Is there a place for acupuncture in migraine prevention?

Acupuncture for the prevention of episodic migraine Linde K, Allais G, Brinkhaus B, et al. Cochrane Database Syst Rev 2016; 6:CD001218. Abstract BACKGROUND: Acupuncture is often used for migraine prevention but its effectiveness is still controversial. We present an update of our Cochrane review from 2009. OBJECTIVES: To investigate whether acupuncture is a) more effective… Read More Is there a place for acupuncture in migraine prevention?

Is migraine a risk factor for cervical artery dissection?

Association between migraine and cervical artery dissection: the Italian project on stroke in young adults De Giuli V, Grassi M, Lodigiani C, et al; Italian Project on Stroke in Young Adults Investigators. JAMA Neurol 2017; 74:512-518. Abstract IMPORTANCE: Although sparse observational studies have suggested a link between migraine and cervical artery dissection (CEAD), any association… Read More Is migraine a risk factor for cervical artery dissection?

What is the recommended emergency room treatment of migraine?

Management of adults with acute migraine in the emergency department: The American Headache Society Evidence Assessment of Parenteral Pharmacotherapies. Orr SL, Friedman BW, Christie S, et al. Headache 2016; 56:911-940. Abstract OBJECTIVE: To provide evidence-based treatment recommendations for adults with acute migraine who require treatment with injectable medication in an emergency department (ED). We addressed… Read More What is the recommended emergency room treatment of migraine?

What are the most important neurological conundrums of pregnancy?

Neurologists are often slightly nervous when their patients start planning a family. It’s even worse when the patients fall pregnant–unexpectedly. This is because neurologists need super thinking hats not only to anticipate the potential impact of pregnancy on their patients neurology, but also to preempt the adverse effects of neurological treatments on the developing baby. The nervousness… Read More What are the most important neurological conundrums of pregnancy?

Are triptans safe for treatment of migraine in pregnancy?

Pregnancy outcome after anti-migraine triptan use: a prospective observational cohort study Spielmann K, Kayser A, Beck E, Meister R, Schaefer C Cephalalgia 2017; 1:333102417724152   Abstract Objective The objective of our study is to assess the impact of triptan exposure on pregnancy outcome. Methods We performed a prospective observational cohort study with 432 pregnant women… Read More Are triptans safe for treatment of migraine in pregnancy?

What are the distinctive features of headache in subarachnoid haemorrhage?

Distinguishing characteristics of headache in nontraumatic subarachnoid hemorrhage Mac Grory B, Vu L, Cutting S, Marcolini E, Gottschalk C, Greer D. Headache 2018; 58:364-370. Abstract INTRODUCTION: Subarachnoid hemorrhage (SAH) is a life-threatening emergency that is frequently missed due to its varied and often subtle presentation. The most common presentation of SAH is with a severe… Read More What are the distinctive features of headache in subarachnoid haemorrhage?

What is the benefit of dural venous sinus stenting for IIH?

Dural venous sinus stenting for medically and surgically refractory idiopathic intracranial hypertension Satti SR, Leishangthem L, Spiotta A, Chaudry MI. Interv Neuroradiol 2017; 23:186-193. Abstract Background: Idiopathic intracranial hypertension (IIH) is a syndrome defined by elevated intracranial hypertension without radiographic evidence of a mass lesion in the brain. Dural venous sinus stenosis has been increasingly… Read More What is the benefit of dural venous sinus stenting for IIH?