Zusammenfassung
Die exakte Klassifikation von Kopfschmerzerkrankungen ist der entscheidende Schritt für die Aufschlüsselung der Pathophysiologie, der Symptomatik und für die Einleitung einer wirkungsvollen Kopfschmerztherapie. Es ist keineswegs so, daß man die Klassifikation von Kopfschmerzen als langweiliges Kapitel einfach überschlagen kann und sich gleich an therapeutischen Rezepten versucht. Ohne eine klare Struktur in der Kopfschmerzdiagnostik und ohne differenzierte Einteilung der verschiedenen Kopfschmerzerkrankungen und Erhebung der einzelnen Kopfschmerzsymptome bleibt jede Kopfschmerztherapie ein Zufallsprodukt.
Der Patient, der an Kopfschmerzen leidet, findet sich häufig in der Situation eines medizinischen Waisenkindes. Er kann sich glücklich schätzen, wenn sein Kopfschmerz vorübergehend ist. Ist dies nicht der Fall, befindet er sich auf einer Exkursion beim Augenarzt, Hals-, Nasen- und Ohrenarzt, Neurologen, Zahnarzt, Psychiater, Orthopäden, Apothekern und den neuesten Massagepraxen. Er wird geröntgt, mit Brillen ausgestattet, psychoanalysiert, stimuliert, es werden die Zähne gezogen, er wird eingerenkt und die Nasenmuscheln werden operiert. Und zumeist bleiben die Kopfschmerzen bestehen. (Russell C. Packard)
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Göbel, H. (1997). Klassifikation von Kopfschmerzen. In: Die Kopfschmerzen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06657-7_1
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