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  1. Article: Headache as a Neurologic Manifestation of Systemic Disease.

    Cocores, Alexandra N / Monteith, Teshamae S

    Current treatment options in neurology

    2022  Volume 24, Issue 1, Page(s) 17–40

    Abstract: Purpose of review: This is an update of headache attributed to systemic disease and current therapeutic strategies. Clinical scenarios are discussed.: Recent findings: The diagnosis of headache attributed to metabolic or systemic disorder appears in ... ...

    Abstract Purpose of review: This is an update of headache attributed to systemic disease and current therapeutic strategies. Clinical scenarios are discussed.
    Recent findings: The diagnosis of headache attributed to metabolic or systemic disorder appears in the Appendix of International Classification of Headache Disorders, Third Edition, and requires further evaluation and validation. However, recent studies characterizing headache appear in the literature. Specific treatment includes addressing underlying systemic disorders, managing concurrent primary headache, and treating comorbidities that may exacerbate headache. Evidence for specific treatment trials for headache as a symptom is lacking, including headaches post-COVID19 infection. Calcitonin gene-related peptide receptor antagonists and 5-HT
    Summary: Headache is commonly encountered as a manifestation or complication of systemic disease. Further research is needed to validate headache associated with systemic disorders and to determine optimal treatment strategies.
    Language English
    Publishing date 2022-03-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057342-X
    ISSN 1534-3138 ; 1092-8480
    ISSN (online) 1534-3138
    ISSN 1092-8480
    DOI 10.1007/s11940-022-00704-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Post-vaccination headache reporting: Trends according to the Vaccine Adverse Events Reporting System.

    Cocores, Alexandra N / Goadsby, Peter J / Monteith, Teshamae S

    Headache

    2023  Volume 63, Issue 2, Page(s) 275–282

    Abstract: Objective: To assess the characteristics and associated disability of headache as an adverse event following vaccination.: Background: According to clinical trials and post-licensure surveillance, headache is a common symptom of vaccines, yet ... ...

    Abstract Objective: To assess the characteristics and associated disability of headache as an adverse event following vaccination.
    Background: According to clinical trials and post-licensure surveillance, headache is a common symptom of vaccines, yet systematic investigations of post-licensure reports of this adverse event are lacking.
    Methods: This was a retrospective database analysis study. We searched the Vaccine Adverse Events Reporting System (VAERS) database completed from July 1990 to June 2020 (a 30-year period prior to the start of COVID-19 pandemic) to identify reports of headache. We evaluated epidemiological features, including event characteristics, patient demographics, and vaccine type.
    Results: In those aged 3 years or older, headache was the fifth most reported adverse symptom, present in 8.1% (43,218/536,120) of all reports. Of headache reports, 96.3% (41,635/43,218) included the code "headache" not further specified. Migraine was coded in 1973 cases, although almost one-third (12,467/41,808; 29.8%) of headache reports without a migraine code mention nausea or vomiting. The onset of symptoms was within 1 day of vaccination in over two-thirds of cases. The majority of reports were classified as not serious; about one-third involved emergency room or office visits. Of the 43,218 total headache reports, only a minority involved hospitalizations (2624; 6.1%) or permanent disability (1091; 2.5%), females accounted for 68.9% (29,771) and males for 29.5% (12,725), patients aged 6 to 59 years represented 67.3% (29,112), and over one-third of cases were reported after herpes zoster (8665; 20.1%) and influenza (6748; 15.6%) vaccinations.
    Conclusion: In a national surveillance system, headache was a commonly reported post-vaccination adverse event; a small subset of reports was considered serious. The development of standardized vaccine-related case definitions could be useful for better evaluating headache as an adverse event during vaccine development, and may reduce vaccine hesitancy especially in headache-prone individuals.
    MeSH term(s) Female ; Humans ; Male ; Adverse Drug Reaction Reporting Systems ; Headache/chemically induced ; Influenza Vaccines/adverse effects ; Migraine Disorders/chemically induced ; Pandemics ; Retrospective Studies ; United States ; Vaccination/adverse effects ; Child ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Herpes Zoster Vaccine/adverse effects
    Chemical Substances Influenza Vaccines ; Herpes Zoster Vaccine
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Headache After Vaccination: An Update on Recent Clinical Trials and Real-World Reporting.

    Garces, Kimberly N / Cocores, Alexandra N / Goadsby, Peter J / Monteith, Teshamae S

    Current pain and headache reports

    2022  

    Abstract: Purpose of review: The aim of this review is to characterize headache as a vaccine adverse event (VAE) in clinical trials.: Recent findings: Of the recent phase III vaccine RCTs (non-COVID-19), 53 studies reported on headache (13 infectious agents). ... ...

    Abstract Purpose of review: The aim of this review is to characterize headache as a vaccine adverse event (VAE) in clinical trials.
    Recent findings: Of the recent phase III vaccine RCTs (non-COVID-19), 53 studies reported on headache (13 infectious agents). The median rate (interquartile range) of headache was 15.6% (IQR: 9.6-37.6%). Of these, 24.5% of the RCTs reported headache greater in the vaccine group compared to the placebo/control group. In the herpes zoster vaccination trials, headache was more common in all active groups: median rate 33.9% (IQR: 29.7-40.5%) as compared to placebo: median rate 17.7% (IQR: 15.4-23.8%). Influenza and HPV vaccination trials were the 2nd and 3rd most common to have headache as a VAE. Of the 6 widely distributed COVID-19 vaccinations, median rate of post-vaccination headache was 39% (IQR: 28-50%). Headache is a common VAE in vaccine trials. Standardized grading methods, predictors of persistence, and treatment regimens are warranted.
    Language English
    Publishing date 2022-11-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055062-5
    ISSN 1534-3081 ; 1531-3433
    ISSN (online) 1534-3081
    ISSN 1531-3433
    DOI 10.1007/s11916-022-01094-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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