Cluster headache: Horton's cephalalgia revisited.


BACKGROUND:Cluster headache (CH), though not fully characterized until this century, is a relatively common primary headache disorder. METHODS:We reviewed pertinent literature on CH and related cephalalgias. RESULTS:We found that CH typically occurs in middle-aged men and has a characteristic cyclic temporal pattern. During the cluster cycle, CH paroxysms last from 15 to 180 minutes and are manifested by excruciating periorbital or upper facial pain. Associated autonomic symptoms such as lacrimation, rhinorrhea, conjunctival injection, and Horner's syndrome are common in CH. Its pathophysiology is not entirely understood, though it may include a complex cascade of autonomic, immunologic, and vascular phenomena. CONCLUSIONS:Although its pathophysiology is still not completely understood, we present the most recent evidence regarding the underlying anatomic and biochemical basis for CH. We also present an update on the modern management of CH, including the appropriate use of standard and novel abortive and prophylactic agents, as well as more invasive treatment.


South Med J


Southern medical journal


Mendizabal JE,Umaña E,Zweifler RM




Has Abstract


1998-07-01 00:00:00












  • Population-based study of the geographic variation in colon cancer incidence in Alabama: relationship to socioeconomic status indicators and physician density.

    abstract:OBJECTIVES:The objective of this population-based study was to examine the relationship between race, socioeconomic characteristics (socioeconomic status, SES), physician density, and colon cancer incidence in Alabama. METHODS:Data for 5,788 colon cancer cases from 1996 to 1999 provided by the Alabama Statewide Cancer...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shipp MP,Desmond R,Accortt N,Wilson RJ,Fouad M,Eloubeidi MA

    更新日期:2005-11-01 00:00:00

  • Experimental manipulation of cocaine craving by videotaped environmental cues.

    abstract::Thirteen male patients consecutively admitted to an inpatient drug and alcohol rehabilitation hospital with the primary diagnosis of crack cocaine dependence were shown a 30-minute videotape that included salient environmental cues intended to elicit cocaine craving. The subjects were tested before and after the video...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kilgus MD,Pumariega AJ

    更新日期:1994-11-01 00:00:00

  • Hammertoe surgery: waist resection of the proximal phalanx, a more simplified procedure.

    abstract::A technic for correcting hammertoe and other toe deformities by waist resection of the proximal phalanges of the toes effectively corrected these conditions in 95 patients and 466 toes. This procedure can be done quickly and easily with low morbidity. Through a very short incision over the waist of the proximal phalan...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: McConnell BE

    更新日期:1975-05-01 00:00:00

  • Effect of patients' awareness of CVD risk factors on health-related behaviors.

    abstract:OBJECTIVES:In 2010, the American Heart Association unveiled a strategic plan to reduce cardiovascular deaths by targeting seven components of ideal cardiovascular health. Although education is a sensible first step, it is not known whether awareness correlates with healthy behavior. The objective of the study was to ex...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alzaman N,Wartak SA,Friderici J,Rothberg MB

    更新日期:2013-11-01 00:00:00

  • Pectus excavatum: a 15-year perspective.

    abstract::Pectus excavatum is relatively uncommon. Our experience with 177 children during a 15-year period produced changes in our surgical technique, which now includes a small transverse incision, minimal subcutaneous flap elevation, a muscle-relaxing incision over the fifth costal cartilage, complete resection of involved c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Golladay ES,Wagner CW

    更新日期:1991-09-01 00:00:00

  • Clostridium paraputrificum sepsis in sickle cell anemia.

    abstract::We have described clostridial sepsis in a child who presented with an abdominal crisis of sickle cell disease. Clostridium paraputrificum should be included in the list of organisms known to cause sepsis in patients with sickle cell anemia. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Brook I,Gluck RS

    更新日期:1980-12-01 00:00:00

  • Will the "Fixes" Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending.

    abstract::Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service was introduced to replace the previous system...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hauswald E,Sklar D

    更新日期:2017-04-01 00:00:00

  • Noninvasive positive pressure ventilation.

    abstract::Noninvasive positive pressure ventilation (NPPV) has been used in treatment of a variety of clinical conditions, including acute respiratory failure (ARF) due to status asthmaticus. We present the case of a patient admitted with acute exacerbation of asthma who had ARF and required mechanical ventilation. After extuba...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Clark DR,Lahren KM

    更新日期:1997-01-01 00:00:00

  • Thrombolysis in acute pulmonary thromboembolism.

    abstract:: Acute pulmonary embolism (PE) is a common clinical condition with presentations that may vary from asymptomatic subsegmental emboli to massive vascular obstruction and shock with high risk of death. Identifying patients at highest risk for death is critical to select those who would benefit most from thrombolytic the...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Vyas PA,Donato AA

    更新日期:2012-10-01 00:00:00

  • Proximal gastric vagotomy for duodenal ulcer disease.

    abstract::Proximal gastric vagotomy is a useful operation for duodenal ulcer disease that is intractable to medical management. It is also useful in selected patients with acute duodenal ulcer perforation. We present an overview of the indications for proximal gastric vagotomy, along with its results. The major benefits of prox...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Malangoni MA,Mullins RJ

    更新日期:1989-06-01 00:00:00

  • Patients' attitudes regarding physical characteristics of family practice physicians.

    abstract:BACKGROUND:This study examined patient perceptions and attitudes toward various aspects of the male and female physician's professional appearance in the family practice setting. METHODS:Four hundred ninety-six patients from two family practice clinics in Knoxville, Tennessee, completed a valid and reliable questionna...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Keenum AJ,Wallace LS,Stevens AR

    更新日期:2003-12-01 00:00:00

  • Improving Underrepresented Minority in Medicine Representation in Medical School.

    abstract:OBJECTIVES:Despite the efforts of various leading organizations in medical education, representation of black students in US medical schools has declined since the mid-1990s. The Florida State University College of Medicine (FSUCOM) has undertaken efforts to increase black and other underrepresented minority in medicin...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Campbell KM,Brownstein NC,Livingston H,Rodríguez JE

    更新日期:2018-04-01 00:00:00

  • Elevated body mass index in Texas Head Start children: a result of heredity and economics.

    abstract:OBJECTIVE:The problem of high body mass index (BMI) for age in the Head Start population in Texas is of great concern. The primarily Mexican American population is at high risk for diabetes and cardiovascular disease. This study examines the prevalence of elevated BMI for age in the Head Start population in a sampling ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Piziak V,Morgan-Cox M,Tubbs J,Rajab MH

    更新日期:2010-12-01 00:00:00

  • Austere, remote, and disaster medicine missions: an operational mnemonic can help organize a deployment.

    abstract::Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Macias DJ,Williams J

    更新日期:2013-01-01 00:00:00

  • Impact of Holidays on Pediatric Trauma Admissions to a Community Hospital in South Florida.

    abstract:OBJECTIVES:The data from temperate regions indicate increases in pediatric traumatic injuries during the spring and summer months with anticipated admission spikes on warm weather holidays; hospitals in southern subtropical regions should not anticipate the same trends. The objectives of this study were to identify hol...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Eyerly-Webb S,Solomon R,Young L,Bard K,Laituri C,Rosenthal A,Long J

    更新日期:2019-03-01 00:00:00

  • Creutzfeldt-Jakob disease: high caudate signal on magnetic resonance imaging.

    abstract::We have presented an unusual case of CJD in which the magnetic resonance images obtained four months before death revealed high signal intensity in the caudate nuclei bilaterally. These findings correspond to severe involvement of this region at autopsy. This radiologic pattern has not generally been included in the d...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Pearl GS,Anderson RE

    更新日期:1989-09-01 00:00:00

  • GALOP syndrome: case report with 7-year follow-up.

    abstract::An elderly woman complaining of a gait disorder was found to have the GALOP syndrome (gait ataxia, late-onset polyneuropathy). She exhibited mild distal weakness and sensory loss in the legs, a positive Romberg, and an unsteady gait. Serum immunofixation disclosed a monoclonal IgM-kappa protein. There was specific IgM...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alpert JN

    更新日期:2004-04-01 00:00:00

  • Impact of a maternal transport program on a newborn service.

    abstract::We reviewed the maternal transfers for one year (1980) to the Emory Perinatal Center, a tertiary care center for North Georgia. Of 445 telephone consultations or patient referrals, 150 women gave birth at the tertiary center. Indications for maternal transfer were predominantly based on the needs or anticipated needs ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kanto WP Jr,Bryant J,Thigpen J,Ahmann M,Randall H

    更新日期:1983-07-01 00:00:00

  • Barium appendicitis.

    abstract::We report a case of acute appendicitis with perforation associated with retained appendiceal barium. Abnormally retained barium may lead to appendicitis and this should be kept in mind when a barium-filled appendix is seen in an asymptomatic patient. Routine follow-up films on all patients whose appendix fills with ba...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sisley JF,Wagner CW

    更新日期:1982-04-01 00:00:00

  • Role of hydrolyzed formulas in nutritional allergy prevention in infants.

    abstract:BACKGROUND:In recent years, more and more discussions have arisen with regard to the role of (partially) hydrolyzed formulas as standard feedings for infants with a high risk to have allergy. METHODS:This review is based on an extensive overview of the literature dealing with the subjects of allergy prevention and hyd...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Exl BM,Vandenplas Y,Blecker U

    更新日期:1997-12-01 00:00:00

  • Maternal serum amylase and lipase profiles in pregnancy: determinations in both once-sampled and multisampled patient cohorts.

    abstract::The objective of this study was to determine the effect(s) of pregnancy and of advancing gestation on maternal serum amylase and lipase levels. Thus, serum amylase and lipase concentrations were quantitated in three groups of women. Groups included (1) 118 pregnant women whose serum amylase and lipase levels were meas...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Xydas NP,May JH,Henson MC

    更新日期:1996-02-01 00:00:00

  • Prevalence of non-group-A beta-hemolytic streptococci in childhood pharyngitis.

    abstract::We studied the prevalence of non-group-A beta-hemolytic streptococci (NGAS) in the pharyngeal cultures of symptomatic and asymptomatic children. Throat cultures were obtained by house officers in the Emergency Department at Children's Hospital of Pittsburgh to aid in the evaluation of children with symptoms or signs o...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Hofkosh D,Wald ER,Chiponis DM

    更新日期:1988-03-01 00:00:00

  • Pulmonary alveolar proteinosis: an unusual association with Mycobacterium avium-intracellulare infection and lymphocytic interstitial pneumonia.

    abstract::Pulmonary alveolar proteinosis is a nonspecific alveolar response to various forms of injuries. Many cases have been associated with hematologic malignancies. The most commonly reported complication of pulmonary alveolar proteinosis is superinfection with fungal, bacterial, and viral infections. We report a case of a ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bakhos R,Gattuso P,Arcot C,Reddy VB

    更新日期:1996-08-01 00:00:00

  • Suicidal behavior in psychiatric emergency room patients.

    abstract:BACKGROUND:Psychiatric emergency room (ER) patients are thought to be at increased risk of suicide. The prevalence and characteristics of suicidal behavior in a recent sample of patients who came to the ER for psychiatric evaluation were examined. METHODS:Charts of 311 consecutive psychiatric ER patients were reviewed...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Dhossche DM

    更新日期:2000-03-01 00:00:00

  • Esophageal squamous cell carcinoma with a solitary phalangeal metastasis.

    abstract::A patient with pathologically proven acrometastasis of his left thumb presented 3 months after esophagectomy for esophageal squamous cell carcinoma. Interestingly, there was indeed a faint uptake in his left thumb that was initially considered an artifact in the whole body bone scan taken before esophagectomy. Physici...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hsieh CY,Bai LY,Lo WC,Huang HH,Chiu CF

    更新日期:2008-11-01 00:00:00

  • Sequential herniation of stomach, then colon through the aortic hiatus.

    abstract::A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limited exposure of the...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Wagner RB,Barry MJ,Manney MS

    更新日期:1997-03-01 00:00:00

  • Determinants of Elevated Alkaline Phosphatase in Patients Infected with HIV.

    abstract:OBJECTIVES:A retrospective cross-sectional study was performed to assess the prevalence of elevated alkaline phosphatase (ALP) in patients infected with human immunodeficiency virus (HIV) and to determine the relation between ALP and specific antiretroviral therapy (ART). METHODS:A total of 2990 patients were included...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alemu BT,Troy SB,Beydoun HA,Akpinar-Elci M,Cunningham TD

    更新日期:2016-08-01 00:00:00

  • Patient with markedly elevated CA 19-9 not associated with malignancy.

    abstract::A 66-year-old white male presented with jaundice, pruritus, and a 30-pound weight loss over two months. Physical examination revealed scleral icterus. Laboratory evaluation revealed ALT 161 U/L, AST 290 U/L, alkaline phosphatase 2004 U/L, GGT 2,552 U/L, total bilirubin 10.2 mg/dL, and a carbohydrate antigen 19-9 (CA 1...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lowe D,Lee J,Schade R,Chaudhary A

    更新日期:2006-03-01 00:00:00

  • Controversies and hazards in the treatment of pit viper bites.

    abstract::This paper discusses the pathology produced by pit viper venom and the pharmacologically active substances released by the action of venom on human tissue. The risks of many of the popular methods of treatment such as tourniquets, cryotherapy, incisions, excisions, and cortisone are also discussed. A prospective treat...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Arnold RE

    更新日期:1979-08-01 00:00:00

  • Intraventricular administration of rt-PA in patients with intraventricular hemorrhage.

    abstract:OBJECTIVE:Intraventricular hemorrhage (IVH) represents a clinicopathologic entity with a dismal prognosis. The associated mortality rate has been reported as high as 80%; the morbidity is also quite high. The use of various fibrinolytic agents (streptokinase, urokinase, and recombinant tissue-type plasminogen activator...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章


    authors: Fountas KN,Kapsalaki EZ,Parish DC,Smith B,Smisson HF,Johnston KW,Robinson JS

    更新日期:2005-08-01 00:00:00