Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

"Cervicogenic headache" (CEH) is a strictly unilateral constant dull, dragging, boring background pain of varying intensity which does not alternate sides and persists for a few hours to several days. It is triggered or intensified by head movements, and typically radiates from the neck to the fronto-temporal region. Occasionally, the ipsilateral shoulder and arm are also affected, with no definite radicular pattern. There is overall restriction of head movements. Ipsilateral accompanying symptoms may include conjunctival injection, lacrimation and lid edema. Migraine-like symptoms such as nausea, vomiting, sound and light sensitivity, and ipsilateral visual blurring may occur, as well as dizziness and difficulties in swallowing. A C2-blockade always leads to temporary pain relief. The possible pathophysiology of CEH, and its differential diagnosis are discussed.
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PMID:[Cervicogenic headache. An over- or underdiagnosed headache syndrome?]. 265 Dec 54

To study the criteria for early differential diagnosis between migraine and headache due to brain tumors, we analyzed the symptoms and signs of two groups of children. The first group consisted of 67 children in whom a brain tumor had been diagnosed. The second group was composed of 600 children who had been diagnosed as migraine cases. Among the features of headache that are considered to be alarming symptoms of a brain tumor, the following were found to indicate a brain tumor with the greatest sensitivity: nocturnal headache or headache present on arising, both associated with vomiting, and increased frequency of headache. Nocturnal headache or headache present on arising, associated with vomiting, and/or progressive neurological symptoms or signs occurred in 65 of 67 children with brain tumor within 2 months of the onset of their headaches and in all 67 within 6 months.
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PMID:Headache in children with brain tumors. 280 1

Headaches, vomiting, and altered sensorium can be seen in patients with shunt malfunction as well as in those with migraines. We report five cases in which children with hydrocephalus and CSF shunts presented with a variety of recurring symptoms, including headache, vomiting, impairment of consciousness to the point of coma, and, in one patient, decerebrate posturing. Various diagnoses were entertained: shunt malfunction, slit ventricle syndrome, and low pressure (overshunting). Repeated procedures were carried out in all patients, including shunt taps, multiple shunt revisions, and a subtemporal decompression. When the diagnosis of migraine was considered, four patients improved on propranolol therapy; one failed this therapy but responded to verapamil. We conclude that in patients with hydrocephalus and repeated bouts of symptoms such as headaches, vomiting, and impairment of consciousness and in the case of documented, adequate shunt function, the diagnosis of migraine be entertained before further operative intervention is undertaken.
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PMID:Migraine headaches in hydrocephalic children: a diagnostic dilemma. 280 2

The use of feverfew (Tanacetum parthenium) for migraine prophylaxis was assessed in a randomised, double-blind, placebo-controlled crossover study. After a one-month single-blind placebo run-in, 72 volunteers were randomly allocated to receive either one capsule of dried feverfew leaves a day or matching placebo for four months and then transferred to the other treatment limb for a further four months. Frequency and severity of attacks were determined from diary cards which were issued every two months; efficacy of each treatment was also assessed by visual analogue scores. 60 patients completed the study and full information was available in 59. Treatment with feverfew was associated with a reduction in the mean number and severity of attacks in each two-month period, and in the degree of vomiting; duration of individual attacks was unaltered. Visual analogue scores also indicated a significant improvement with feverfew. There were no serious side-effects.
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PMID:Randomised double-blind placebo-controlled trial of feverfew in migraine prevention. 289 63

An epileptic syndrome of benign nocturnal childhood occipital epilepsy with excellent prognosis is described. The syndrome is characterized by a clinical ictal triad of nocturnal seizures, tonic deviation of the eyes, and vomiting. There may be marching to involve the head and limbs, ending with a generalized tonic-clonic seizure. Consciousness is usually, but not invariably, disturbed. Infrequent daytime fits may develop one to two years after remission of the nocturnal seizures. Age of onset is usually from 3 to 5 years. Both sexes are involved. There is no family history of epilepsy or migraine. No definite causative factor was detected. The frequency of the seizures is very low with two children having only solitary ones. The interictal electroencephalographic features consist of repetitive occipital spike and slow wave complexes that are induced by closed eyes and darkness and are inhibited by open eyes and fixation with visual cues. It is proposed that this is a new idiopathic age-related-onset syndrome of the localization-related epilepsies.
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PMID:Benign nocturnal childhood occipital epilepsy: a new syndrome with nocturnal seizures, tonic deviation of the eyes, and vomiting. 291 10

Three youths with occipital seizures and intermittent visual loss are presented. All three had occipital epileptiform discharges. Visual loss occurred during seizures and improved with anticonvulsant medication. In the absence of an underlying structural lesion of the occipital lobe, occipital seizures in children often respond to antiepileptic medication and may spontaneously resolve. As occipital seizures are often associated with headaches and sometimes with vomiting, differentiating them from basilar migraine may be difficult. The possibility of ongoing seizure activity should be considered in a patient who presents with acute visual loss without an obvious cause.
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PMID:Transient cortical blindness with occipital lobe epilepsy. 297 36

One hundred epileptic patients were questioned about their headaches. Post-ictal headaches occurred in 51 of these patients and most commonly lasted 6-72 hours. Major seizures were more often associated with post-epileptic headaches than minor attacks. Nine patients in this series of 100 also had migraine: in eight of these nine a typical, albeit a mild, migraine attack was provoked by fits. The post-ictal headache in the 40 epileptics who did not have migraine was accompanied by vomiting in 11 cases, photophobia in 14 cases and vomiting with photophobia in 4 cases. Furthermore, post-epileptic headache was accentuated by coughing, bending and sudden head movements and relieved by sleep. It is, therefore, clear that seizures provoke a syndrome similar to the headache phase of migraine in 50% of epileptics. It is proposed that post-epileptic headache arises intracranially and is related to the vasodilatation known to follow seizures. The relationship of post-epileptic headache to migraine is discussed in the light of current ideas on migraine pathogenesis, in particular the vasodilation which accompanies Leao's spreading cortical depression.
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PMID:Post-epileptic headache and migraine. 311 78

Seventy seven cases of migraine in children were studied. Age average was 9 years +/- 2; there were any sex differences. The frontal localization was found in roughly 49% of cases, whereas hemicrania was just found in 9% of cases. The most frequent factors associated were nausea, vomiting and dizziness. The most common triggering factor was the stress. Family history of migraine occurred in 76.5%. Out of 36 patients suffering migraine, 31 underwent a prophylactic treatment with pizotifen or propranolol. There was satisfactory clinical responses in roughly 90% of cases.
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PMID:[Headache in childhood: diagnosis and therapy. A prospective study of 77 cases]. 326 15

Primary headaches are frequent in children. They are difficult to diagnose because there is much disagreement about the interpretation of the historical data and the use of signs and/or symptoms in diagnosis. It would be useful, therefore, to standardize this procedure. We used linear discriminant analysis to determine a classification rule capable of diagnosing new cases of chronic and recurrent primary headache in children. We considered 23 symptoms in 118 patients. Through discriminant analysis we chose five variables: frequency of the attacks, type of pain, neurologic deficits, nausea, and vomiting. With this classification rule, we obtained a total correct classification of 84.7% for migraine, psychogenic headache, and non-defined headache in respect to the diagnoses formulated by a pediatrician and a child neuropsychiatrist after 3 months of follow-up. Our method for diagnosing migraine has a sensitivity of 95% and a specificity of 100%. The algorithm, validated on another 105 pediatric patients, produced a total correct result of 82.9%.
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PMID:Diagnostic factors in pediatric primary headache. 327 43

A total of ten transient oculomotor palsies of varying severity were observed in a 12-year-old boy from the age of ten months onward, accompanied by migraine-like headaches and vomiting. Damage to the oculomotor nerve due to swelling of the internal carotid artery (or an abnormal vessel) in the cavernous sinus was suspected as the cause.
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PMID:[Recurrent oculomotor paralysis: a case of ophthalmoplegic migraine?]. 336 92


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