By Anne MacGregor, Alison Frith
In its varied displays, headache is without doubt one of the most typical signs obvious by way of kinfolk practitioners. the trouble is in diagnosing the reason for the headache in order that the suitable therapy is supplied, or if referral to a consultant is the suggested plan of action. The ABC of Headache is helping with this hassle and courses the surgeon to seem for the potential explanations of offering indicators. in line with actual case histories, every one bankruptcy publications the reader from indicators via to prognosis and administration. This new ABC is a hugely illustrated, informative, and useful resource of information. With hyperlinks to additional details and assets, it's a priceless textual content for healthcare execs in any respect degrees of perform and coaching.
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Walking or climbing stairs) D. During headache at least one of the following: 1. nausea and/or vomiting 2. photophobia and phonophobia E. Not attributed to another disorder Source: Headache Classification Subcommittee of the International Headache Society (IHS). The International Classification of Headache Disorders (2nd edition). Cephalalgia 2004; 24 (suppl 1): 1–160. 1 Prevalence of migraine: age and sex Source: Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M, Prevalence and burden of migraine in the United States: data from the American Migraine Study II.
Irritability 3. malaise 4. vomiting 5. ataxia C. Normal neurological examination between attacks D. Not attributed to another disorder Source: Headache Classification Subcommittee of the International Headache Society (IHS). The International Classification of Headache Disorders (2nd edition). Cephalalgia 2004; 24 (suppl 1): 1–160. 1. It is necessary to exclude a posterior fossa brain tumour by brain imaging (CT or MRI scan) if there are any concerning symptoms or signs in the history and examination.
Triptans may be used for acute symptomatic relief of moderate or severe migraine attacks or withdrawal headaches, so long as a triptan was not one of the overused medications that have been withdrawn. 1). Topiramate has been shown to reduce headache frequency, migraine frequency and consumption of acute medications in patients with MOH even when the acute medications have not been withdrawn or tapered. Preventive medications may also reduce the severity of withdrawal headaches, increase compliance with the withdrawal protocol and reduce the likelihood of relapse or recidivism.
ABC of Headache by Anne MacGregor, Alison Frith