Effect of Size and Location of Unruptured Intracranial Aneurysms on Self-Reported Headache.

AIM: To describe the relationship between aneurysm size and location with the prevalence of headache at diagnosis and three- and six-month follow-up in a sample of patients with UIA. MATERIAL AND METHODS: In this cohort study, patients were diagnosed with UIAs by digital subtraction angiography (DSA). Follow-up visits occurred three and six months after the diagnosis. Headache presence was registered, and headache was further classified by phenotypes. After DSA, the recorded variables were aneurysm number, morphology, location, and size (diameter [W], neck [N], and dome-neck distance [H]). The aspect ratio (H/N) and the dome/neck ratio (W/N) were calculated. The outcome of this study was the self-reported headache status at follow-up. RESULTS: Data from 42 patients and 46 aneurysms were available; 81.0% of patients were women, with a mean age of 57.4±14.3 years. Headache was reported by 61.9% of the patients. The pain phenotype was tension-type in 38.1%, migraine in 11.9%, neuralgia in 2.4%, and unclassifiable in 9.5%. The median (min-max) measurements were W=5.05 (0.89-22.9); N=3.02 (0.52-17.9); H=5.08 (0.92-23.0); aspect ratio 1.59 (0.68-17.69) and W/N ratio 1.65 (0.62-16.92). Thirty-three patients (37 aneurysms) received treatment, 47.8% by surgical clipping and 32.6% by endovascular occlusion. In the treated patients, headaches had persisted in 14.3% until the first visit and in 9.5% until the second visit. There were no differences in any registered variables between patients with and without headaches at follow-up. CONCLUSION: In this study, data was found that support that headaches in patients with UIAs improve after treatment and that such improvement is probably unrelated to the size and shape of the UIAs.

Marinesco-Sjögren syndrome

El síndrome de marinesco Sjögren (MS)esta caracterizado por cataratas, ataxia y retraso mental aunque puede acompañarse de muchos otros síntomas. Existen casos familiares y otros que aparecen sin estas características. Se presenta un caso de MS de aparición temprana en México sin historia. familiar. Un estudio completo se llevó a cabo.

Adenoid cystic carcinoma: a rare cause of cavernous sinus syndrome

Los carcinomas forman parte de las neoplasias epiteliales malignas. Ha sido descrito con distintos nombres. Es un tumor sólido que se presenta en las orbitas o fosas nasales. Se presenta en caso de cavernoma crónico.

Comorbilidad de la cefalea tensional y la migraña en la población abierta del Distrito Federal / Tensional headache and migraine associated in an open study at the Federal District

La cefalea tensional y la migraña representan un problema de salud que se reporta frecuentemente en la población, se ha descrito en la literatura médica mundial que muestran comorbilidad con la ansiedad y la depresión; sin embargo, en México no existen estadísticas actualizadas en relación a este fenómeno, por lo que, el objetivo de este estudio fue identificar la comorbilidad de la cefalea con la ansiedad y la depresión. El estudio fue realizado con 2 500, sujetos, 1 250 hombres y 1 250 mujeres con edades de 18 a 80 años. Para el diagnóstico se utilizó la Clasificación Internacional de Cefaleas se obtuvieron datos de migraña, probable migraña, cefalea tensional y probable cefalea tensional, los resultados mostraron que la migraña presenta mayor comorbilidad con la depresión y la ansiedad así como con insomnio que la cefalea tensional. Igualmente las mujeres presentan mayor frecuencia de alteraciones comorbidas en especial ansiedad.