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  1. Article ; Online: Headache Associated with Coronavirus Disease 2019.

    Sampaio Rocha-Filho, Pedro Augusto

    Neurologic clinics

    2024  Volume 42, Issue 2, Page(s) 507–520

    Abstract: Headache affects around half of patients in the acute phase of COVID-19 and generally occurs at the beginning of the symptomatic phase, has an insidious onset, and is bilateral, and of moderate to severe intensity. COVID-19 may also present complications ...

    Abstract Headache affects around half of patients in the acute phase of COVID-19 and generally occurs at the beginning of the symptomatic phase, has an insidious onset, and is bilateral, and of moderate to severe intensity. COVID-19 may also present complications that cause acute and persistent headaches, such as cerebrovascular diseases, rhinosinusitis, meningitis, and intracranial hypertension. In 10% to 20% of patients with COVID-19, headache may persist beyond the acute phase. In general, the headache improves over time. To date, there are no clinical trials that have assessed the treatment of persistent post-COVID-19 headache.
    MeSH term(s) Humans ; COVID-19/complications ; Headache/etiology ; Intracranial Hypertension/complications ; Rhinosinusitis
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1013148-6
    ISSN 1557-9875 ; 0733-8619
    ISSN (online) 1557-9875
    ISSN 0733-8619
    DOI 10.1016/j.ncl.2023.12.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management.

    Sampaio Rocha-Filho, Pedro Augusto

    Headache

    2022  Volume 62, Issue 6, Page(s) 650–656

    Abstract: Objective: To review data regarding the epidemiology, pathophysiology, characteristics, and management of COVID-19-associated headache. The persistence of headache after the acute phase of COVID-19 was also reviewed.: Background: Headache is a ... ...

    Abstract Objective: To review data regarding the epidemiology, pathophysiology, characteristics, and management of COVID-19-associated headache. The persistence of headache after the acute phase of COVID-19 was also reviewed.
    Background: Headache is a frequent symptom of COVID-19, and understanding its management is important for health-care professionals involved in treating the disease.
    Method: This is a narrative review. A literature review was conducted in the PubMed database with the following terms: "headache" and "COVID-19." All articles written in English that were considered relevant were included.
    Results: Half of the patients who have COVID-19 present with headache, which occurs more frequently in younger patients; in those with previous primary headache or with previous migraine; and in those who have concomitantly presented with anosmia, ageusia, and myalgia. The headache usually begins early in the symptomatic phase, is bilateral, moderate to severe, and has a similar pattern to tension-type headache. All studies found the migraine pattern and the tension-type headache pattern to be frequent patterns. The possible pathophysiological mechanisms include direct viral injury, the inflammatory process, hypoxemia, coagulopathy, and endothelial involvement. Common analgesics and nonsteroidal anti-inflammatory drugs are the most commonly used drugs for headache in the acute phase of COVID-19. The headache may persist beyond the acute phase, and in such cases, there is an improvement over time. However, not all patients' headaches improve. It seems to be a greater proportion of patients whose headache improves in the first 3 months after the acute phase of the disease than after this period. COVID-19 may trigger new daily persistent headache.
    Conclusions: Headache is a clinically significant symptom of COVID-19. Although its characteristics in the acute phase of the disease are already well known, there is a need for studies on its management and persistence.
    MeSH term(s) COVID-19/complications ; COVID-19/epidemiology ; Headache/epidemiology ; Headache/therapy ; Humans ; Migraine Disorders ; SARS-CoV-2 ; Tension-Type Headache
    Language English
    Publishing date 2022-05-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14319
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  3. Article ; Online: Osmophobia in children with headaches: A need for further studies.

    Sampaio Rocha-Filho, Pedro Augusto

    Headache

    2021  Volume 61, Issue 5, Page(s) 797

    MeSH term(s) Child ; Headache/diagnosis ; Headache/epidemiology ; Humans ; Tension-Type Headache
    Language English
    Publishing date 2021-05-15
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14115
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  4. Article ; Online: Headache and systemic lupus erythematosus: A narrative review.

    de Oliveira, Igor / Sampaio Rocha-Filho, Pedro Augusto

    Headache

    2023  Volume 63, Issue 4, Page(s) 461–471

    Abstract: Objective: To review the epidemiology, the differential diagnosis, and the clinical and laboratory factors associated with the care management of headaches in patients with systemic lupus erythematosus (SLE).: Background: SLE is a chronic autoimmune ... ...

    Abstract Objective: To review the epidemiology, the differential diagnosis, and the clinical and laboratory factors associated with the care management of headaches in patients with systemic lupus erythematosus (SLE).
    Background: SLE is a chronic autoimmune disease and in 12%-95% of patients, the nervous system is involved. Headache is a frequently reported, although nonspecific, symptom that may potentially represent serious underlying diagnoses. Primary headaches may also occur in these patients, thereby causing a negative and significant impact on their quality of life.
    Methods: This is a narrative review. A literature review was conducted on the PubMed platform using the following terms: (1) headache and (2) lupus. All articles considered relevant were included. No limitations were imposed for the publication date.
    Results: Headache is a frequent symptom in patients with SLE. Although its prevalence is similar to the general population, headaches nonetheless tend to have a greater negative impact on these patients. Patients with SLE are more likely to experience headache due to vascular diseases such as cerebral venous sinus thrombosis, stroke, reversible cerebral vasoconstriction syndrome, posterior reversible encephalopathy syndrome, and vasculitis. Aseptic meningitis, neuroinfections, intracranial neoplasms, and intracranial hypertension or hypotension may also be a cause of headache in these patients. Although used in disease activity scores, the concept of lupus headache is controversial.
    Conclusions: Headache is a frequent symptom in patients with SLE. An appropriate approach enables the potentially serious conditions, which are the causes of secondary headaches, to be recognized and treated, together with an appropriate diagnosis and treatment of primary headaches.
    MeSH term(s) Humans ; Quality of Life ; Posterior Leukoencephalopathy Syndrome/complications ; Posterior Leukoencephalopathy Syndrome/diagnosis ; Headache/epidemiology ; Headache/etiology ; Headache/diagnosis ; Lupus Erythematosus, Systemic/complications ; Lupus Erythematosus, Systemic/epidemiology ; Lupus Erythematosus, Systemic/diagnosis ; Diagnosis, Differential
    Language English
    Publishing date 2023-04-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14501
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Premonitory and Accompanying Symptoms in Childhood Migraine.

    Sampaio Rocha-Filho, Pedro Augusto / Gherpelli, José Luiz Dias

    Current pain and headache reports

    2022  Volume 26, Issue 2, Page(s) 151–163

    Abstract: Purpose of review: To review the literature on the clinical characteristics of the symptoms other than headache that occurs during a migraine attack in childhood and adolescence.: Recent findings: Premonitory symptoms (42-67%) and postdrome phase (82% ...

    Abstract Purpose of review: To review the literature on the clinical characteristics of the symptoms other than headache that occurs during a migraine attack in childhood and adolescence.
    Recent findings: Premonitory symptoms (42-67%) and postdrome phase (82%) are frequent. The most frequent auras were visual. There was no association between age or sex and the occurrence of auras. Cranial autonomic symptoms are also frequent (40-70%) and are most often bilateral. Most studies suggest that age is not associated with the frequency of nausea, vomiting, photophobia, and phonophobia. Cephalic cutaneous allodynia (15-37%) and osmophobia (20-53%) are common symptoms in children with migraine. Osmophobia has low sensitivity and high specificity for the diagnosis of migraine and is associated with the severity of the migraine. Migraine is a complex disease, and although headache is its best-known symptom, other symptoms also occur frequently during migraine attacks in children and adolescents.
    MeSH term(s) Adolescent ; Child ; Humans ; Hyperacusis/complications ; Hyperacusis/etiology ; Hyperalgesia ; Migraine Disorders/complications ; Migraine Disorders/diagnosis ; Migraine Disorders/epidemiology ; Photophobia/complications ; Photophobia/epidemiology ; Vomiting
    Language English
    Publishing date 2022-01-22
    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/s11916-022-01015-z
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  6. Article ; Online: The history and rationale of the development of new drugs for migraine treatment.

    Kowacs, Pedro André / Sampaio Rocha-Filho, Pedro Augusto / Peres, Mário Fernando Prieto / Edvinsson, Lars

    Arquivos de neuro-psiquiatria

    2023  Volume 81, Issue 12, Page(s) 1084–1097

    Abstract: Migraine is one of the most prevalent and disabling diseases in the world. Migraine attack treatments and prophylactic treatments of this disease are essential to lessen its individual, social, and economic impact. This is a narrative review of the main ... ...

    Title translation A história e os fundamentos do desenvolvimento de novos medicamentos para o tratamento da migrânea.
    Abstract Migraine is one of the most prevalent and disabling diseases in the world. Migraine attack treatments and prophylactic treatments of this disease are essential to lessen its individual, social, and economic impact. This is a narrative review of the main drugs used for treating migraine, as well as the experimental models and the theoretical frameworks that led to their development. Ergot derivatives, triptans, non-steroid anti-inflammatory drugs, tricyclic antidepressants, beta-blockers,: flunarizine,: valproic acid,: topiramate, onabotulinumtoxin A, ditans, monoclonal antibodies against CGRP and its receptor, and gepants are discussed. Possible therapeutic targets for the development of new drugs that are under development are also addressed. Many of the drugs currently in use for treating migraine were developed for the treatment of other diseases, but have proven effective for the treatment of migraine, expanding knowledge about the disease. With a better understanding of the pathophysiology of migraine, new drugs have been and continue to be developed specifically for the treatment of this disease.
    MeSH term(s) Humans ; Migraine Disorders ; Tryptamines/therapeutic use ; Calcitonin Gene-Related Peptide Receptor Antagonists/therapeutic use ; Valproic Acid/therapeutic use ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
    Chemical Substances Tryptamines ; Calcitonin Gene-Related Peptide Receptor Antagonists ; Valproic Acid (614OI1Z5WI) ; Anti-Inflammatory Agents, Non-Steroidal
    Language English
    Publishing date 2023-12-29
    Publishing country Germany
    Document type Review ; Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0043-1777723
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  7. Article ; Online: Assessing the impact of sleep restriction on the attention and executive functions of medical students: a prospective cohort study.

    Mota Albuquerque, Pedro / Ribeiro Franco, Clélia Maria / Sampaio Rocha-Filho, Pedro Augusto

    Acta neurologica Belgica

    2023  Volume 123, Issue 4, Page(s) 1421–1427

    Abstract: Objective: To compare the performance of medical students regarding attention and executive functions during a period of sleep restriction (insufficient sleep; period of classes) and a period of free sleep (sufficient sleep; vacation period).: ... ...

    Abstract Objective: To compare the performance of medical students regarding attention and executive functions during a period of sleep restriction (insufficient sleep; period of classes) and a period of free sleep (sufficient sleep; vacation period).
    Background: Sleep deprivation is associated with poor academic outcomes. Few studies have assessed the cognitive changes associated with sleep deprivation due to insufficient sleep syndrome in students and how they occur in real-life situations.
    Methods: This was a prospective cohort study. Medical students were assessed at two moments (class and vacation). The interval between assessments was 30 days. The Pittsburgh Sleep Quality Index, the Consensus Sleep Diary, the Montreal Cognitive Assessment, the Psychomotor Vigilance Test (PVT) and the Wisconsin Sorting Cards Test were used.
    Results: Forty-one students were assessed, 49% were female, with a median age of 21 (20; 23) years. There was a lower number of hours slept (5.75 (5.4; 7.0) vs 7.33 (6.0; 8.0) hours; p = 0.037), and a significantly poorer performance in the PVT (mean reaction time, p = 0.005; Minor lapses, p = 0.009) during the period of classes when compared to the vacation period. There was a correlation between the variation in hours of sleep of the two assessments and a variation in minor lapses in the two assessments (Ro: -0.395; p = 0.011; Spearman's correlation).
    Conclusions: Students had fewer hours of sleep and more reduced attention during the period of classes than during the vacation period. This decrease in sleeping hours was correlated with more impaired attention.
    MeSH term(s) Humans ; Female ; Male ; Sleep Deprivation/psychology ; Psychomotor Performance ; Executive Function ; Students, Medical ; Prospective Studies ; Sleep ; Reaction Time
    Language English
    Publishing date 2023-04-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 127315-2
    ISSN 2240-2993 ; 0300-9009
    ISSN (online) 2240-2993
    ISSN 0300-9009
    DOI 10.1007/s13760-023-02250-w
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  8. Article ; Online: Acute headache attributed to ischemic stroke: assessment of its characteristics and associated factors.

    Oliveira, Felipe Araújo Andrade de / Dourado-Filho, Mário Genuíno / Rocha-Filho, Pedro Augusto Sampaio

    Arquivos de neuro-psiquiatria

    2023  Volume 81, Issue 3, Page(s) 225–232

    Abstract: Background: It is estimated that headache attributed to ischemic stroke occurs in 7.4% to 34% of the cases. Despite its frequency, this headache has been little studied in terms of its risk factors and characteristics.: Objective: To assess the ... ...

    Title translation Cefaleia aguda atribuída ao acidente vascular cerebral isquêmico: avaliação das características e fatores associados.
    Abstract Background: It is estimated that headache attributed to ischemic stroke occurs in 7.4% to 34% of the cases. Despite its frequency, this headache has been little studied in terms of its risk factors and characteristics.
    Objective: To assess the frequency and clinical characteristics of headache attributed to ischemic stroke and the factors associated with its occurrence.
    Methods: The present was a cross-sectional study which included patients consecutively admitted within 72 hours of the onset of ischemic stroke. A semi-structured questionnaire was used. The patients underwent magnetic resonance imaging.
    Results: A total of 221 patients were included, 68.2% of whom were male, and the mean age was of 68.2 ±  13.8 years. The frequency of headache attributed to ischemic stroke was of 24.9% (95% confidence interval [95%CI]: 19.6-31.1%). The headache had a median duration of 21 hours and most frequently began at the same time as the focal deficit (45.3%), with a gradual onset (83%). It was of moderate intensity, pulsatile (45.3%), bilateral (54.6%), and presented a similar pattern to that of tension-type headache (53.6%). Headache attributed to stroke was significantly associated with previous tension-type headache, and previous migraine with and without aura (logistic regression).
    Conclusion: Headache attributed to stroke is common, with a pattern similar to that of tension-type headache, and it is associated with a history of tension-type and migraine headaches.
    MeSH term(s) Humans ; Male ; Middle Aged ; Aged ; Aged, 80 and over ; Female ; Tension-Type Headache/complications ; Ischemic Stroke/complications ; Cross-Sectional Studies ; Headache/etiology ; Headache/epidemiology ; Stroke/complications ; Stroke/diagnostic imaging ; Stroke/epidemiology ; Migraine Disorders/complications
    Language English
    Publishing date 2023-04-14
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0043-1763487
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  9. Article ; Online: The usefulness of osmophobia for the diagnosis of migraine in children and adolescents.

    Sampaio Rocha-Filho, Pedro Augusto / Albanês Oliveira Bernardo, Albérico

    Headache

    2021  Volume 61, Issue 7, Page(s) 1143

    MeSH term(s) Adolescent ; Child ; Humans ; Migraine Disorders/diagnosis ; Tension-Type Headache
    Language English
    Publishing date 2021-07-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14175
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  10. Article ; Online: Response to Impact of 24-Hour On-Call Shifts on Headache in Medical Residents: A Cohort Study.

    Mélo Silva Júnior, Mário Luciano / Sampaio Rocha-Filho, Pedro Augusto

    Headache

    2021  Volume 60, Issue 8, Page(s) 1803–1804

    MeSH term(s) Cohort Studies ; Headache/diagnosis ; Headache/epidemiology ; Headache/therapy ; Humans ; Internship and Residency
    Language English
    Publishing date 2021-01-15
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.13905
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