Is Hashimoto’s Encephalopathy Related to New Daily Persistent Headache?

An interesting article titled “New Daily Persistent Headache As A Presenting Symptom Of Hashimoto’s Encephalopathy,” is written by Daniel E. Jacome and located over at http://www.webmedcentral.com/wmcpdf/Article_WMC00960.pdf. The article discusses Hashimoto’s encephalopathy (HE) which is a rare autoimmune neurological disorder and how patients with this disorder may present with a headache characteristic of new daily persistent headache or atypical hemicranias continua. Patients of HE are said to have elevated serum titers of thyroid microsomal and antithyroglobulin antibodies. A reference is made to a past case of a woman who had such elevated antibodies and also a left sided headache and aphasia. The current article describes a case of a 50 year old man who had such elevated antibodies and also a persistent daily left sided headache with aphasia. Note that his brain MRI and MRA was normal. In the article it … Read more

The Social Stigma of Migraine Headaches

An interesting study has been conducted by researchers at Thomas Jefferson University looking at the social stigma of migraine headaches. The study appears in PLOS ONE, January 16, 2013. The study was led by William B. Young a neurologist and he is quoted at saying “When people treat my patients as if they are to blame because they have a severe, debilitating disease, they are contributing to the problem and making life harder for them.” The researchers find that high levels of social stigma for migraine suffers is due to the impact of a chronic migraine of their work lives. Dr. Young says “I don’t think people realize that it is not unusual for people with migraine to have severe headaches every day—to be so disabled that they are unable to work. This is what causes the stigma—the fact that … Read more

Can a Persistent Headache be Caused by Sinus Problems?

I came across an interesting article that appeared over a year ago in the Washington Post. The article is titled “A man’s persistent headache proves hard to diagnose and harder to treat,” by Sandra G. Boodman, and published on March 19, 2012. Article Link: http://articles.washingtonpost.com/2012-03-19/national/35448791_1_headache-sinus-pain-relievers The article discusses a 41 year old man who developed a constant headache in November of 2008. Over the course of many months the man consulted many neurologists, ear nose and throat doctors, ophthalmologist, and others but none could explain what was causing him the headache. The man is quoted as saying “I’d been chasing this for more than six months. No one could tell me what it was. I just remember thinking, ‘How am I going to be able to function if it never goes away?” Over the course of the treatment the man … Read more

Botox Injections Have Benefit for Chronic Headaches

A new review and analysis of previous studies has found that botulinum toxin A (“Botox”) injections have a small to modest benefit for those with chronic migraine headaches and chronic daily headache. Botulinum toxin A injections were first proposed as headache treatment when it was observed that patients with chronic headaches receiving cosmetic botulinum injections experienced headache improvement, prompting several case series that suggested benefit. Jeffrey L. Jackson, M.D., M.P.H., of the Medical College of Wisconsin, Milwaukee, and colleagues performed a review and meta-analysis to assess the association of botulinum toxin A with reducing headache frequency when used for preventive treatment of migraine, tension, or chronic daily headaches in adults. In the study, headaches were categorized as episodic (less than 15 headaches per month) or chronic (15 or more headaches per month) migraine and episodic or chronic daily or tension … Read more

Living with NDPH

On my website I discuss New Daily Persistent Headache (NDPH) . I have also previously posted some NDPH chronic headache articles. Recently I found a website called Living with NDPH. The site is written by Amy, a mother of 3, who has suffered with a chronic persistent headache for 4 years, and has been blogging about it since last August. If you suffer from NDPH her website is a good resource. Another great resource is MDJunction as I have posted about before. I recently read an interesting story of Amy’s Living with NDPH website about a Young Boy Cured of NDPH after suffering from 5 months. Essentially in the story which I encourage you to read on Amy’s website the young 11 year old boy had a headache start near the start of 2010. He had several tests done and … Read more