• Mani K.C. Vindhya
  • Prasad Nidadavolu
  • Chris James


A headache is one of the common reasons for seeking medical attention. The term “headache” generally encompasses all aches and pains located in the head. It is plausible to ask: why so many pain symptoms are centered in the head? A reasonable explanation is that the face and scalp are richly supplied with pain receptors, more so than many other parts of the body (Zagami 1994). It is a well-designed mechanism that protects the precious contents of the skull (Fig. 27.1). When pain-sensitive structures, which reside in the skull, are attacked by disease or trauma, each structure has its own way of inducing pain (Headache Classification Committee of the International Headache Society 1998). This chapter is designed to give an introduction and overview to various types of headaches, their origin, presentation, pathophysiology, and treatment modalities.


Cluster Headache Giant Cell Arteritis Migraine With Aura Ergot Alkaloid Idiopathic Intracranial Hypertension 
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  1. Bendtsen L. Central and peripheral sensitization in tension-type headache. Curr Pain Headache Rep. 2003;7:460.PubMedCrossRefGoogle Scholar
  2. Brandes JL, Kudrow D, Stark SR, O’Carroll CP, Adelman JU, O’Donnell FJ, et al. Sumatriptan-naproxen for acute treatment of migraine: a randomized trial. JAMA Apr 4 2007;297(13):1443–54. MedlineGoogle Scholar
  3. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalagia 1998;8(suppl 7):1–96Google Scholar
  4. Lance JW. Current concepts of migraine pathogenesis. Neurology Jun 1993;43(6 suppl 3):S11–5.Google Scholar
  5. Lipton RB, Diamond S, Reed M, Diamond ML, Stewart WF. Migraine diagnosis and treatment: results from the American Migraine Study II. Headache 2001;41:638–45.PubMedCrossRefGoogle Scholar
  6. Spierings ELH, Ranke AH, Honkoop PC. Precipitating and aggravating factors of migraine versus tension-type headache. Headache 2001;41:554–8.PubMedCrossRefGoogle Scholar
  7. Zagami AS. Pathophysiology of migraine and tension type headaches. Curr Opin Neurol. 1994;7:272.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Mani K.C. Vindhya
    • 1
  • Prasad Nidadavolu
    • 2
  • Chris James
    • 3
  1. 1.Department of AnesthesiologySt. Joseph’s HospitalTampaUSA
  2. 2.Department of Neurology, Jackson Memorial HospitalUniversity of Miami School of MedicineMiamiUSA
  3. 3.Coney Island HospitalTampaUSA

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