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Beschreibung

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

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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

BMJ Books is an imprint of BMJ Publishing Group Limited, used under licence by Blackwell Publishing which was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing programme has been merged with Wiley’s global Scientific, Technical and Medical business to form Wiley-Blackwell.

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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

CHAPTER 1

Approach to Headaches

Anne MacGregor

OVERVIEW
Most headaches can be managed in primary careThe history is a crucial step in the correct diagnosisFunduscopy is mandatory for anyone presenting with headacheDiary cards aid diagnosis and managementThe presence of warning symptoms in the history and/or physical signs on examination warrant investigation and may indicate appropriate specialist referral

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!