Abstract
Effective management of headache depends on correct diagnosis. The presence of warning symptoms should necessitate further investigation to rule out an underlying cause. Once pathology has been excluded, targeted questions and pattern recognition of typical presentations of headache enable more confident diagnosis. With primary headaches being more common in practice than secondary headaches, correct diagnosis is dependent on a good history. A good history is also important to prevent misdiagnosis when there are coexisting headache types.
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References
Bahra A, Goadsby PJ (2004) Diagnostic delays and mis-management in cluster headache. Acta Neurol Scand 109:175–179
Bille B (1997) A 40-year follow-up of school children with migraine. Cephalalgia 17:488–491
Blau JN (1993) Behaviour during a cluster headache. Lancet 342:723–725
Blau JN, MacGregor EA (1995) Migraine consultations: a triangle of viewpoints. Headache 35:104–106
Bone I, Fuller G (2002) Headache. J Neurol Neurosurg Psychiatry 72(Suppl 2):ii1
Detsky ME, McDonald DR, Baerlocker MO, Tomlinson GA, McCory DC, Booth CM (2006) Does this patient with headache have a migraine or need neuroimaging? J Am Med Assoc 296:1274–1283
Dodick DW (2010) Pearls: headache. Semin Neurol 30(1):74–81
Fitzpatrick R (1996) Telling patients there is nothing wrong. BMJ 313:311–312
Giffin NJ, Ruggiero L, Lipton RB, Silberstein SD, Tvedskov JF, Olesen J, Altman J, Goadsby PJ, Macrae A (2003) Premonitory symptoms in migraine: an electronic diary study. Neurology 60:935–940
Hamilton W, Kernick D (2007) Clinical features of primary brain tumours: a case-control study using electronic primary care records. Br J Gen Pract 57:695–699
Headache Classification Subcommittee of the International Headache Society (IHS) (2004) The international classification of headache disorders (2nd edn.). Cephalalgia 24:1–160
Howard L, Wessely S, Leese M, Page L, McCrone P, Husain K, Tong J, Dowson A (2005) Are investigations anxiolytic or anxiogenic? A randomised controlled trial of neuroimaging to provide reassurance in chronic daily headache. J Neurol Neurosurg Psychiatry 76:1558–1564
Latinovic R, Gulliford M, Ridsdale L (2006) Headache and migraine in primary care: consultation, prescription, and referral rates in a large population. J Neurol Neurosurg Psychiatry 77:385–387
Laughey WF, MacGregor EA, Wilkinson MI (1993) How many different headaches do you have? Cephalalgia 13:136–137
Lipton RB, Stewart WF, Simon D (1998) Medical consultation for migraine: results from the American migraine study. Headache 38:87–96
Lipton RB, Dodick D, Sadovsky R, Kolodner K, Endicott J, Hettiarachchi J, Harrison W (2003) A self-administered screener for migraine in primary care: the ID migraine validation study. Neurology 61:375–382
MacGregor A, Frith A (eds) (2008) ABC of headache. BMJ Books, London
MacGregor EA, Steiner TJ, Davies PTG (2010) Guidelines for all healthcare professionals in the diagnosis and management of migraine, tension-type, cluster and medication-overuse headache. Available at: http://www.bash.org.uk/. Accessed 31 Jan 2011
Stewart WF, Wood C, Reed ML, Roy J, Lipton RB (2008) Cumulative lifetime migraine incidence in women and men. Cephalalgia 28:1170–1178
van Vliet JA, Eekers PJ, Haan J, Ferrari MD (2003) Features involved in the diagnostic delay of cluster headache. J Neurol Neurosurg Psychiatry 74:1123–1125
Vazquez-Barquero A, Ibanez FJ, Herrera S, Izquierdo JM, Berciano J, Pascual J (1994) Isolated headache as the presenting clinical manifestation of intracranial tumors: a prospective study. Cephalalgia 14:270–272
Vernooij MW, Ikram MA, Tanghe HL, Vincent AJ, Hofman A, Krestin GP, Niessen WJ, Breteler MM, van der Lugt A (2007) Incidental findings on brain MRI in the general population. N Engl J Med 357:1821–1828
Weingarten S, Kleinman M, Elperin L, Larson EB (1992) The effectiveness of cerebral imaging in the diagnosis of chronic headache. Arch Intern Med 152:2457–2462
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© 2011 Lifting The Burden
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MacGregor, E.A., Ravishankar, K., Dodick, D. (2011). The Medical History: The Key to Correct Headache Diagnosis. In: Martelletti, P., Steiner, T.J. (eds) Handbook of Headache. Springer, Milano. https://doi.org/10.1007/978-88-470-1700-9_12
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DOI: https://doi.org/10.1007/978-88-470-1700-9_12
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1699-6
Online ISBN: 978-88-470-1700-9
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