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Headache Disorders: Introduction



What Is An Ocular Migraine Headache and Do Natural Treatment Methods Work?
• Headache Disorders: Introduction • Jan 28 10
Migraines are a dreadful medical condition in which a person experiences severe headaches that lasts for a long period of time. This is one… What Is An Ocular Migraine Headache and Do Natural Treatment Methods Work?   

Classification by Etiology and Physiology
• Headache Disorders: Introduction • Feb 24 09
Classification by etiology and pathophysiology goes another step beyond symptom analysis in an attempt to understand the underlying cause of headache.  This is the… Classification by Etiology and Physiology   

Headache On Prescription Renewals
• Headache Disorders: Introduction • Feb 11 09
A final note on problem patients concerns prescription renewals. For the most part, prescriptions are renewed because the patient finds the medication useful and… Headache On Prescription Renewals   

The Difficult Headache Patient
• Headache Disorders: Introduction • Feb 10 09
In 1978, James E. Groves published his now classic paper “Taking Care of the Hateful Patient.” He described four classes of patients who might… The Difficult Headache Patient   

Emergency Presentation Of Headache Patients
• Headache Disorders: Introduction • Feb 10 09
Headache patients may present as an emergency for various reasons.

Acute Systemic Illness
The patient may have a new headache… Emergency Presentation Of Headache Patients   

Headache - Causes for Concern
• Headache Disorders: Introduction • Feb 10 09
The physician should be especially concerned if the patient has any of the following (Silberstein, 1992; Edmeads, 1988): (1) a new-onset headache in a… Headache - Causes for Concern   

Tenderness
• Headache Disorders: Introduction • Feb 10 09
Tenderness over the aching side of the head and of the nasal and paranasal sinuses, the teeth, and the ear may be conspicuous during… Tenderness   

Impact of Headache
• Headache Disorders: Introduction • Feb 10 09
Consider the impact of the headache disorder on the patient’s life. Patients who have severe disability may require a program of care to improve… Impact of Headache   

Headache Social History
• Headache Disorders: Introduction • Feb 10 09
Social factors may play a significant role in headache. The examiner should explore the patient’s marital and family status, education, occupation, outside interests, and… Headache Social History   

Effect of Head Jolt
• Headache Disorders: Introduction • Feb 10 09
Headaches known to arise primarily from dilation of pain-sensitive intracranial vessels (i.e., histamine headache, hypoglycemic headache, and the headaches of fever, systemic infection, “hangover,”… Effect of Head Jolt   

Headache Associated Signs and Symptoms
• Headache Disorders: Introduction • Feb 10 09
Associated symptoms may occur prior to, concurrent with, or following the headache. Inquire about redness or tearing of the eyes, nasal congestion, nausea, vomiting,… Headache Associated Signs and Symptoms   

Headache Precipitating Factors
• Headache Disorders: Introduction • Feb 10 09
Identifying factors that precipitate or aggravate headache attacks is useful in establishing a diagnosis and implementing a treatment program. Recognizing triggers helps patients avoid… Headache Precipitating Factors   

Headache Chronologic Features
• Headache Disorders: Introduction • Feb 10 09
Migraine headaches typically last 4 to 72 hours but may be as brief as 20 or 30 minutes or last days or, rarely, weeks.… Headache Chronologic Features   

Headache Frequency
• Headache Disorders: Introduction • Feb 10 09
The frequency and pattern of headache may provide clues to the diagnosis. Cluster headache typically occurs in brief attacks, each lasting 30 to 90… Headache Frequency   

Headache Location
• Headache Disorders: Introduction • Feb 10 09
Is the headache bilateral or unilateral? Unilateral head pain that alternates sides suggests migraine. Cluster headache is almost always unilateral, with the pain centered… Headache Location   

Headache Diagnosis and History
• Headache Disorders: Introduction • Feb 10 09
Since most headache patients have normal neurologic and physical examinations, the most important tool for making a correct headache diagnosis is a detailed and… Headache Diagnosis and History   

Headache Diagnosis
• Headache Disorders: Introduction • Jan 27 09
The first task in evaluating a headache patient is to identify or exclude secondary headache based on the history, the general medical examination, and… Headache Diagnosis   

Tension-type headache
• Headache Disorders: Introduction • Jan 27 09
Table 2-5 Tension-type headache

2.1 Episodic tension-type headache (ETTH)

Diagnostic criteria

A. At… Tension-type headache   

Migraine with aura
• Headache Disorders: Introduction • Jan 27 09
Table 2-4 Migraine with aura

1.2 Migraine with aura

Previously used terms: classic migraine; classical migraine; ophthalmic, hemiparesthetic,… Migraine with aura   

Migraine without aura
• Headache Disorders: Introduction • Jan 27 09
Table 2-3 Migraine without aura

1.1 Migraine without aura

Diagnostic criteria

A. At… Migraine without aura   

General rules for headache classification
• Headache Disorders: Introduction • Jan 27 09
Table 2 -2 General rules for headache classification


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