... as
acetaminophen, aspirin, or NSAIDs. Behavioral approaches including relaxation
Chapter 015. Headache
(Part 13)
a
Commonly used preventives are listed with reasonable doses and common
side ... Autonomic Cephalalgias, Including Cluster Headache
The trigeminal autonomic cephalalgias (TACs) are a group of primary
headaches that includes cluster headache, paroxysmal hemicran...
... identified, a pressure as high as 140 mmH
2
O has been
Chapter 015. Headache
(Part 20)
Clinical Presentation
The patient with NDPH presents with headache on most if not all days; the
onset is ... volume
headache typically present with a history of headache from one day to the next that
is generally not present on waking but worsens during the day. Recumbency
usually impr...
... Chapter 015. Headache
(Part 1)
Harrison's Internal Medicine > Chapter 15. Headache
Headache: Introduction
Headache is among the most common reasons ... various headache syndromes.
General Principles
A classification system developed by the International Headache Society
characterizes headache as primary or secondary (Table 15-1). Primary headaches ... heada...
... that the cardinal symptoms of
Chapter 015. Headache
(Part 2)
Clinical Evaluation of Acute, New-Onset Headache
The patient who presents with a new, severe headache has a differential
diagnosis ... headache and even less commonly
a cause of severe pain. The vast majority of patients presenting with severe
headache have a benign cause.
Secondary Headache
The management...
... common are
migraine, tension-type headache, and cluster headache.
Primary Headache Syndromes
Primary headaches are disorders in which headache and associated features
occur in the absence of ... Syndromes
Primary headaches are disorders in which headache and associated features
occur in the absence of any exogenous cause (Table 15-1). The most common are
migraine, tension-type...
... migraine and cluster headache, when present, are similarly
driven by these cranial autonomic systems. Migraine and other primary headache
types are not "vascular headaches"; these ... be predicted by vascular effects.
headache often results in considerable disability and a decrease in the patient's
quality of life. Mild secondary headache, such as that seen in associ...
... signs
Vomiting that precedes headache
Pain induced by bending, lifting, cough
Pain that disturbs sleep or presents immediately upon awakening
Chapter 015. Headache
(Part 2)
Clinical Evaluation ... headache and even less commonly
a cause of severe pain. The vast majority of patients presenting with severe
headache have a benign cause.
Secondary Headache
The management...
... does not exclude giant cell arteritis. A temporal artery
Chapter 015. Headache
(Part 3)
Intracranial Hemorrhage
Acute, severe headache with stiff neck but without fever suggests
subarachnoid ... is important.
Typical presenting symptoms include headache, polymyalgia rheumatica
(Chap. 319), jaw claudication, fever, and weight loss. Headache is the dominant
symptom and o...
... pacemaker cells of the suprachiasmatic nucleus in cluster
headache (Fig. 15-3) are good candidates for specific involvement in primary
headache.
trigeminal neurons cross the midline and project
...
Chapter 015. Headache
(Part 6)
Positron emission tomography (PET) activation in migraine.
In spontaneous ... severe intensity
Source: Adapted from the International Headache Society Classification
(Headache Classification Committee of the International Headache Society, 2004).
Patients with acephalgic ... Criteria for Migraine
Repeated attacks of headache lasting 4–...