Spotlight on Headache attributed to head trauma

Headache is common following head injury. Most individuals recover within days, weeks, or months, but a minority of subjects may suffer from intractable posttraumatic headache despite treatment. Posttraumatic headache remains a subject of controversy concerning its pathophysiology. Litigation and medicolegal problems further complicate this issue.

In this article, Dr. Jr-Wei Wu of Taipei Veterans General Hospital attempts to summarize current understanding of posttraumatic headache, including a brief historical review of the disease, the classification and diagnostic criteria, the epidemiology, clinical manifestations, pathophysiology, diagnostic evaluation, and management.

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Twitter Digest for June 14, 2019

Spotlight on Blepharospasm

Blepharospasm is a form of focal dystonia manifested by involuntary eye closure due to excessive contractions of the eyelids. In addition, contractions of orbicularis oculi (pretarsal, preseptal, and periorbital portions) adjacent muscles, including procerus and corrugator, as well as paranasal and other facial muscles may be involved. Blepharospasm is often misdiagnosed as “dry eyes” or “nervousness.”

In this article, Dr. Joseph Jankovic of Baylor College of Medicine reviews the clinical features, pathogenesis, and treatment of blepharospasm, focusing on the use of botulinum toxin.

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Twitter Digest for June 12, 2019

Twitter Digest for June 11, 2019

Twitter Digest for June 10, 2019

Spotlight on Chronic fatigue syndrome

Chronic fatigue syndrome, also known as myalgic encephalomyelitis or chronic fatigue immune dysfunction syndrome, is a debilitating illness diagnosed by means of exclusion. The illness is often controversial; the proposed etiology, preferred method of treatment, and even the nomenclature varies widely from source to source. The symptoms are also diverse and fluctuating, making uniform studies and research difficult. Even diagnosing chronic fatigue syndrome is a challenge as reliable diagnostic tests and biological markers remain elusive.

Little is certain about this illness, but in this article, Dr. William Conte of The University of Chicago summarizes most of the current and widely accepted information about the subject.

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Twitter Digest for June 7, 2019

Twitter Digest for June 6, 2019