Doctor Edmund Messina attended medical school at the University of Illinois in Chicago. He remained in Chicago to complete an Internal Medicine internship at the former Michael Reese Hospital, and then traveled to Saint Louis, MO for a neurology residency at Washington University. Dr. Messina reflects on his years in medical school and internship in the book, The Spattered White Coat. He advised that his introduction to headache medicine occurred when he attended a lecture on headache in medical school which was presented by Seymour Diamond, MD, the Executive Chairman of the National Headache Foundation. Continue Reading
Migraine with aura is known to be a risk factor for ischemic stroke – a stroke that occurs when an artery to the brain is blocked. Now research suggests that older migraineurs are more likely to experience symptomless strokes as well.
These strokes, sometimes called “silent strokes,” occur when a blood clot interrupts the flow of blood to the brain. While their symptoms are not apparent, they are a risk factor for future strokes. Continue Reading
A handheld device that delivers electrical stimulation to the vagus nerve is showing promise treating different types of migraine.
Patients who use the device, gammaCore, hold it against their necks. The mild electrical signal it produces travels through the skin to the nerve, which runs from the brain stem to the abdomen. Continue Reading
To help improve patient care, The American Headache Society (AHS) recently released five practices that health care professionals and patients should avoid or question regarding headache treatment. The guidelines and considerable information about them appeared in the November-December issue of Headache.
The list was created as part of the Choosing Wisely initiative of the American Board of Internal Medicine Foundation, which stresses the importance of physician and patient conversations in improving care and eliminating unnecessary tests and procedures. The Choosing Wiselyrecommendations should not be the final word in decisions about treating headache disorders or any other condition, experts say. Instead, they are intended to foster conversation about what is — and is not — appropriate and necessary treatment. Continue Reading
A debate at the International Headache Congress during June in Boston, between a plastic surgeon and a neurologist, concluded with roughly 500 health professionals expressing skepticism about a surgical procedure for migraine. Bahman Guyuron, MD, of the University Hospitals and Case Medical Center in Cleveland, Ohio, and Hans-Christoph Diener, MD, PhD, a neurologist with the University of Essen in Germany, expressed far different views about the surgery, which Dr. Guyuron developed. It is performed by Dr. Guyuron and other physicians at several surgical centers throughout the U.S. Continue Reading