Pain & Migraines - DocNeuro

Pseudotumor cerebri

Naoum P. Issa MD PhD — Fri, 15 Aug 2014 15:27:01 +0000

Pseudotumor cerebri, more correctly termed idiopathic intracranial hypertension (IIH), typically presents with headaches, transient visual obscurations, and pulsatile tinnitus. The image shows optic disc swelling, commonly called “papilledema.” This is a sign of increased intracranial pressure and presents with headaches and if chronic produces enlarged blind spots. Image attribution: “Papilledema” by Jonathan Trobe, M.D. – University […]

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Trigeminal System

Naoum P. Issa MD PhD — Mon, 01 Apr 2013 15:38:35 +0000

Peripheral Receptors The trigeminal nerve carries information all the same type of peripheral receptors as both the DC-ML and anterolateral systems. The trigeminal nerve innervates the face and mouth, and some of what we think of as taste comes from activation of the trigeminal nerve. In addition to sensing the texture of food, taste cues […]

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Tic Douloureaux

Jeffrey Waggoner MD — Fri, 15 Mar 2013 21:56:55 +0000

Trigeminal neuralgia (TGN) is a neuritis of the fifth cranial nerve, the trigeminal nerve. It is estimated to occur at a rate of 1.6 per thousand (internationally.) It occurs at a frequency roughly the same in men and women. Etiology of Tic Douloureaux Its etiology continues to be much debated. One theory proposes that peripheral […]

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Headache

Jeffrey Waggoner MD — Fri, 15 Mar 2013 21:31:31 +0000

Headaches may accompany a variety of conditions of the head or neck. Acute—acute onset headache different in character from previous headaches is a medical emergency. Differential contains elements that must all be addressed in a prompt, appropriate manner. Vascular bleed (brain aneurysm)—presents with an acute, severe headache, a stiff neck, but no fever. Sometimes, patient […]

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Migraine Headaches

Jeffrey Waggoner MD — Fri, 15 Mar 2013 21:07:47 +0000

Migraine headaches are one of the primary causes of analgesic abuse. Neurogenic peptides, such as serotonin and dopamine, have been increasingly implicated in their origin. Apparently, these vasoactive neuropeptides stimulate an inflammatory cascade that includes the release of endothelial cells, mast cells, and platelets. Serotonin receptors are thought to be the most important receptors in […]

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Facial Numbness

Jeffrey Waggoner MD — Fri, 15 Mar 2013 20:42:11 +0000

Any symptoms that center on the head and neck are magnified by the fact that this is the most highly innervated part of the human body. Thus eye pain, ear pain, mouth pain are all tolerated to a lesser degree than extremity pain. It is also true that the amount of anxiety associated with these […]

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Abortive Therapy for Migraine Headaches

Dipika Oberoi MD — Mon, 31 Dec 2012 00:43:18 +0000

Patients presenting with migraine headaches in the acute outpatient setting is common, and there are a variety of abortive therapies that can be tried. General principles of abortive therapy for migraines Severity of headaches will dictate which therapy will be most effective. Abortive therapy is likely to be most effective if given early in […]

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Trigeminal Neuralgia

Jeffrey Waggoner MD — Sat, 22 Dec 2012 21:26:45 +0000

A facial pain syndrome characterized by paroxysms of pain involving areas innervated by one or more sensory branches of the trigeminal nerve (CN V). Clinical features of trigeminal neuralgia Pain is usually described as sharp, stabbing, or “electric shock-like” and can last from seconds to minutes. Patient may report particular activities which trigger paroxysms of pain. Some […]

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