𝔖 Bobbio Scriptorium
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Treatment of migraine headache in a postoperative microsurgical patient

✍ Scribed by Sharon L. Poon; Dr. William C. Lineaweaver; Philip J. O'Keefe; Bernard S. Alpert

Publisher
John Wiley and Sons
Year
1990
Tongue
English
Weight
261 KB
Volume
11
Category
Article
ISSN
0738-1085

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Immediately following a double‐toe transfer to her hand, a 40‐year‐old woman developed a severe migraine headache unrelieved by narcotics. Medical consultation was obtained, and available medical treatments were discussed in relation to their possible effects on the patient's recent microvascular procedure. Intravenous steroids were administered, with resolution of the headache. This case illustrates an approach to the management of medical problems in which treatment options are weighed against their possible microsurgical effects.

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Study objectives: By evaluating the efficacy of metoclopramide alone and in combination with ibuprofen versus placebos, this study was designed to both evaluate the efficacy of metoclopramide and elucidate its mechanism of action in the treatment of migraine headache. Design: The study was conducte