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In its different presentations, headache is one of the most common symptoms seen by family practitioners. The difficulty is in diagnosing the cause of the headache so that the appropriate treatment is provided, or if referral to a specialist is the recommended course of action.
The ABC of Headache helps with this dilemma and guides the healthcare professional to look for the possible causes of presenting symptoms. Based on real case histories, each chapter guides the reader from symptoms through to diagnosis and management.
This new ABC is a highly illustrated, informative, and practical source of knowledge. With links to further information and resources, it is a valuable text for healthcare professionals at all levels of practice and training.
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Seitenzahl: 205
Veröffentlichungsjahr: 2013
Contents
Preface
Contributors
CHAPTER 1 Approach to Headaches
Introduction
History
Examination
Investigations
Headache diaries
Managing the undiagnosed headache
Further reading
CHAPTER 2 Migraine
History
Examination
Investigations
Diagnosis
Initial management
Referral
Management plan
Final diagnosis
Ongoing management
Outcome
Further reading
CHAPTER 3 Tension-type Headache
History
Examination
Investigations
Diagnosis
Initial management
Management plan
Referral
Final diagnosis
Ongoing management
Outcome
Further reading
CHAPTER 4 Cluster Headache
History
Examination
Referral
Investigations
Diagnosis
Initial management
Management plan
Final diagnosis
Outcome
Further reading
CHAPTER 5 Medication Overuse Headache
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Prognosis
Further reading
CHAPTER 6 Menstrual Headaches
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 7 Childhood Periodic Syndromes
History
Examination
Investigations
Diagnosis
Final diagnosis
management
Outcome
Further reading
CHAPTER 8 Teenage Headache
History
Examination
Investigations
Diagnosis
Initial management
Final diagnosis
Outcome
Further reading
CHAPTER 9 Exertional Headache
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Outcome
Further reading
CHAPTER 10 Thunderclap Headache
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 11 Headache and Brain Tumour
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 12 Headache and Neck Pain
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 13 Headache and Depression
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 14 Pain in the Temple
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Management plan
Outcome
Further reading
CHAPTER 15 Facial Pain
History
Examination
Investigations
Diagnosis
Initial management
Referral
Final diagnosis
Outcome
Further reading
Further resources
Specialist clinics
Professional organisations
Lay organisations
Index
This edition first published 2009, © 2009 by Blackwell Publishing Ltd
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Library of Congress Cataloging-in-Publication Data
ABC of headache / edited by Anne MacGregor, Alison Frith.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4051-7066-6 (alk. paper)
1. Headache. I. MacGregor, Anne, 1960– II. Frith, Alison.
[DNLM: 1. Headache–diagnosis. 2. Headache Disorders–diagnosis. WL 342 A112 2008]
RC392.A27 2008616.8′491–dc22
2008001983
ISBN: 978-1-4051-7066-6
A catalogue record for this book is available from the British Library
1 2009
Preface
Our aim with this ABC book is to provide the reader with a clear, concise text to recognize and manage headache effectively. We are grateful for the opportunity to collaborate with colleagues to provide current information based on best available evidence and expert specialist opinion.
First we present an overall approach to headache including eliciting the history, identifying ‘red flags’ and current issues in investigation and management. The chapters that follow are carefully selected case studies with emphasis on history taking to establish differential diagnoses, investigations that may be required and specific management strategies. Although we illustrate the main primary headaches of migraine, tension-type headache, and cluster headache, we recognize that not all secondary headache types are covered. Obvious headaches due to head trauma or infection for example, have been omitted. Instead, we have chosen common but under-recognized medication overuse headaches and headaches attributed to depression, neck pain and trigeminal neuralgia. Headaches associated with underlying cranial vascular disorder and brain tumours, although rare, are included since they are greatly feared by both patients and healthcare professionals.
Individual case studies cannot address all the issues relating to a specific group of headache sufferers. However, we felt it was important to devote chapters on headache and associated syndromes in children and adolescents to highlight their specific issues. With regard to headache in the elderly, the treatments are the same as for other age groups, but the differential diagnosis is particularly important as demonstrated in the chapter on giant cell arteritis. As a quarter of all women are affected by migraine and half of them recognise an association with menstruation, we felt it was appropriate to include a case study for this group.
We hope that this approach to headache reflects presentation of headache to a wide range of healthcare professionals, helping them to improve the diagnosis and the management of this complex and challenging condition.
Anne MacGregorAlison Frith
Contributors
Ishaq Abu-Arafeh
Consultant PaediatricianStirling Royal InfirmaryStirling, UK
David W. Dodick
Professor of NeurologyMayo Clinic ArizonaScottsdale, Arizona, US
Alison Frith
Clinical Research SisterThe City of London Migraine ClinicLondon, UK
Anne MacGregor
Director of Clinical ResearchThe City of London Migraine ClinicLondon, UK
R. Allan Purdy
Professor of Medicine (Neurology)Dalhousie UniversityHalifax, Nova Scotia, Canada
Anne MacGregor
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