The Experts below are selected from a list of 138 Experts worldwide ranked by ideXlab platform

Alfredo A. Sadun - One of the best experts on this subject based on the ideXlab platform.

  • Retinitis Pigmentosa Misdiagnosed as Complicated Migraine-Reply
    Archives of Ophthalmology, 1991
    Co-Authors: Lindreth Dubois, Alfredo A. Sadun
    Abstract:

    In Reply. —We appreciate Dr MacKay's interest and suggestion that our patient had early RP. It is true that RP, especially sine pigmento, may be difficult to diagnose. As noted in our case report,1we, too, were initially confounded by the abnormal ophthalmologic findings in the absence of an observable cause. However, the diagnosis of RP was considered and rejected. In response to Dr MacKay, we can add that there was never a question of a faulty patient history. Now an attorney, the patient was a truck driver at presentation and often drove at night. He was an excellent recorder of his visual changes; he complained that "swirling designs" and poor contrast developed during a period of about 1 month. There was no family history of nyctalopia or degenerative retinal diseases. We agree that the electrophysiologic changes were highly suggestive of peripheral retinal impairment from congenital nyctalopia, yet there

David W. Bates - One of the best experts on this subject based on the ideXlab platform.

James R. Couch - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Headache Following Triptan Failure After Successful Triptan Therapy
    Current Treatment Options in Neurology, 2015
    Co-Authors: Marc E. P. Lenaerts, James R. Couch
    Abstract:

    Triptans should remain the first choice in Migraine abortive treatment. They are not always effective or adequate for specific patients. Before declaring a triptan in appropriate for a given patient, the provider ought to be analytical about the rationale and especially the use of objective efficacy outcome measures and ensure that treatment is prescribed and used appropriately. Other ergot derivatives, especially dihydroergotamine, may on one hand share common contraindications of triptans but on the other hand can be quite effective where triptans failed. Non-steroids are simple, readily available, and overall safe, and evidence for their efficacy in Migraine is plentiful. Opioid analgesics are blatantly overprescribed especially in non-Complicated Migraine patients. These should be used with great care and restraint and closely monitored. Frequent opioid usage often leads to tolerance, dependence, and medication overuse headache. Neurostimulation is gaining momentum in the armamentarium of Migraine management but at the present time remains primarily focused on prophylaxis, yet abortive use is expected to grow.

Lindreth Dubois - One of the best experts on this subject based on the ideXlab platform.

  • Retinitis Pigmentosa Misdiagnosed as Complicated Migraine-Reply
    Archives of Ophthalmology, 1991
    Co-Authors: Lindreth Dubois, Alfredo A. Sadun
    Abstract:

    In Reply. —We appreciate Dr MacKay's interest and suggestion that our patient had early RP. It is true that RP, especially sine pigmento, may be difficult to diagnose. As noted in our case report,1we, too, were initially confounded by the abnormal ophthalmologic findings in the absence of an observable cause. However, the diagnosis of RP was considered and rejected. In response to Dr MacKay, we can add that there was never a question of a faulty patient history. Now an attorney, the patient was a truck driver at presentation and often drove at night. He was an excellent recorder of his visual changes; he complained that "swirling designs" and poor contrast developed during a period of about 1 month. There was no family history of nyctalopia or degenerative retinal diseases. We agree that the electrophysiologic changes were highly suggestive of peripheral retinal impairment from congenital nyctalopia, yet there

A M Glenn - One of the best experts on this subject based on the ideXlab platform.