Headache: Difference between revisions
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imported>Robert Badgett (New page: Headache is defined as "the symptom of pain in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of headache disorders."<ref name="title">{{cit...) |
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===Secondary headache=== | ===Secondary headache=== | ||
Secondary headaches are defined as "conditions with headache symptom that can be attributed to a variety of causes including brain vascular disorders; wounds and injuries; infection; drug use or its withdrawal."<ref name="title">{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?mode=&index=23488&field=all&HM=&II=&PA=&form=&input= |title=Headache Disorders, Secondary |accessdate=2007-12-11 |author=National Library of Medicine |authorlink= |coauthors= |date= |format= |work= |publisher= |pages= |language= |archiveurl= |archivedate= |quote=}}</ref> | Secondary headaches are defined as "conditions with headache symptom that can be attributed to a variety of causes including brain vascular disorders; wounds and injuries; infection; drug use or its withdrawal."<ref name="title">{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?mode=&index=23488&field=all&HM=&II=&PA=&form=&input= |title=Headache Disorders, Secondary |accessdate=2007-12-11 |author=National Library of Medicine |authorlink= |coauthors= |date= |format= |work= |publisher= |pages= |language= |archiveurl= |archivedate= |quote=}}</ref> | ||
The role of overuse of medications for treating migraine (triptans, analgesics, ergots) and their withdrawal as a cause of headache is controversial.<ref name="pmid17475943">{{cite journal |author=Bøe MG, Mygland A, Salvesen R |title=Prednisolone does not reduce withdrawal headache: a randomized, double-blind study |journal=Neurology |volume=69 |issue=1 |pages=26–31 |year=2007 |pmid=17475943 |doi=10.1212/01.wnl.0000263652.46222.e8 |issn=}}</ref> | |||
==Diagnosis== | |||
[[X-ray computed tomography]] (CT Scan) should be considered if one of the following is present:<ref name="pmid16968852">{{cite journal |author=Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM |title=Does this patient with headache have a migraine or need neuroimaging? |journal=JAMA |volume=296 |issue=10 |pages=1274–83 |year=2006 |pmid=16968852 |doi=10.1001/jama.296.10.1274 |issn=}}</ref> | |||
* cluster-type headache | |||
* abnormal findings on neurologic examination | |||
* undefined headache (ie, not cluster, [[migraine headache|migraine]], or tension-type) | |||
* headache with aura | |||
* headache aggravated by exertion or a valsalva-like maneuver | |||
* headache with vomiting | |||
==References== | ==References== | ||
Revision as of 13:26, 11 December 2007
Headache is defined as "the symptom of pain in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of headache disorders."[1]
Classification
Primary headaches
Primary headaches are defined as "conditions in which the primary symptom is headache and the headache cannot be attributed to any known causes."[1]
Migraine headache
Tension headache
Secondary headache
Secondary headaches are defined as "conditions with headache symptom that can be attributed to a variety of causes including brain vascular disorders; wounds and injuries; infection; drug use or its withdrawal."[1]
The role of overuse of medications for treating migraine (triptans, analgesics, ergots) and their withdrawal as a cause of headache is controversial.[2]
Diagnosis
X-ray computed tomography (CT Scan) should be considered if one of the following is present:[3]
- cluster-type headache
- abnormal findings on neurologic examination
- undefined headache (ie, not cluster, migraine, or tension-type)
- headache with aura
- headache aggravated by exertion or a valsalva-like maneuver
- headache with vomiting
References
- ↑ 1.0 1.1 1.2 National Library of Medicine. Headache. Retrieved on 2007-12-11. Cite error: Invalid
<ref>tag; name "title" defined multiple times with different content Cite error: Invalid<ref>tag; name "title" defined multiple times with different content - ↑ Bøe MG, Mygland A, Salvesen R (2007). "Prednisolone does not reduce withdrawal headache: a randomized, double-blind study". Neurology 69 (1): 26–31. DOI:10.1212/01.wnl.0000263652.46222.e8. PMID 17475943. Research Blogging.
- ↑ Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM (2006). "Does this patient with headache have a migraine or need neuroimaging?". JAMA 296 (10): 1274–83. DOI:10.1001/jama.296.10.1274. PMID 16968852. Research Blogging.