The French Headache Society proposes updated French guidelines for the management of migraine. This article presents the second part of the guidelines, which is focused on the pharmacological treatment of migraine, including both the acute treatment of attacks and the prophylaxis of episodic migraine as well as chronic migraine with and without medication overuse. The specific situations that can be encountered in women with migraine are also discussed, including pregnancy, menstrual migraine, contraception and hormonal replacement therapy.
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| http://dx.doi.org/10.1016/j.neurol.2021.07.006 | DOI Listing |
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Analysis of healthcare utilization before the diagnosis of radiologically isolated syndrome.
Mult Scler
January 2025
Rennes University, EHESP, CNRS, Inserm, ARENES UMR 6051, RSMS U 1309, Rennes, France.
Background: Previous studies have shown that people with multiple sclerosis (MS) had frequent healthcare visits up to 10 years before being diagnosed but with no information from magnetic resonance imaging (MRI) scans of the connection with the radiologically isolated syndrome (RIS).
Objective: To analyze healthcare use 3 years before the RIS diagnosis.
Methods: We examined healthcare usage before the first scan in RIS cases from 2010 to 2019.
Iatrogenic intracranial hypotension complicated to dural venous sinus thrombosis and lobar hemorrhage: A case report.
Radiol Case Rep
March 2025
Resident at Radiology Department, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan.
Iatrogenic intracranial hypotension is a known complication of spinal anesthesia that can lead to more severe conditions, such as dural or cerebral venous sinus thrombosis (CVST). This report presents a case of intracranial hypotension in a young woman after lumbar anesthesia for a cesarean section that was complicated by CVST and subsequently by lobar hemorrhage, clinically presenting with severe headache and seizures. The diagnosis was made via cerebral magnetic resonance (MR) imaging, and the patient was treated medically.
View Article and Find Full Text PDFReversible cerebral vasoconstriction syndrome in a methylphenidate-treated patient: a case report.
BMC Neurol
December 2024
Pharmacovigilance, Pharmacoepidemiology and Drug Information Centre, Department of Clinical Pharmacology, Rennes University Hospital, Rennes, 35033, France.
Background: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headaches, often thunderclap headaches, and a multifocal constriction of the cerebral arteries. Although RCVS can occur spontaneously, some cases occur after exposure to drugs. We describe the first case of RCVS in which methylphenidate, a drug with vasoconstrictive properties, is the only suspected drug.
View Article and Find Full Text PDFCommunicate your findings with graphical abstract in : Why and how?
Cephalalgia
December 2024
Department of Neurology, Hospital Universitario Rio Hortega, Valladolid, Spain.
[Transient perivascular inflammation of the carotid artery : a rare cause of neck pain].
Rev Med Suisse
December 2024
Service d'angiologie et d'hémostase, Département de médecine, Hôpitaux Universitaires de Genève, 1211 Genève 14.
Article Synopsis
- Transient Perivascular Inflammation of the Carotid artery (TIPIC), previously called idiopathic carotidynia or Fay syndrome, is a rare condition marked by inflammation and pain in the carotid artery.
- Diagnosis of TIPIC relies on a distinct combination of clinical symptoms and imaging results, making it essential to recognize for effective treatment.
- The article illustrates the syndrome using a case study of a 37-year-old woman who experienced headaches and left neck pain, ultimately leading to her TIPIC diagnosis.
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