OBJECTIVE Headache is a common condition not always managed satisfactorily by primary care providers (PCPs). In an effort to improve headache care, the Curitiba City Hall in consortia with Hospital de Clínicas da Universidade Federal do Paraná - Brazil developed an educational program directed to the PCPs. The goal of the project was to evaluate, to update and to train the PCP on headache knowl...

BACKGROUND Concussion, its recognition, diagnosis, and treatment is a growing public health issue. Massage practitioners who specialize in rehabilitation deal with a variety of injury cases that involve concussion, including those incurred by falls, motor vehicle incidents, and sports injuries. PURPOSE This case study presents a unique massage therapy approach to concussion trauma treatment. ...

Little data exist regarding the acute assessment of blast concussion and the course of recovery in the combat zone, as most research has examined service members long after they have returned home. This manuscript examined a case series of 377 service members seen for acute concussion evaluation following medical evacuation from the battlefield in Helmand Province, Afghanistan. Of these, 111 we...

A 7-year-old boy presented with a 1-month history of episodic bifrontal throbbing headache associated with photophobia, bilateral painful arm paresthesias, and intense agitation. Symptoms developed 2 weeks after a trivial trampoline fall causing blunt head trauma without loss of consciousness. Three interval emergency room visits led to transient improvement with intravenous analgesics. During ...

Because of the potential long-term consequences related to head injuries sustained in sports, awareness of concussions has increased. Because many concussive symptoms are nonspecific, especially the most commonly reported symptoms such as headache, a problem of overdiagnosis may cause practitioners to overlook other potential diagnoses. Health care providers must still be cautious when ruling o...

Epidural abscess is a rare form of spinal infection, with serious complications and high mortality rate. Described by Morgagni in 1761, and defined as a clinical entity by Bergamaschi in 1820, epidural abscess had an invariably fatal evolution before the advent of antibiotics apud Browder and Meyers(1). The first person to suggest a surgical treatment was Barth (1901), to subsequently state tha...

Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dura...

OBJECTIVES To identify parameters at first presentation after mild traumatic brain injury (MTBI) that are predictive of the severity of post-traumatic complaints (PTC) after six months. Early recognition of patients with MTBI who are at risk of developing PTC would be useful because early follow up at the outpatient clinic may help to reduce the severity of these complaints in the long run. M...