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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

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Published on: June 2, 2014

Approach to acute headache in adults.

Barry L Hainer1, Eric M Matheson

  • 1Medical University of South Carolina, Charleston, SC, USA. hainerbl@musc. edu

American Family Physician
|August 14, 2013
PubMed
Summary
This summary is machine-generated.

Headache disorders affect half the world's adults. Recognizing primary headache features and red flags helps doctors diagnose causes, reducing unnecessary tests like neuroimaging.

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Area of Science:

  • Neurology
  • Internal Medicine

Background:

  • Headache disorders are highly prevalent, affecting approximately 50% of the global adult population.
  • Accurate diagnosis is crucial for effective management and patient care.

Purpose of the Study:

  • To outline diagnostic criteria for differentiating primary and secondary headaches.
  • To identify key clinical features and "red flag" symptoms that necessitate further investigation.

Main Methods:

  • Utilizing the International Headache Society classification and diagnostic criteria.
  • Emphasizing thorough patient history and physical examination.
  • Reviewing indications for neuroimaging and other diagnostic studies.

Main Results:

  • A detailed history and physical exam can often differentiate primary headaches (e.g., migraine, tension-type, cluster) from secondary causes.
  • Specific "red flag" symptoms (e.g., sudden onset, focal neurologic signs, papilledema, neck stiffness) indicate potential serious underlying pathology.
  • Head computed tomography without contrast is recommended for suspected intracranial hemorrhage; MRI or CT are acceptable for other dangerous causes.

Conclusions:

  • Physicians can effectively diagnose headache disorders by understanding primary headache features and recognizing red flags.
  • Appropriate use of diagnostic criteria and clinical assessment can minimize the need for extensive, costly investigations.
  • Prompt identification of red flag symptoms ensures timely evaluation for serious conditions causing headaches.