The Role of the Physical Examination in the Evaluation of Headache

Donohoe, Charles D.

doi:10.1016/j.mcna.2012.12.010

Cited by 14 publications

(5 citation statements)

References 18 publications

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“…Papilledema may lead to diagnostic difficulties in its different stages. It should be differentiated from optic neuropathies and structural abnormalities of the optic disc, known as pseudopapilledema (9). Papilledema can take several days to develop; therefore, it is not a sensitive marker of raised ICP in the acute setting.…”

Section: Discussionmentioning

confidence: 99%

Confirmation of Elevated Intracranial Pressure in Arrested Hydrocephalus by Optic Nerve Ultrasonography

Köksal¹,

Yavaşı²,

Kayayurt³

et al. 2015

JAEMCR

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Introduction: Arrested hydrocephalus is a state of chronic hydrocephalus with mild dilatation of the ventricles in which the cerebrospinal fluid pressure has returned to normal, and there is no pressure gradient between the cerebral ventricles and brain parenchyma. Case Report: In this case report, we present a 37-year-old female patient who was admitted to emergency department with complaints of headache, photophobia, and recurrent vomiting. She had been diagnosed with arrested hydrocephalus 5 years ago and was being followed radiologically since. Ocular ultrasonography was successfully utilized to assess and diagnose acute exacerbation of hydrocephalus. Conclusion: Patients who are presumably assumed to have arrested hydrocephalus may experience an episode of hydrocephalus in any period of life. Ultrasonography can serve as a reliable tool in monitoring hydrocephalus; more specifically, sonographic visualization of the optic nerve sheath diameter may help to confirm increased intracranial pressure in such cases. ÖZETGiriş: Arrest hidrosefali, beyin-omurilik sıvı basıncının normale döndüğü ve serebral ventriküller ile beyin parenkimi arasında basınç gradiyentinin olmadığı, hafif ventrikül genişlemesinin eşlik ettiği bir kronik hidrosefali durumudur. Olgu Sunumu: Bu olgu sunumunda, acil servise başağrısı, fotofobi ve tekrarlayan kusma ile başvuran 37 yaşında bir kadın hastayı sunmaktayız. Hasta beş yıl önce arrest hidrosefali tanısı almış ve o zamandan beri radyolojik olarak takip edilmekteydi. Hidrosefalinin akut alevlenmesini değerlendirmek ve tanı koymak için göz ultrasonografisi başarılı bir şekilde kullanıldı. Sonuç: Arrest hidrosefali farzedilen hastalar hayatlarının herhangi bir döneminde hidrosefali atağı geçirebilirler. Ultrasonografi, hidrosefalinin izlenmesinde güvenilir bir araç olarak görev alabilir, özellikle de, optik sinir kılıf çapının sonografik olarak görülmesi, bu vakalarda intrakraniyel basınç artışının doğrulanmasına yardımcı olabilir.

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Section: Discussionmentioning

confidence: 99%

Confirmation of Elevated Intracranial Pressure in Arrested Hydrocephalus by Optic Nerve Ultrasonography

Köksal¹,

Yavaşı²,

Kayayurt³

et al. 2015

JAEMCR

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“…Recalling the anatomy of the trigeminal nerve, 2 and considering that the ophthalmic branch of the trigeminal nerve (V1) innervates the structures in and around the eye (in particular the meninges), it is important to assess trigeminal function carefully 1 . This assessment will allow accurate localization and guide the differential diagnosis and further testing.…”

Section: General Examinationmentioning

confidence: 99%

Headache and the Eye

Frishberg

2015

Headache and Migraine Biology and Management

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“…Although primary headache disorders make up the majority of headaches presenting to clinicians, it can be difficult to effectively identify a primary headache disorder from a secondary headache disorder without the presence of Bred flags^in the history or an abnormal neurologic exam. Examples of red flags are as follows [9][10][11][12][13][14][15][16][17][18][19] Although imaging studies can cause harm by exposing patients to potentially harmful radiation and increasing the cost of care, they can also exclude or identify high-risk pathology and help alleviate patient anxiety. From a research standpoint, emerging techniques such as functional magnetic resonance imaging (MRI), positron emission tomography (PET) scans, and voxel-based morphometry (VBM) can help us understand the pathophysiology behind certain headache disorders.…”

Section: Introductionmentioning

confidence: 99%

Appropriate Use of Neuroimaging in Headache

Kuruvilla

Lipton

2015

Curr Pain Headache Rep

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Headache may be caused by primary disorders, such as migraines, or secondary disorders, such as intracranial neoplasm or hemorrhage. Imaging plays an important role in differentiating between primary and secondary headache disorders. This article reviews the effectiveness of computed tomography (CT) and magnetic resonance imaging (MRI) in the evaluation of a patient with a headache. It also discusses the utility and cost-effectiveness of performing imaging studies in patients with a headache and a normal neurological exam. Emerging imaging techniques such as functional MRI, positron emission tomography (PET) scans, and voxel-based morphometry (VBM) are also discussed.

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The Role of the Physical Examination in the Evaluation of Headache

Cited by 14 publications

References 18 publications

Confirmation of Elevated Intracranial Pressure in Arrested Hydrocephalus by Optic Nerve Ultrasonography

Confirmation of Elevated Intracranial Pressure in Arrested Hydrocephalus by Optic Nerve Ultrasonography

Headache and the Eye

Appropriate Use of Neuroimaging in Headache

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