Results.— We enrolled 222 patients and 189 completed the post-fast questionnaire (87%). Etoricoxib reduced the incidence of “first of Ramadan” headache by 54% (46% in placebo group [n = 92] vs 21% [n = 96] in etoricoxib group) (P < .0001, OR 3.19 [95% CI 1.68-6.06]). For days 1-6, the mean number of headache days for the placebo group was 1.60 (n = 92) and for the treatment group the mean
was 0.86 (n = 99) headache days (P = .003). Median severity of headache in the treatment group was significantly lower. In the second week, there was no significant difference in incidence of headache between groups, and the www.selleckchem.com/products/midostaurin-pkc412.html incidence of headache in the placebo group dropped markedly over time. Conclusion.— Etoricoxib 90 mg taken prior to a 15-hour ritual fast decreases incidence of and attenuates headache during the first 5 days of the month of Ramadan. “
“This review was developed as part of a debate, and takes the “pro” stance that abnormalities of structures in the neck can be a significant source of headache. The argument for this is developed from a review of the medical literature, and
is made in 5 steps. It is clear that the cervical region contains many pain-sensitive structures, CCI-779 supplier and that these are prone to injury. The anatomical and physiological mechanisms are in place to allow referral of pain to the head including frontal head regions and even the orbit in patients with pain originating from many of these neck structures. Clinical studies have shown that pain from cervical spine structures can in fact be referred to the head. Finally, clinical treatment trials involving patients with proven painful disorders of upper cervical zygapophysial joints have shown significant headache relief with treatment directed at cervical pain generators. In conclusion, painful disorders of the neck can give rise to headache, and the challenge is to identify these patients and treat them successfully. “
“Objective.— To determine the yield of computed tomography (CT) scan of the brain
in the evaluation of patients presenting with headache at the University of Port Harcourt Teaching Hospital (UPTH). Background.— Headache is a pain in the head or upper 上海皓元 neck. It is one of the most common locations of pain in the body that leads patients to see a physician. CT scan is invaluable as an imaging tool in assessment of intracranial lesions that may present with headache. Methods.— The records of all the patients referred from a variety of inpatient and outpatient settings to the radiology department of UPTH with the main complaint of headache for brain (CT) scan were identified. Data extracted include referral source, indication for CT, age, sex, presenting complaint, duration of headache, and CT findings. The data were analyzed using SPSS 14.0 statistical package. Results.— A total of 80 patients with chronic or recurrent headache met the selection criteria.