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Background: Basic data on migraine headache characteristics, including frequency and severity, headache-associated impairment, and the intake of pain killer medications, may be influenced by the recording manner of these data. Headache diary can be used for that purpose. This study was done to evaluate if the regular use of headache diary can make a difference for patients with chronic migraine or not. Methods: This study included the patients with chronic migraine with improper headache control, who were coming to neurology outpatient clinic and were asked to record their data using either paper or digital diary. Results: Fifty patients mainly from females were included in our study, showed better compliance and headache control by detection and management of their reported triggers. The most reported triggering factors were stress followed by sleep deprivation. Conclusions: Headache diary regular recording is helpful in better management of headache attacks regarding frequency, duration, and pain intensity in patients with chronic migraine. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic can be considered as one of major global health disasters that massively overwhelmed the health scene in the whole world and can be compared to the scale of 1918 influenza pandemic. The neurological manifestations and the subsequent complications reported with COVID-19, have been increased recently while the pandemic still going ahead. Methods: this study included the patients with neurological complaints presented to neurology outpatient clinic after had been infected with COVID-19 during the first wave of the current pandemic, and have been divided into two groups according to presence or absence of tremor. Their tremor has been evaluated using TETRA score. Results: 39 patients mainly from males out of total 105 patients who were included in our study, presented mainly with tremor of essential tremor character. Conclusion: tremor has been found as a possible post COVID-19 neurological complication without clear evidence for cerebral or cerebellar abnormalities. [ABSTRACT FROM AUTHOR]

Background The Coronavirus Disease 2019 (COVID-19) pandemic was an ongoing global stress encountered by individuals with preexisting chronic illnesses. This study aimed to evaluate the perceived fears of contracting COVID-19 virus (FCV) infection and to address the associated correlates among patients with multiple sclerosis (MS) during the pandemic. Patients and Methods A cross-sectional study included a total of 120 Egyptian patients with MS who were followed up at the Zagazig University Neurology Outpatient Clinics during the COVID-19 outbreak between May 1 and October 31, 2020. The participants, consecutively selected by the convenience sampling method, were interviewed using the Fear of COVID-19 Scale (FCV-19S), Hospital Anxiety and Depression Scale, Expanded Disability Status Scale, and Five-item Modified Fatigue Impact Scale for the assessment of FCV, comorbid anxiety, and depressive symptoms, associated fatigability, and levels of disability, respectively. Results Around 58% of patients with MS (n= 69) experienced intensified FCV. Those who were unmarried, reporting higher levels of anxiety and depression, diagnosed with primary or secondary progressive MS subtypes, with a longer course of illness, and associated fatigability and disability, were more likely to experience FCV. Comorbid anxiety symptoms were positively correlated with illness duration (r= 0.19, P= 0.039), increased fatigue (r= 0.47, P <0.001), and disability (r= 0.36, P <0.001), while depressive symptoms were positively correlated with increased fatigue (r= 0.37, P <0.001) and disability (r= 0.30, P <0.001). Conclusions FCV was prevalent among patients with MS. Being unmarried, heightened anxiety, longer duration of illness, and associated fatigability would predict FCV. Both psychological and physical assessment measures of patients with MS should be regularly implemented. [ABSTRACT FROM AUTHOR]

Takayasu's arteritis should be kept under the differential diagnosis of stroke in all young patients. Early, proper diagnosis and treatment are necessary to reduce any further progression, morbidity, and mortality rates of the disease. [ABSTRACT FROM AUTHOR]