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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


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  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Increased intracranial pressure in migraine? Neuroimaging study on a cohort of migraineurs (p.1554-60)

Increased intracranial pressure in migraine? Neuroimaging study on a cohort of migraineurs (p.1554-60)

Halil Onder1, Gurol Goksungur2
1Yozgat City Hospital, Clinic of Neurology, Yozgat, Turkey
2Yozgat City Hospital, Clinic of Radigoloy, Yozgat, Turkey

Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: To investigate the frequency of papilledema and radiological signs of increased intracranial pressure (ICP) in our cohort of migraineurs, and investigate the possible clinical predictors.
Material and Methods: This was a cross-sectional study in which we have included all the patients with migraine who applied to our neurology clinic during January 2020 and accepted to involve in the study. The demographic and clinical characteristics including migraine subtype (episodic/chronic), headache frequency per month, headache characteristics were evaluated in all the study group. Besides, the presence of chronic fatigue syndrome (CFS) was noted. The fundus examination was performed in all the patients. Previously defined eight findings of increased ICP were evaluated by our radiologist. We have classified the migraineurs into two groups as migraineurs with clinical suspicion of increased ICP and those without. We have identified the patients with papilledema and/or positivity of at least one of the neuroimaging signs of increased ICP as migraineurs with suspicion of increased ICP. The remaining patients were defined as migraineurs without suspicion of increased ICP.
Results: Ultimately, 63 migraineurs were included in this study. The median age was 36.8 ± 11.3 and the F/M ratio was 51/12. Papilledema was determined in 11 (17.4%) of the patients and 19 (30.1%) of the migraineurs had at least one of the neuroimaging signs of increased ICP. Twenty-six (41.3%) of the overall group were evaluated as migraineurs with suspicion of increased ICP and 37 of the patients were those without suspicion of increased ICP. The comparisons between these two patient groups revealed that obesity was more prevalent in the migraineurs with suspicion of increased ICP. Logistic regression analyses revealed obesity (OR: 0.090, P = 0.014) and radicular pain (OR: 7,647, P = 0.030) as clinical predictor factors for the patients with suspicion of increased ICP.
Conclusion: We determined a high rate of patients with either a positive neuroimaging sign of increased ICP and/or papilledema in our cohort of migraineurs. Our results may suggest obesity and radicular as potential risk factors in the prediction of increased ICP in migraineurs. The results of this study need to be confirmed in future prospective-studies with the evaluations of the lumbar puncture opening pressures in the patient subgroup with required indication.

Keywords: Increased intracranial pressure; migraine; MRI; papilledema; pathophysiology

 

 

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doi: 10.5455/annalsmedres.2020.03.239       

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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