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Using an incision originally designed for another purpose, surgeons can gain direct access to the nerves involved in some types of chronic temporal headache, according to the report by ASPS Member Surgeon Dr. Ziv M. Peled of Peled Plastic Surgery, San Francisco. He hopes his new technique will "lower the bar to adoption" of effective surgical treatment for patients with this debilitating headache condition. Efficient Approach to Surgery for Chronic Temporal Headache In recent years, surgery has emerged as an effective treatment option for selected patients with chronic, severe headaches. Developed by plastic surgeons who noticed that some migraine patients had fewer headaches after cosmetic forehead-lift, these procedures address "trigger sites" linked to certain headache patterns. Severe temporal headaches can result from muscle spasms or enlarged blood vessels putting pressure on specific nerves located on the side of the head--specifically, the zygomatic...

More than 10% of the female population suffers from migraines. Migraines with aura is seen in one out of three of these patients, who experience transitory neurological symptoms in connection with their migraine attacks. Previous studies raised concern with regard to a possible connection between migraines and an increased risk of silent brain infarcts and white matter hyperintensities, particularly in women suffering from migraine with aura. Silent brain infarcts and WMHs have been reported to increase the risk of dementia. "This prompted us to evaluate whether women with migraine with aura might be more likely to have evidence of silent brain infarcts and an increased load of white matter hyperintensities on their brain scans," says research team leader Dr David Gaist of the Odense University Hospital and University of Southern Denmark. The researchers identified women between 30 and 60 years of age through the Danish Twin Registry. This nationwide registry enabled them...