Publications by authors named "Hanako Sugiyama"

Objective: To evaluate the efficacy and safety of fremanezumab for migraine prevention.

Design: Retrospective, single-center, real-world study.

Setting: Regional tertiary headache center in Japan.

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A 21-year-old woman reported continuous moderately severe headache in the right frontotemporal region, accompanied by exacerbations with cranial autonomic symptoms and restlessness. The exacerbations appeared several times a week over one to several hours. The patient was diagnosed with hemicrania continua (HC) according to the 3rd edition of the International Classification of Headache Disorders.

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A 26-year-old woman with a history of migraine reported right-sided, severe stabbing orbital pain with cranial autonomic symptoms (CASs) for approximately 2 years. The attack duration was approximately 30 minutes, with a frequency of twice per day. Taking loxoprofen was ineffective.

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A 41-year-old man was admitted with proper name anomia and headache of sudden onset. He had a history of migraine without aura from the age of 35. Neurological examination on admission showed acalculia, proper name anomia, left-right disorientation and severe left-sided headache with nausea.

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Objective: This study aimed to quantify chronological cerebral blood flow (CBF) changes using arterial spin labeling (ASL) magnetic resonance imaging in patients with reversible cerebral vasoconstriction syndrome (RCVS).

Background: Quantitative ASL analyses in RCVS have not been well described in the literature.

Methods: Quantification of ASL using an automated region-of-interest placement software and a 5-point visual scale of vasoconstriction severity was performed in five RCVS patients.

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A 9-year-old female reported left-sided, excruciatingly severe, stabbing orbital pain with cranial autonomic symptoms. The attacks continued for 1 year with a remission period of 2 months. Each attack duration was approximately 120 minutes with a frequency of two to three times a day.

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Article Synopsis
  • A 22-year-old woman was hospitalized due to severe headache and confusion that impaired her consciousness.
  • Initial tests ruled out common neurological conditions, but her symptoms persisted and varied over weeks.
  • Treatment with sodium valproate and topiramate improved her headaches and mental state, suggesting a unique form of migraine called confusional migraine that might need more research in adults.
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A 43-year-old man presented with severe, saw-tooth pattern pain around the right eye that started with conjunctival injection, lacrimation and nasal discharge, lasting for about 1 hour, 4 months after the initial onset of lancinating pain in the same area. The patient was diagnosed with SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) according to the International Classification of Headache Disorders 3rd edition (beta version). The symptoms improved in 2 months but recurred 6 months later.

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Article Synopsis
  • A patient with restless legs syndrome (RLS) experienced symptoms that varied with changes in serum ammonia levels due to chronic liver disease (CLD).
  • Medications used for liver dysfunction not only helped the liver but also improved RLS symptoms, which were only partially managed by levodopa.
  • The case suggests that chronic liver disease might be a contributing factor to RLS, highlighting the need to consider CLD when diagnosing and treating RLS.
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