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Hints on Diagnosing and Treating Headache.

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  • 1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf (UKE).

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Summary
This summary is machine-generated.

Headache diagnosis and treatment are manageable, not overly challenging. Primary headaches are distinct diseases, while secondary headaches signal other conditions, requiring tailored treatments for effective management.

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Area of Science:

  • Neurology
  • Internal Medicine

Background:

  • Headache is a common complaint in outpatient and emergency settings.
  • Over 200 headache varieties exist, potentially creating a perception of diagnostic difficulty.

Purpose of the Study:

  • To review the diagnosis and treatment of primary and secondary headaches.
  • To clarify the distinction between primary headaches as diseases and secondary headaches as symptoms.

Main Methods:

  • A selective literature search was performed using PubMed.

Main Results:

  • Primary headaches (migraine, tension, trigeminal autonomic cephalalgia, other) are diseases with normal physical exams.
  • Secondary headaches are symptoms of underlying conditions like tumors or hemorrhage.
  • Treatments include NSAIDs, triptans for migraine; NSAIDs and tricyclics for tension headaches; specific options for trigeminal autonomic cephalalgia; and individualized approaches for other primary headaches.

Conclusions:

  • Differentiating primary from secondary headaches is crucial for appropriate management.
  • Secondary headaches may indicate serious underlying diseases.
  • Effective headache treatment is achievable and rewarding for physicians across specialties.