[Klippel-Trenaunay-Parkes Weber syndrome. Hemodynamic changes observed in 4 cases].
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Biomedical subjects
Publications and source records attributed to G Nattero.
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Migraine is the commonest form among the so-called primary headaches and the description of its clinical picture is lost in the mists of time. On the contrary, headaches of organic origin have only recently received a proper nosological individuation thanks to the modern technological progress achieved in the field of medicine. The migraine crisis, both with and without aura, is so typical in its clinical features that it does not require subtle instrumental methodologies to be diagnosed. In most cases a careful anamnesis provides all the elements necessary to formulate a precise diagnosis: the positive family history, the time and mode of onset of crises, the nature of head pain, the chronological stages are quite constant whatever the trigger factor may be. Some other considerations add further evidence to the primitivity of migraine. First of all, migraine can be relieved by quite structurally different drugs with different mechanisms of action. In addition, no significant relationship has ever been found between migraine and other pathologies.
The these put forward by Marty and Sifneos on the one hand and by Cremerius on the other regarding "psichosomatic structure" have been compared in 66 patients suffering from idiopathic cephalea. Of these, 49 were suffering from migraine and 17 from musculotensive cephalea. The conclusion was that the alexithimic trait is related to the sociocultural level of the patients, not to their clinical picture.
Clinical features and pathophysiological mechanisms of primary (idiopathic) headaches are revisited in the light of the new classification of headache, recently proposed by the Ad Hoc Committee of the International Headache Society. This computer-based classification is hierarchically constructed and offers operational diagnostic criteria for all headache disorders. However, further investigations are required in some cases (e.g. in case of tension-type headache) to better define the clinical form.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.