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The worst headache ever. 2. Innocuous causes.

J Edmeads1

  • 1Sunnybrook Medical Centre, Toronto, Ontario, Canada.

Postgraduate Medicine
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Patients with the "worst headache ever" often have benign conditions like migraine. However, serious causes must be ruled out first through imaging and lumbar puncture before treatment.

Area of Science:

  • Neurology
  • Emergency Medicine
  • Diagnostic Imaging

Background:

  • The "worst headache ever" is a common patient presentation.
  • While often benign (e.g., migraine), it can signify life-threatening conditions.

Purpose of the Study:

  • To outline the diagnostic approach for patients presenting with the "worst headache ever."
  • To differentiate between benign and ominous causes of severe headaches.

Main Methods:

  • Review of diagnostic protocols for severe headaches.
  • Emphasis on neuroimaging (CT/MRI) and cerebrospinal fluid analysis (lumbar puncture).

Main Results:

  • Most "worst headache ever" cases are benign, including migraine, toxic vascular, or exertion-induced headaches.

Related Experiment Videos

  • Ominous causes require prompt exclusion through specific investigations.

    • Conclusions:

    • A thorough investigation is crucial to rule out dangerous causes of severe headaches.
    • Once ominous causes are excluded, appropriate management for benign conditions can be initiated.