher prevalence of patent foramen ovale in patients with HC or TACs, suggesting a possible, but not yet clarified, pathophysiological relationship.…”

Section: Etiology and Pathophysiologymentioning

confidence: 99%

“…There are few published case reports showing secondary causes for patients with clinical diagnosis of HC. These reports include post-traumatic hemicrania, hemicrania associated with surgery, unruptured intracranial aneurysms, organ transplant, temporomandibular joint dysfunction, cervical disc herniation, intracranial tumors and HIV infection [10][11][12][13][14][15] .…”

Section: Etiology and Pathophysiologymentioning

confidence: 99%

Tratamento da hemicrania contínua: série de casos e revisão da literatura

Moura¹,

Bezerra²,

Fleming³

2012

Rev. Bras. Anestesiol.

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HC should be considered among the diagnostic hypotheses of patients with continuous headache, with no change in neurological examination and additional tests, regardless the age of onset. The standard treatment with indomethacin (100-150mg.day(-1)) has significant risks associated with both short and long term use and may not be a good choice for continuous use. Recent studies point out possible alternatives: gabapentin, topiramate, cyclooxygenase-2 inhibitors, piroxicam, beta-cyclodextrin, amitriptyline, melatonin. Other drugs were described in different reports as efficient, but most of them were considered inefficient in other HC cases.

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“…In Rio de Janeiro, São Paulo, Paraná, Santa Catarina, and Rio Grande do Sul, there are several centers dealing with headache disorders and an excellent scientific production has been made by a number of headache specialists, mentioning Abouch Krymchantowski, Carla da Cunha Jevoux, Maurice Vincent, Pedro Ferreira Moreira Filho, Jano Alves de Souza, Maria Eduarda Nobre in Rio de Janeiro; Celia P. Roesler, Deusvenir de Souza Carvalho, Eliova Zukerman, Mario Fernando Prieto Peres,…”

Section: Publications In Headache Medicinementioning

confidence: 99%

“…In Rio de Janeiro, São Paulo, Paraná, Santa Catarina, and Rio Grande do Sul, there are several centers dealing with headache disorders and an excellent scientific production has been made by a number of headache specialists, mentioning Abouch Krymchantowski, [217][218][219][220][221][222][223][224][225][226]234,287,[350][351][352][353][354][355] Carla da Cunha Jevoux, 46,204,213,214,223,224,264,265,293,[296][297][298]300,302,303,356 Maurice Vincent, [93][94][95][96][97][98]101,102,104,189,[274][275][276][277]…”

Section: Publications In Headache Medicinementioning

confidence: 99%

Headache Research and Medical Practice in Brazil: An Historical Overview

2015

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Since the creation of the Brazilian Headache Society in 1978, substantial developments have taken place in both research and clinical practice in the field of headache medicine in Brazil. The Society now has almost 300 members throughout the country, actively working to improve the health of the general population and, in particular, diagnose and treat headache disorders. In addition, in a few large cities, such as São Paulo, Rio de Janeiro, Recife, Ribeirão Preto, Curitiba, and Porto Alegre, headache specialists have come together to promote research projects and increase knowledge in the field through MSc, PhD, and postdoctoral programs. Furthermore, scientific journals have emerged and books have been published to record and disseminate Brazilian scientific production in headache medicine. In this narrative review, we will briefly describe some important aspects of headache medicine in Brazil from prehistoric times to the present day, discuss the origin of headache medicine as a specialty in Brazil, the principal publications dealing with headache disorders, the use of plants and other unconventional forms of treatment used by faith healers, the main training centers, and the research produced to date by Brazilians. In conclusion, in recent years enormous progress has been made in headache medicine in Brazil stimulating us to review and expand our role in an increasingly international scenario.

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Patent foramen ovale in trigeminal autonomic cephalalgias and hemicrania continua: a non-specific pathophysiological occurrence?

Cited by 5 publications

References 31 publications

Migraine patients should be cautiously followed for risk factors leading to cardiovascular disease

Migraine patients should be cautiously followed for risk factors leading to cardiovascular disease

Tratamento da hemicrania contínua: série de casos e revisão da literatura

Headache Research and Medical Practice in Brazil: An Historical Overview

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