Headache in neurological emergency

被引:3
作者
Longoni, Marco [1 ,2 ]
Agostoni, Elio Clemente [3 ]
机构
[1] AUSL Romagna, Bufalini Hosp, Dept Neurol, Cesena, Italy
[2] AUSL Romagna, Bufalini Hosp, Stroke Unit Cesena Forli, Cesena, Italy
[3] ASST GOM Niguarda, Neurol & Stroke Unit, Dept Neurosci, Milan, Italy
关键词
Acute headache; Neurological emergency; Secondary headache; Emergency room; Red flags; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; SUBARACHNOID HEMORRHAGE; CEREBROVASCULAR-DISEASE; LUMBAR PUNCTURE; MANAGEMENT; DIAGNOSIS; PATIENT; UTILITY; CARE;
D O I
10.1007/s10072-020-04761-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Headache represents the second neurological cause of emergency room admittance. The differentiation of the small number of patients with life-threatening headaches from the overwhelming majority with benign primary headaches is an important problem in the emergency department since the misdiagnosis of a secondary headache can have serious consequences, including permanent neurologic deficits and death. The presence of one or more high-risk features (red flags) in patient clinical history or neurological examination warrants an urgent diagnostic workup including blood tests, neuroradiological studies, and lumbar puncture.
引用
收藏
页码:409 / 416
页数:8
相关论文
共 48 条
  • [1] ALTER M, 1994, NEUROLOGY, V44, P1353
  • [2] HEADACHE IN ACUTE CEREBROVASCULAR-DISEASE - A PROSPECTIVE CLINICAL-STUDY IN 240 PATIENTS
    ARBOIX, A
    MASSONS, J
    OLIVERES, M
    ARRIBAS, MP
    TITUS, F
    [J]. CEPHALALGIA, 1994, 14 (01) : 37 - 40
  • [3] Headaches of the Elderly
    Bravo, Thomas P.
    [J]. CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS, 2015, 15 (06) : 1 - 9
  • [4] Primary headache in Emergency Department: Prevalence, clinical features and therapeutical approach
    Cerbo R.
    Villani V.
    Bruti G.
    Di Stani F.
    Mostardini C.
    [J]. The Journal of Headache and Pain, 2005, 6 (4) : 287 - 289
  • [5] Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
    Connolly, E. Sander, Jr.
    Rabinstein, Alejandro A.
    Carhuapoma, J. Ricardo
    Derdeyn, Colin P.
    Dion, Jacques
    Higashida, Randall T.
    Hoh, Brian L.
    Kirkness, Catherine J.
    Naidech, Andrew M.
    Ogilvy, Christopher S.
    Patel, Aman B.
    Thompson, B. Gregory
    Vespa, Paul
    [J]. STROKE, 2012, 43 (06) : 1711 - 1737
  • [6] Cranial Imaging and Lumbar Puncture in Patients With Suspected Central Nervous System Infection
    Costerus, Joost M.
    Lemmens, Cynthia M. C.
    van de Beek, Diederik
    Brouwer, Matthijs C.
    [J]. CLINICAL INFECTIOUS DISEASES, 2020, 70 (12) : 2469 - 2475
  • [7] Headache in an HIV positive patient: diagnostic challenges and approach to treatment
    Creamer, Andrew
    Ioannidis, Stefanos
    Wilhelm, Thomas
    Mahangu, Tabitha
    Lipman, Marc
    [J]. CLINICAL MEDICINE, 2016, 16 (06) : 548 - 550
  • [8] The neurologist in the emergency department. An Italian nationwide epidemiological survey
    de Falco, Fabrizio Antonio
    Sterzi, Roberto
    Toso, Vito
    Consoli, Domenico
    Guidetti, Donata
    Provinciali, Leandro
    Leone, Maurizio A.
    Beghi, Ettore
    [J]. NEUROLOGICAL SCIENCES, 2008, 29 (02) : 67 - 75
  • [9] Does this patient with headache have a migraine or need neuroimaging?
    Detsky, Michael E.
    McDonald, Devon R.
    Baerlocher, Mark O.
    Tomlinson, George A.
    McCrory, Douglas C.
    Booth, Christopher M.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (10): : 1274 - 1283
  • [10] Leading symptoms in cerebrovascular diseases: what about headache?
    Diamanti, Susanna
    Longoni, Marco
    Agostoni, Elio Clemente
    [J]. NEUROLOGICAL SCIENCES, 2019, 40 (Suppl 1) : S147 - S152