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Biomedical subjects

F Granella

Publications and source records attributed to F Granella.

46 records · Page 3Linked to original sources
PubMed1987

Drug abuse in chronic headache: a clinico-epidemiologic study.

Among the patients referred to the Headache Centre in Parma between 1979 and 1984, 95 (5%) were found to be drug abusers, having taken analgesics every day for at least a year. They had had chronic headache for at least 12 months: migraine with interparoxysmal headache in 83.1% and chronic tension headache in 16.9%. Almost all patients were combination-analgesics abusers, and only about a quarter of them were taking ergotamine. The largest single factor favouring the transformation of episodic headache into a chronic one was the drug abuse. The patients studied during 1984 were subjected to detoxification with 6 months' follow-up study. Our investigation suggests that all instant-relief drugs can sustain and possibly initiate a chronic headache.

Adolescent↗
PubMed1986

Progressive multifocal leukoencephalopathy (PML): clinical and pathological findings in two short-duration patients.

The clinical features and neuropathological findings of two patients suffering from progressive multifocal leukoencephalopathy (PML) are reported. These patients had cancer and died two months and one month after onset of their neurological symptoms, respectively. In both demyelination was discovered only as a result of autopsy due to different reasons: the CAT-scan findings were misinterpreted in the first patient, while in the second diagnosis was overshadowed by the sudden progress towards a fatal outcome preceded by myoclonus and other encephalitis-like manifestations. The major findings were the extreme paucity of the mesodermal elements on the one hand, and the modest spread of the affected areas on the other. It is pointed out that, whatever the size of the lesions, characters were the same and that their formation could hardly be traced in time. The intriguing similarities between PML and several types of demyelination obtained experimentally using certain virus strains are remarked.

Aged↗
PubMed1985

[Chronic paroxysmal hemicrania. Description of 5 clinical cases and nosographic considerations].

Recently Sjaastad and Dale (1974), 1976) have described a new type of headache, introducing the term "Chronic paroxysmal hemicrania". The name of the disease, that commonly even though equivocally is translated into Italian as "Emicrania parossistica cronica", summarizes its principal features: it occurs with daily attacks for consecutive years; it is marked by painful paroxysms; it is consistently one-sided. Another characteristic of the disease is quick relief after treatment with indomethacin. So far only 60 cases of this rare type of headache have been reported in the literature. The Authors discuss its clinical features, its etiopathogenesis and its place within the cluster-headache category. They finally report five cases (four women and one man).

Adult↗
PubMedDate not supplied

Migraine without aura and reproductive life events: a clinical epidemiological study in 1300 women.

A retrospective study was conducted on 1300 women suffering from migraine without aura referred to the Headache Centers of Parma and Pavia from 1984 to 1990. All the data concerning their reproductive life, and the modifications induced by it on the course of headache were obtained from record-charts. Migraine frequently started at menarche (10.7%); in 60% of cases the migraine attacks occurred mostly or exclusively in the perimenstrual period, in 67% of cases disappeared during pregnancy, and in 24.1% significantly (P < 0.0001) worsened with "pill" intake. This study also designated a migraine subgroup which is more influenced by changes in sexual hormones, i.e. migraine with onset at menarche. This form of migraine shows more frequently a menstrual periodicity, and usually improves during pregnancy. Furthermore, menstrual migraine patients show social and cultural characteristics with distinguish them from other women.

Adolescent↗
PubMedDate not supplied

Lateralization of visual attention in patients with classic migraine and unilateral prodromes.

The present study is aimed to investigate whether and how mechanisms of visual attention are changed into conditions of monohemispheric disorders. For this purpose, Posner's paradygm was applied to classic migraine patients with prodromal phenomena localized in one hemisphere. The subjects were examined in acute phase (within 24 h of the episode end) and after a week or more from the episode (interparoxysmal phase). The patients in interparoxysmal phase behaved as normal subjects. In acute phase, we observed a selective involvement of attentional behaviour in migraineurs with left hemispheric symptoms. A possible explanation might be based on the well-known tendency of this hemisphere to prevail in performing attentive tasks.

Adolescent↗
PubMedDate not supplied

Palatal "myoclonus" and inferior olive hypertrophy with one-sided cerebellar lesion. Clinico-pathological report of one patient.

A case of palatal myoclonus and inferior olive hypertrophy is reported. Lesions located other than in the medulla were cerebellar infarction, lymphomatous infiltrates and, supratentorially, progressive multifocal leukoencephalopathy. It is suggested that double innervation of the olives from either side dentate nucleus may be why in the case reported here and in several cases in the literature, one-sided supra-olivary lesions can produce bilateral hypertrophy. As with palatal "myoclonus" and olivary hypertrophy, it is proposed that if the characteristic rhythmical movements occur, lesions besides those along the dentate-olivary pathway and the olivary hypertrophy itself have to be present.

Cerebellum↗
PubMedDate not supplied

Classic and common migraine suggestive clinical evidence of two separate entities.

To help clarify whether or not classic migraine (C1M) and common migraine (CoM) should be considered as a single entity, we compared the clinical features of a group of C1M patients with those of a group of CoM patients. Significant differences between the two forms of migraine were found in the following areas: age distribution of sufferers; family history of migraine, ischemic cerebrovascular disease, and coronary heart disease; age at onset; frequency of attacks; duration, location, and severity of pain; accompanying symptoms; and, evolution during weekends, menstruation, pregnancy, and puerperium. Our comparative investigation suggests that CIM and CoM are more distinct than previously considered.

Adult↗
PubMedDate not supplied

A computerized record chart for the study of chronic daily headache.

A comprehensive record chart for the study of chronic daily headache (CDH) is presented. The record chart contains 11 parts (232 items) concerning: sociodemographic data, physiological history, female reproductive life history, family history, pathological history, drug abuse, headache history, headache clinical features, prophylactic therapy, instrumental investigations, and physical and neurological examination. Furthermore, three attached special charts are illustrated which concern, respectively, the cervical spine examination, oromandibular function examination and the assessment of analgesic use.

Chronic Disease↗