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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A syndrome of headache, fatigue, dizziness, paresthesias, chest pain, palpitations and visual disturbances was associated with chronic occult carbon monoxide exposure in 26 patients in a primary care setting. A causal association was supported by finding a source of carbon monoxide in a patient's home, workplace or vehicle; results of screening tests that ruled out other illnesses; an abnormally high carboxyhemoglobin level in 11 of 14 patients tested, and abatement or resolution of symptoms when the source of carbon monoxide was removed. Exposed household pets provided an important clue to the diagnosis in some cases. Recurrent occult carbon monoxide poisoning may be a frequently overlooked cause of persistent or recurrent headache, fatigue, dizziness, paresthesias, abdominal pain, diarrhea and unusual spells.
West J Med 1987 Jan
PMID:Occult carbon monoxide poisoning. 382 10

Lyme disease is a tick-borne illness that has been reported from three regions in the United States--the Northeast, Midwest, and West--which correspond to the distribution of the recognized vectors of the disease, Ixodes dammini and Ixodes pacificus. In 1982, a surveillance system designed to define the morbidity and geographic distribution for Lyme disease by using a clinical case definition received information on 491 definite cases and 38 probable cases. Of the definite cases, 489 were acquired in endemic areas of the Northeast or Midwest; one case was acquired in Utah and one in western Pennsylvania, two areas where the illness had not been previously reported. Three states that previously had not reported cases of Lyme disease (Kentucky, Indiana, Montana) reported probable cases. In 37% of the definite cases, the patients had neurological symptoms (most commonly reported was headache with stiff neck, suggestive of meningitis), 10% cardiac symptoms (most commonly reported was palpitations), and 54% arthritic symptoms (most commonly reported in large joints). The occurrence of Lyme disease in areas outside the currently recognized endemic regions, as well as the recent description of Amblyomma americanum as a probable vector, suggest that additional vectors may be described in the future.
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PMID:Surveillance of Lyme disease in the United States, 1982. 399 9

A group of 16 cauliflower workers poisoned by residues of the organophosphate insecticides mevinphos and phosphamidon was followed in weekly clinics with interviews and determinations of plasma and erythrocyte cholinesterase levels. None had preexposure baseline values. Although six had initial erythrocyte cholinesterase values within the laboratory normal range, subsequent testing showed their erythrocyte activity had been significantly inhibited. While the most severe symptoms of the 16 subjects resolved after 28 days, their erythrocyte cholinesterase levels did not reach a plateau until an average of 66 days after exposure, after which most patients continued to report blurred vision, headache, weakness or anorexia. These findings support the view that the diagnostic utility of single cholinesterase levels is limited in the absence of baseline values.
West J Med 1985 Apr
PMID:Clinical management of field worker organophosphate poisoning. 401 66

Spondweni virus is a mosquito-borne flavivirus previously reported to cause human disease in Southern and West Africa. A serologically confirmed case of Spondweni virus infection in a U.S. citizen residing in Upper Volta is reported. Symptoms included fever, chills, headache, myalgia, nausea, and rash. A greyish mucoid lining was present on the posterior pharynx. The differential diagnosis included rickettsial infection, leptospirosis, typhoid fever, and numerous viral illnesses including Lassa fever. Evidence of Spondweni virus infection was also found in two other U.S. citizens residing in Gabon and Cameroon. Spondweni virus might be a cause of acute febrile illness throughout West Africa, and its presence should be considered in the differential diagnosis of febrile illness and in antibody surveys in that region.
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PMID:Spondweni virus infection in a foreign resident of Upper Volta. 612 99

In 1983, 949 cases of acute non-fatal illness consisting of headache, dizziness, blurred vision, abdominal pain, myalgia, and fainting occurred in the West Bank. Physical examination and biochemical tests were otherwise normal. There was no common exposure to food, drink, or agricultural chemicals among those affected. No toxins were consistently present in patients' blood or urine. Hydrogen sulphide gas was detected in low concentrations (40 parts per billion) at the site of the first outbreak. No other environmental toxins were found. The illness was thus of psychological origin and possibly triggered by the smell of hydrogen sulphide.
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PMID:The Arjenyattah epidemic. Home interview data and toxicological aspects. 614 May 60

Glycosaminoglycan polysulfate (GAGPS = Arteparon) is used for the treatment of degenerative joint diseases; it inhibits enzymes that dissociate ground substance, e.g. hyaluronidase, beta-glucuronidase, and acid phosphatase. In turn, an improved synthesis of hyaluronate from the synovial lining cells to hyaluronic acid increases viscosity (Verbruggen and Veys 1977). From January 1975 to December 1979, in the Orthopedic Division of the Clinic "St. Elizabeth" in Saarlouis, West-Germany, we treated 754 patients with a total of approximately 8000 intra-articular injections of Arteparon. The problem with drugs influencing the metabolism of joint cartilage is that the results cannot - for obvious reasons - be as conspicuous as e.g. with corticoid injections, although the latter sometimes involve also marked side-effects. After several courses of therapy, on the other hand, the cartilage-protective effect of Arteparon becomes apparent, with an effect lasting for several months. The indications to include the patients into our study were: arthrosis and other cartilage disorders that had been diagnosed prior to onset of therapy by means of either X-ray, surgery, arthrography etc. Therapeutic results were measured by the parameters: subsidence of pain, recession of edema, improved joint motion, etc. Arteparon, applied intra-articularly, was well tolerated; local irritation, and swelling of the treated joints were reported in only 4.7% of the treated cases; the therapeutic overall result was good. Occasionally, a case of headache was observed, however, no case of joint infection was reported.
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PMID:[Clinical studies of intra-articular injections of Arteparon. Retrospective study following the treatment of 754 patients]. 621 39

Three cases of meningoencephalitis caused by the West Nile virus in young people are described. All patients had high fever, severe headaches, and meningeal irritation. One patient had papillitis and a maculopapular rash. Lymphadenopathy, which is a common finding in West Nile fever, was not found in any of our patients. Duration of the disease was one to two weeks, and recovery was complete. Cerebrospinal fluid examination revealed an increase in protein and pleocytosis (predominantly polymorphonuclears). We believe that West Nile encephalitis is not rare in Israel.
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PMID:West Nile fever encephalitis. 627 25

Polymyalgia rheumatica is a relatively common syndrome of older patients, mostly white, manifested by aching and morning stiffness of the pelvic and shoulder girdles and accompanied by a rapid erythrocyte sedimentation rate. The symptoms are due to a synovitis, which is mild, nondestructive and very responsive to low-dose steroid treatment, which may need to be continued for several years. Temporal arteritis, which may accompany polymyalgia, can present as headache, loss of vision, diplopia or jaw claudication. To suppress arterial inflammation and preserve vision, administration of prednisone, 50 mg a day for one month, is recommended, following which the dose is tapered according to the symptoms, not the sedimentation rate.
West J Med 1984 Jul
PMID:Polymyalgia rheumatica and giant cell arteritis. 647 43

Chronic paroxysmal Hemicrania (CPH) is a headache syndrome first described in 1974. Since then about 60 cases have been reported in the world literature. CPH is characterised by headache attacks occurring daily and always strictly unilaterally. The frequency of the attacks varies from 5 to 30 per 24 hours, the single attack having an usual length of 2 to 30 minutes. The prompt response to indomethacin is the decisive diagnostic criterion of this headache syndrome. The clinical picture, the treatment, some aspects of the pathogenesis and the differential diagnosis of CPH are described by means of case reports. To our knowledge these are the first four cases reported in West Germany.
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PMID:[Chronic paroxysmal hemicrania. A review based on personal cases]. 648 62

A case report of a 20-year old nulliparous woman who developed a stroke after taking the oral contraceptive (OC) pill Niroday (norethindrone 1 mg and mestranol .05mg) for 2 years is presented. The patient was admitted to the University Hospital in Jamaica after falling and losing power in the right arm and leg. She was a nonsmoker in good general health and had never previously been hospitalized. She was conscious with mild dysphasia when examined and complained of severe generalized headaches. There was grade 1 power in the right arm and leg, and an upper motor neurone right facial palsy. The left plantar response was down-going and the right equivocal. Fundoscopy was normal. Most clinical findings were normal, but a left Carotid angiogram showed complete occlusion of the middle cerebral artery at its origin and later films showed a good collateral circulation from the anterior cerebral vessels in particular. The patient was treated with a low dose aspirin and the OCs were discontinued. Physiotherapy was instituted and continued on an outpatient basis on her discharge 3 weeks after admission with grade 3 power in the right leg and grade 2 in the right arm. After careful exclusion of other known causes of stroke, the evidence, supported by data from the literature, points to the contraceptive pill as the causative factor in the development of the thrombotic stroke. The widespread use of OCs in the Caribbean should alert clinicians to the possibility of future cases, and women at risk should use other forms of contraception.
West Indian Med J 1983 Sep
PMID:Oral contraception and cerebral thrombosis in a Jamaican. 663 26


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