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

We report epidemiologic, clinical, laboratory, and biopsy findings in 14 cases of nephropathia epidemica. The patients were between 19 and 49 years of age. The onset of the disease was characterized by high fever, nausea, headache, backache, abdominal pain, proteinuria, oliguria, hematuria, and uremia. The symptoms subsided rapidly during the polyuria phase, which followed the oliguria stage. Because of renal failure, hemodialysis was required in eight cases. Edema of eyelids, conjunctival injection and hemorrhages, transitory myopia, and acute glaucoma were the most common eye abnormalities. Renal biopsy specimens showed glomerular changes, with mild swelling of the epithelial cells of Bowman's capsule, thickening of the basement membrane of glomerular capillaries, glomerular adhesions, inflammatory cell infiltration, leukocytoclasis and hemorrhages in the interstitium, and eosinophilic hyaline degeneration and vacuolization of the epithelial cells of the proximal tubuli.
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PMID:Nephropathia epidemica. The Scandinavian form of hemorrhagic fever with renal syndrome. 1 20

Epidural blood patch (EBP) was performed for the treatment of severe postlumbar puncture cephalalgia in 118 young patients. Following the first EBP, 105 patients had relief of headache. Eleven of the 13 in whom it failed had a second EBP, with adequate relief in 10, giving an overall success of 97.5 percent. Lumbar epidural, caudal, and spinal procedures were successful in 3 patients 105 to 380 days after EBP. Soon after EBP, one patient developed facial paralysis and one complained of episodes of vertigo, dizziness, tinnitus, and ataxia without headaches. Residual complications included backache and/or back stiffness in 22 patients and paresthesia in two. Two-year follow-up revealed 95 percent patient acceptance of the procedure. EBP was found to be a safe, effective method for treating severe postlumbar puncture cephalalgia, provided a proper diagnosis is made and there is no contraindication.
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PMID:Long-term follow-up of epidural blood patch. 2848 38

Aching bony pains were prominent in six of 144 cases of secondary syphilis. These pains included headache, backache, aching pains in the limbs, and chest pains. The cause of some of these pains is not clear, but it is important to recognize that secondary syphilis may present with a variety of pains.
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PMID:Bony symptoms in secondary syphilis. 13 24

Based on the assumption that there is a correlation between myofascial pain dysfunction (MPD), headache and/or back pain, this study intended to assess the occurrence of MPD among persons reporting pain in their head or back. Another main purpose was to measure the response to an offer of free examination of teeth and jaws and, if needed, also free treatment of TMJ-disorder. In an electrotechnical company comprising 698 employees, a total of 27 persons attended for examination after the offer had been presented to two groups selected by two different sampling methods. Of the attendants, women, middle-aged persons, and persons from the upper social strata were overrepresented. These same categories were also the most likely to report headache and/or back pain. Ten individuals out of the 27 attendants claimed to have experienced some TMJ-disorder, and these indivuduals tended also to complain about headache and back pain. A major finding was that the response to the offer was clearly affected by social background. The response pattern was much like that known about the seeking of treatment for MPD-- and for dental treatment generally.
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PMID:Response to an offer of consultation concerning TMJ-disorder. 13 19

We review the literature on the application of electromyographic (EMG) biofeedback to tension-related headaches, back and shoulder pain, and temporomandibular joint (TMJ) pain and present clinical treatment data on 18 patients with tension headaches, eight patients with back and shoulder pain, and six patients with TMJ pain. Electromyographic tension levels declined in all groups of patients; pain declined significantly in 12 of 18 patients with tension headaches and one of eight back pain patients, and decreased slightly in three headache patients, three back and shoulder pain patients, and two patients with TMJ pain. Conclusions suggest that EMG biofeedback is generally more effective in treating tension headaches, but much less effective in the treatment of back, shoulder, or jaw pain, although the numbers of patients are small in the latter two groups.
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PMID:Electromyographic biofeedback for pain related to muscle tension. A study of tension headache, back, and jaw pain. 14 23

Pain syndromes in elderly patients are seldom psychogenic or due merely to "old age." Careful differential diagnosis is important, as judicious use of nerve blocks as adjunctive therapy often can relieve pain and restore activity. In the acute phase of shoulder pain, intrabursal injection of local anesthetic and steroid inhibits the inflammatory process. In the later stages, suprascapular nerve block relieves pain and interrupts afferent pain pathways. The occipital pain and headache of cervical arthritis also often respond to injection of 2 to 3 ml of long-acting anesthetic into the greater and lesser occipital nerves at the sites where they pierce the trapezius. Minor causalgia, shoulder-arm syndrome, or chronic traumatic edema may follow either forearm fracture or inflammation around the shoulder joint. Five stellate ganglion blocks with 1% lidocaine on alternate days, followed by 3 to 4 months of active and passive exercise, is the most effective treatment. This regimen usually produces a fully functional extremity. In degenerative disk disease, osteoarthritis, and metastatic disease, the cause of back pain is essentially the same--edema and inflammation of nerve roots at the intervertebral foramina. Injection of local anesthetic and steroid into the epidural space usually reduces swelling and inflammation. Patients are evaluated in 2 weeks and reblocked if improvement has plateaued. Pain relief most often is prompt and persists for an indefinite period.
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PMID:Relieving pain with nerve blocks. 14 96

The incidence of the postpartum sequelae of headache, backache, pain in the legs and difficulties in micturiton, was studied in 219 normal vaginal deliveries. 135 of the parturients received continuous segmental epidural analgesia at the level of Th 10--12 for pain relief during the first stage of labour. The remaining 84 parturients served as controls. The results showed that segmental epidural analgesia did not increase the occurrence of postpartum sequelae either in primiparous or in multiparous parturients.
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PMID:Segmental epidural analgesia and postpartum sequelae. 15 Feb 49

140 women who had received peridural anaesthesia (PDA) during childbirth at the University Gynaecological Hospital, Basel, in 1977, were retrospectively questioned on the occurrence of backache and headache during the puerperium subsequent to peridural anaesthesia. The "matched pairs" technique was employed for the controls. The inquiry revealed that in the PDA group 69 women (49%) and in the control group 39 women (28%) complained of increased backache during the puerperium. For 30 patients (44%) the complaints were a frequently disturbing factor in their everyday work. In the control group, this was true of 11 women (28%). 46 patients (33%) of the PDA group complained of increased headache during the puerperium, against 16 patients (11%) of the control group. 22 women (49%) of the PDA group felt disturbed in their daily work against 4 women (25%) among the controls. The findings are compared with data in literature, and the aetiology of the symptoms is discussed.
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PMID:[Possible late complications after peridural anaesthesia (author's transl)]. 15 46

Workups by physicians in response to five common complaints in a sample of 104 men and women--52 married couples--were evaluated by chart audit. For the total group of complaints, back pain, headache, dizziness, chest pain, and fatigue, the physicians' workups were significantly more extensive for men than they were for women. These data tend to support the argument that male physicians take medical illness more seriously in men than in women.
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PMID:Response of physicians to medical complaints in men and women. 15 67

The author describes a combined approach, called psychomotoric treatment, for patients with emotionally conditioned, somatic symptoms, such as headache, backache, neck-shoulder-arm pains, postural disorders and inhibited respiration. Many of these patients have previously been treated in vain with tranquilizers and ordinary physiotherapy. The physiotherapeutic part of the treatment (psychomotoric physiotherapy) is based on a comprehensive view of the muscular apparatus and functioning as a whole with emphasis on correction of postural disorders and liberation of respiration. It should also include close cooperation with the doctor, who may be called upon when emotional inhibition impedes further progress of the physiotherapy. The main indication area for this treatment is the clientele of the general practitioner. Patients with clear psychiatric symptoms should be treated only if anchored in a secure psychotherapeutic situation.
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PMID:Physiotherapy in certain aspects of psychosomatic medicine. 16 72


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