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[Headache]

O Godin

    Acta Oto-Rhino-Laryngologica Belgica
    |January 1, 1976
    PubMed
    Summary

    Headaches signal underlying issues, whether organic or functional. This review details various headache types, their symptoms, and treatment options, emphasizing diagnosis and patient-centered care.

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    Area of Science:

    • Neurology
    • Pain Medicine
    • Psychosomatic Medicine

    Context:

    • Headaches are critical alarm symptoms indicating potential organic disease (lesional) or functional disturbances.
    • Classifies headaches into lesional (e.g., sinusitis, arteritis) and functional types (e.g., neuralgia, vascular algia, psychic hypertension).
    • Highlights the complexity of functional headaches, including migraines, angiospastic pain, and psychogenic causes.

    Purpose:

    • To systematically describe the subjective symptoms of diverse headache types for improved differential diagnosis.
    • To guide the selection of appropriate complementary examinations and biological investigations, such as hormonal balance.
    • To outline pharmacological and interventional treatment strategies, including periarterial infiltrations.

    Summary:

    • Detailed symptom analysis (location, intensity, duration, associated phenomena) aids in distinguishing between lesional and functional headaches.
    • Functional headaches encompass trigemellar neuralgia, vascular algias (dilatation/angiospasm), psychic hypertension, and psychogenic/neurotic types.
    • Treatment approaches integrate drug therapy, specific infiltration techniques, and crucial medicopsychological evaluation, emphasizing patient listening.

    Impact:

    • Facilitates accurate diagnosis and targeted treatment selection, potentially reducing unnecessary investigations and somatization.
    • Emphasizes the importance of a holistic approach, integrating medical, psychological, and interventional strategies for headache management.
    • Promotes patient-centered care by stressing the value of thorough history-taking and addressing underlying psychological conflicts.

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