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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Primary Headache.

Brendan Freeman1, Anand Swaminathan1

  • 1Northwell, New Hyde Park, NY, USA; Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA; Department of Emergency Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.

Emergency Medicine Clinics of North America
|November 19, 2025
PubMed
Summary
This summary is machine-generated.

Emergency departments (EDs) primarily treat headaches, focusing on ruling out serious causes and managing pain. Effective acute treatment and follow-up are crucial due to frequent headache recurrence.

Keywords:
Cluster headacheElderly headacheHeadache in pregnancyMigrainePediatric headachePrimary headacheTension-type headacheTrigeminal autonomic cephalalgias

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Area of Science:

  • Neurology
  • Emergency Medicine
  • Public Health

Background:

  • Headaches are a common reason for emergency department (ED) visits.
  • Most ED headache presentations involve benign exacerbations of chronic conditions.
  • Identifying secondary causes and providing symptomatic relief are key ED priorities.

Purpose of the Study:

  • To review the ED approach to headache management.
  • To emphasize the importance of optimizing acute treatment and follow-up for recurrent headaches.

Main Methods:

  • Literature review of current ED headache management strategies.
  • Analysis of factors influencing ED headache treatment and outcomes.

Main Results:

  • The majority of patients experience non-life-threatening headache exacerbations.
  • EDs prioritize the exclusion of dangerous secondary headache etiologies.
  • Pain management and disposition planning are central to ED care.

Conclusions:

  • Emergency physicians must effectively manage acute symptoms and identify secondary causes.
  • Addressing unmet patient needs and ensuring seamless outpatient follow-up are vital for managing recurrent headaches.
  • Optimizing the entire patient journey, from ED presentation to outpatient care, is essential for improving outcomes in patients with frequent headaches.