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Diagnosis and Clinical Management of Headaches

  • Daniel P. Greenfield and Subramanian Hariharan

Abstract

In this article, we will first present an overview of the epidemiology and classification of headaches, distinguishing between primary headaches (in which the headache itself is the primary disorder) and secondary headaches (ie, headaches due to an underlying condition, such as a neoplastic and/or space-occupying lesion, a cerebrovascular accident, or other type of structural brain lesion). We will use the current classification system of the International Headache Society, focusing on primary headache disorders (migraine, tension-type headache, cluster headache), which we will discuss from the practical clinical perspectives of diagnosis and clinical management. Throughout this article, we will emphasize the chronicity and periodicity of headaches as a type of chronic pain syndrome.

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1.Cheng, XN, Ziegler, DK, Li, S.-C, et al.A prevalence survey of “incapacitating headaches” in the Peoples Republic of China. Neurology. 1986;36:831841.
2.Rasmussen, BK, Jensen, R, Schrel, N, et al.Epidemiology of headache in a general population—a prevalence study. J Clin Epidemiol. 1994;44:11471157.
3.Ziegler, DK. Headache: public health problem. Neurologic Clinics. 1990;8:781791.
4.Bonica, JJ. General considerations of chronic pain. In: Bonica, JJ, ed. The Management of Pain. 2nd ed. Philadelphia, Pa: Lea and Febiger; 1990:180196.
5.Sheftell, FD. Role and impact of over-the-counter medications in the management of headache. Neurologic Clinics. 1997;15:187198.
6.Silberstein, SD, Lipton, SB, Breslau, N. Neuropsychiatric aspects of primary headache disorder. In: Yudofsky, SC, Hales, RE, eds. The American Psychiatric Press Textbook of Neuropsychiatry. 3rd ed. Washington, DC: American Psychiatric Press; 1998:381412.
7.Ad Hoc Committee on Classification, International Headache Society. Classification of headache. Arch Neurol. 1962;6:1316.
8.Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia. 1988;8(suppl):196.
9.Solomon, S. Diagnosis of primary headache disorders. Neurologic Clinics. 1997;15:1526.
10.Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. Washington, DC: American Psychiatric Association; 1980.
11.Wolff, HG. Headache in the migraine syndrome. In: Wolff, HG, ed. Headache and Other Head Pain. 2nd ed. New York: Oxford University Press; 1948:255318.
12.Dalessio, DJ, ed. Wolff's Headache and Other Head Pain. 5th ed. New York: Oxford University Press; 1987.
13.Moskowitz, MA. The neurobiology of vascular head pain. Ann Neurol. 1984;16:157168.
14.Goadsby, PJ. Current concepts of the pathophysiology of migraine. Neurologic Clinics. 1997;15:2742.
15.Feinstein, AR. The pre-therapeutic classification of comorbidity in chronic disease. J Chronic Dis. 1970;23:455468.
16.Lipton, RB, Silberstein, SD. Why study the comorbidity of migraine? Neurology 1994;44:45.
17.Ottman, R, Lipton, RB. Comorbidity of migraine and epilepsy. Neurology 1994;44:21052110.
18.Marks, DA, Ehrenberg, BL. Migraine-related seizures in adults with epilepsy, with EEG correlation. Neurology. 1993;43:24762483.
19.Merikangas, KR, Merikangas, JR, Angst, J. Headache syndromes and psychiatric disorders. Association and familial transmission. Journal of Psychiatr Res. 1993;27:197210.
20.Merikangas, KR, Stevens, E. Comorbidity of migraine and psychiatric disorders. Neurologic Clinics. 1997;15:115123.
21.Garvey, MJ. Occurrence of headaches in anxiety disorder patients. Headache. 1985;25:101103.
22.Stewart, WF, Linet, MS, Celentano, DD. Migraine headaches and panic attacks. Psychosom Med. 1989;51:559569.
23.Breslau, N, Andreski, P. Migraine, personality, and psychiatric comorbidity. Headache. 1995;35:382386.
24.Blau, JN. Migraine prodromes separated from the aura: complete migraine. Br Med J. 1980;281:658660.
25.Silberstein, SD, Young, WB. Migraine aura and postdrome. Semin Neurol. 1995;45:175182.
26.Silberstein, SD, Lipton, RB. Overview of diagnosis and treatment of migraine. Neurology. 1994;44:S6S16.
27.Raskin, NH. Headache. 2nd ed. New York: Churchill-Livingston; 1998.
28.Mathew, NT, Transformed migraine, analgesic rebound, and other chronic daily headaches. Neurologic Clinics. 1997;15:167186.
29.Oleson, J. Clinical and pathophysiologic observations in migraine and tension-type headache explained by integration of vascular, supraspinal, and myofascial inputs. Pain. 1991;46:125132.
30.Silberstein, SD. Tension-type and chronic daily headache. Neurology. 1993;43:16441649.
31.Greenfield, DP, Klein, DA. Chronic pain in spinal cord injury patients. Presented at Kessler Institute for Rehabilitation. June 17, 1997. West Orange, NJ.
32.Silberstein, SD. Pharmacologic management of cluster headache. CNS Drugs. 1994;2:199207.
33.Mathew, NT. Cluster headache. Neurology. 1992;42:2230.
34.Moskowitz, MA. Cluster headache: evidence for a pathophysiologic focus in the superior pericarotid cavernous sinus plexus. Headache. 1988;28:584586.

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Diagnosis and Clinical Management of Headaches

  • Daniel P. Greenfield and Subramanian Hariharan

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