Complications Of Memory Loss
Memory loss is a common brain tumor symptom. Patients and family members often dont understand why remote memories from years ago remain intact, yet the person can not remember where she puts things, forgets appointments, or keeps repeating the same information over and over again.The patient isnt being difficult or careless, explains Dr. Kayl. These symptoms are a function of the disease process.
Dr. Kayl presented a case study that represents a typical experience of mild memory loss compounded by anxiety: Ms. Jones was diagnosed with a left frontal region tumor. She was treated with surgery, radiotherapy, and chemotherapy. Like many individuals diagnosed with a frontal lobe tumor, Ms. Jones reported language and memory problems. She had trouble finding the correct word in conversation and trouble recalling peoples names. Despite these mild impairments, Ms. Jones was fully capable of expressing her thoughts and carrying on an enjoyable conversation.
Relatively mild cognitive changes were exacerbated by her depression and anxiety, Dr. Kayl explained. In such cases, supportive psychotherapy can be extremely helpful. I recommend a type of therapy called cognitive-behavior therapy, or CBT. This type of therapy is aimed at examining the interaction between thinking and behavior.
What If I Forget To Take It
If you forget to take your amitriptyline, take it as soon as you remember, unless it’s nearly time for your next dose. In this case, just leave out the missed dose and take your next one as normal.
If amitriptyline usually makes you sleepy and you need to drive, cycle or use tools or machinery, skip the missed dose and then take the next dose as normal.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
How Does Gaming Affect Your Behavior
Although playing violent video games may not necessarily determine violent or aggressive behavior, it may increase precursors to violent behavior. In fact, Dr. Olson points out that violent video games may be related to bullying, which researchers have found to be a risk factor for more serious violent behavior.
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It Comes On Suddenly And Severely
A brain aneurysm occurs when weak blood vessels in the brain start expanding or ballooning out. Usually they dont cause symptoms, although if they get very big, they can cause headaches. But a ruptured aneurysm, which occurs when the ballooned vessel pops and leaks blood around the brain, can cause a massive, sudden headache.
The classic presentation is the worst headache of your life, says Jonathan J. Russin, MD, assistant professor of clinical neurological surgery at the Keck School of Medicine of USC and a neurosurgeon at Keck Medicine of USC. They call it a thunder clap headache.
It may also be accompanied by nausea, vomiting, weakness or drowsiness. If you experience a major headache like this, call 911 immediately.
Can Playing Video Games Cause Anxiety
Gaming anxiety affects people everywhere and can show up as symptoms like headaches, palpitations, abdominal pain, and paresthesiathat pins-and-needles sensationas well as feelings of hopelessness and low self-esteem, says Leela R. Magavi, a psychiatrist and regional medical director of Community Psychiatry.
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Aggressive Or Combative Behavior
Some behaviors present special challenges. In rare cases, a person can suffer from agitation or paranoia. Behavior can become aggressive or combative. These behaviors can be caused or intensified by various medications. Doctors manage these symptoms by modifying drug dosages, or by prescribing antipsychotic drugs or tranquilizers.
Aggressive behavior is particularly difficult when safety becomes an issue. The best strategy is to pay attention to warning signs of growing anger or threats of violence. Tell your doctor, and try to resolve the problem before it escalates.
When dealing with an agitated person: Try to create a calm environment. Reduce noise, bright lights, excess movement, and the number of people in the vicinity. Alternately, remove your loved one from stressful situations.
Speak calmly and maintain eye contact. Assure the person of his or her safety. Orient the person by identifying yourself and stating your intentions.
Find out if something specific is bothering the person and resolve the problem. For example, the person may be hungry, thirsty, tired, afraid of something, or need to go to the bathroom. Try to calm the person by encouraging him or her to talk and by listening to his or her complaints. Dont disagree or argue with the person. Let the person talk until he or she calms down.
If the person becomes combative, remain calm. Take a few steps back and give the person plenty of room. Continue to agree and assure the person that he or she is safe.
A Note From Cleveland Clinic
The good news for headache sufferers is that you can choose from many kinds of treatment. If your first treatment plan doesnt work, dont give up. Your healthcare provider can recommend other treatments or strategies to find the right fix for you.
Last reviewed by a Cleveland Clinic medical professional on 06/03/2020.
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How And When To Take Amitriptyline
It’s usual to take amitriptyline once a day. It’s best to take it before bedtime because it can make you feel sleepy. If you find that you are still feeling drowsy in the morning you could try taking it earlier in the evening.
This medicine does not usually upset your stomach. You can take it with or without food.
Swallow the tablets whole, with a drink of water. If you chew them, they taste bitter.
The liquid comes with a plastic syringe or spoon to help you measure out the right dose. If you don’t have one, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not give the right amount.
Personality And Response To Migraine Treatment
Personality traits and disorders are of interest clinically insofar as they affect headache-related variables and treatment outcomes. Some studies suggest that specific personality profiles predict response to pharmacologic treatments. In a longitudinal clinic study examining personality traits, depression, and migraine in women, patients who were improved significantly at 6-year follow-up had lower baseline scores on MMPI-2 scales of depression, psychopathic deviation, paranoia, psychasthenia, schizophrenia, and social introversion than patients who were not improved . Both outcome groups had equivalent percentages of medication use across prescription drug types. Similarly, Luconi and colleagues found that high MMPI-2 scores on hypochondriasis, depression, hysteria, and schizophrenia predicted non-response to pharmacologic treatment at 2-year follow-up among chronic migraineurs. Differences in improvement between the two groups were independent of baseline headache disability, severity, frequency, and history.
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A Common Disorder With Long
According to the Migraine Research Foundation, migraine ranks in the top 20 for the worlds most disabling medical illnesses. Every 10 seconds, a person in the US visits the emergency room as a result of a headache or migraine.
For a disorder that is so common, the researchers stress that it is important to understand the long-term effects a migraine can have on the brain.
They add that guidelines from the American Academy of Neurology and the US Headache Consortium suggest that people with migraines who have normal neurological examinations do not need routine MRI scans.
Only patients with atypical headache, a recent change in headache pattern, other symptoms , or focal neurologic symptoms or signs are recommended for MRI of the brain, the researchers say.
Patients with WMAs can be reassured. Patients with ILLs should be evaluated for stroke risk factors. Volumetric MRI remains a research tool.
Dr. Messoud Ashina of the University of Copenhagen and lead study author says that further research is needed to fully determine the link between migraine and long-term brain structure.
Migraine affects about 10 to 15% of the general population and can cause a substantial personal, occupational and social burden, he adds.
We hope that through more study, we can clarify the association of brain structure changes to attack frequency and length of the disease. We also want to find out how these lesions may influence brain function.
Neurovascular Theory Of Migraines
Goadsby reported that based on the observation by Wolff that the migraine aura was the result of vasoconstriction and the ensuing headache was a result of reactive vasodilation, migraines during the 1960s and 1970s were considered a vascular phenomenon. The experiments by Graham and Wolff, instigating the vascular theory , involved administering ergotamine to migraineurs. When this alleviated migraines, they administered histamine and subsequently reproduced the headache.
Blau listed eight points that supported the neurological pathogenesis of migraines and proposed that the vasomotor features were secondary to neural stimulation. Blau explained that this was consistent with two theories first identifiedsupported by Liveing . The first of these was based on changes in blood vessels, evident from the color of the patients skin. This was attributed to flushing of the skin due to dilation of blood vessels and pallor of the skin due to contraction of the arteries. As per the second theory, migraine was described as a primary disorder of the nerve cells of the brain leading to occasional peculiar vasomotor disturbances. The eight points described by Blau to support the latter theory are as follows:
Blau concluded that both vascular and neurological hypotheses should be considered, and the implication of altered neural transmission in migraines warranted further investigation.
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Key Points About Headaches In Children
A headache is pain or discomfort in one or more areas of the head or face. Headaches can happen once in a while. Or they may happen often.
Primary headaches are not linked to another health condition. They are usually caused by tight muscles, widened blood vessels, changes in nerve signals, or swelling in parts of the brain.
Secondary headaches are the least common type of headaches. They are caused by a problem in the brain, or another health condition or disease.
In addition to head pain, your child may have nausea or vomiting.
Your child may have an MRI or a CT scan to help diagnose what may be causing a headache.
Treatment may include resting, taking medicines, managing stress, getting more sleep, and not having certain foods or drinks.
You Have Headaches With Sharp Pain From The Back Of Your Neck
Migraines generally follow a specific pattern for most people. But if you feel a sudden sharp, electrical-like pain coming from the back of your neck and radiating over the vertex of the skull, Dr. Ziv Peled, MD, told INSIDER that you might have occipital neuralgia.
While not a life-threatening condition, it’s still a good idea to see your doctor if you experience any of these symptoms.
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Difficult To Treat Chronic Migraine: The Bipolar Spectrum And Personality Disorders
Patients with refractory chronic migraine experience a great deal of disability related to their chronic headaches. Significant abuse in childhood, whether sexual, physical, or emotional, may predispose a person to the development of RCM, separately or in conjunction with other central sensitization syndromes such as fibromyalgia, irritable bowel syndrome, chronic pelvis pain, and temporomandibular disorder .
Important comorbidities include anxiety, depression, bipolar spectrum, personality disorders , somatization, and post-traumatic stress disorder.1 The author has published several articles on the bipolar spectrum and personality disorders and how they relate to migraine a brief synopsis will be discussed here.1-3
Gender Differences In Associated Symptoms And Concomitant Disorders
Most notable gender differences, with up to double the frequency in women compared to men, were: associated nausea and osmophobia, tension-type headache, anxiety, and depression. Gender differences were seen also in age at migraine onset . The perceived role of stress as a trigger for migraine attacks was measured on a VAS scale 0100 millimeters . Women scored 75.6 on average versus men’s average score of 58.5 P< 0.001 , MannWhitney test.
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Dysfunctional Cognitive Domains In Migraine
Cognitive impairment in cross sectional, clinic-based studies showed that migraine affected certain cognitive domains in particular, such as processing speed, attention, memory, verbal skills and executive function . Migraine had a moderate to marked effect on processing speed and visuomotor scanning speed , whereas basic attention and delayed verbal memory were mildly affected, and more complex psychomotor processing speed tasks were not significantly affected . Some studies observed mild to moderate impairments in non-verbal memory whereas others found no effect or better performance in migraineurs . Verbal skills were mildly impaired . In terms of executive function, migraine had a moderate to marked effect on sustained attention and working memory . There was slight dysfunction in the inhibition domain in migraine patients . In the domains of mental flexibility and set shifting, several studies reported that migraine patients exhibited a moderate or marked impairment . One study that included problem solving and decision making also found a marked impairment in these domains in migraine patients .
How Do Video Games Affect Social Behavior
Abstract Recently, research studies and media have reported on the detrimental effects violent video games have on the social behaviors of adolescents. For example, previous studies have found that playing video games is positively associated with aggressive behaviors and negatively associated with prosocial behaviors.
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Neuroimaging Neurophysiological And Pharmacological Studies
The predominant involvement of processing speed, sustained attention and memory suggested prefrontal and temporal cortical dysfunction during the attacks , also supported by functional imaging studies . A positron emission tomographic study showed activation of prefrontal cortex and temporal lobe during migraine attacks , and an fMRI study revealed significantly greater activation in the medial temporal lobe . In the latter study, temporal lobe showed increased functional connectivity with several brain regions in migraineurs relative to controls in response to painful heat, and fMRI activation in temporal lobe was exacerbated during migraine headache attacks.
The functional organization of brain networks associated with pain and cognitive processes may be altered in migraine. De Tommaso et al. showed that episodic or chronic migraine patients have deficits in cognitive task-related suppression of laser evoked potential amplitudes during acute pain . fMRI studies reveal blunted cognitive-related neural activity in migraine patients . While healthy subjects have strong task-related deactivation in the left dorsolateral prefrontal cortex, dorsal anterior midcingulate cortex, and cerebellum that is decreased with acute pain, migraineurs show blunted task-related deactivation with no change in response to acute pain. These changes were not associated with pain catastrophizing or pain intensity.
Should You Take A Personality Test
The purpose of this article is not to imply that you need to take a personality test before seeing your headache specialist or neurologist. But, for those interested, it may be worth taking a few minutes to mull over which personality traits you identify more with.
In fact, a closer peek into your temperament may help you cope better with your headache or migraine disorder. For example, if you notice you are anxious or a perfectionist, engaging in relaxing behaviors like meditation or yoga may ease your pain, in addition to reducing your natural tendencies to worry or obsess about details.
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Personality Changes After Head Injury: Conclusion
Personality changes after a head injury or concussion are distressing. But while you may never be the exact same person you were before your injury, this shouldnt cause you to lose hope.
But thanks to the brains remarkable ability to heal and rewire itself, you can still learn effective ways to deal with unruly emotions and relearn how to connect with others.
In fact, you may even find, after learning new coping methods, that you are a stronger and more resilient person than you ever thought possible.
Coping With Personality Changes
Managing personality changes will depend on what’s causing them. Often it can help to talk to people who have experienced something similar and find out what helps them.
If swelling around the brain is causing the changes, steroids can be prescribed to help reduce the effect of the swelling. Hormone replacement therapy can be used to help when personality or behaviour changes are caused by a tumour affecting the pituitary gland.
Relationship Support Service
Personality changes can place a huge amount of stress on even the healthiest relationship. In ourLosing Myself report, 2 in 3 people said a brain tumour diagnosis had a negative impact on their relationship with their partner.
By launching our free Relationship Support Service in partnership with Relate, we hope to support couples as they manage the extra strain on a relationship that can be caused by a brain tumour diagnosis.
I cant recommend the Relationship Support Service highly enough to help navigate the tricky ways in which a brain tumour diagnosis can impact on a relationship.
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What Is Pms Pain
PMS pain doesnt refer to menstrual cramps alone. There are many kinds of PMS aches and pains, from premenstrual back pain and aching joints to leg pains, headaches, and overall stiffness. All PMS pain has one thing in common, thoughits part of an overall hormone imbalance that gives rise to premenstrual syndrome in the first place.
How To Cope With Side Effects Of Amitriptyline
What to do about:
- constipation eat more high-fibre foods such as fresh fruit and vegetables and cereals. Try to drink several glasses of water or other non-alcoholic drinks every day. If you can, it may also help to do some exercise.
- dizziness this is probably due to low blood pressure. Drink plenty of water or other non-alcoholic drinks. Do not stand up too quickly after you have been sitting or lying down.
- dry mouth try sugar-free gum or sugar-free sweets.
- feeling sleepy or tired take amitriptyline in the evening and cut down on the amount of alcohol you drink. Do not drive, cycle or use tools or machinery if you’re feeling this way.
- difficulty peeing relax when you try to pee. Do not try to force the flow of urine. If you still cannot go, try again later. Talk to your doctor urgently if you cannot pee at all.
- headaches make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Try taking paracetamol or ibuprofen if you need pain relief. Talk to your doctor if the headaches last longer than a week or are severe.
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