Assessment of acute headache in adults - what the general physician needs to know

被引:3
作者
Chinthapalli, Krishna [1 ]
Logan, Anne-Marie [1 ]
Raj, Rohit [2 ]
Nirmalananthan, Niranjanan [3 ]
机构
[1] St George Hosp, Atkinson Morley Reg Neurosci Ctr, London, England
[2] St George Hosp, Acute Med, London, England
[3] St George Hosp, London, England
关键词
headache; emergency; subarachnoid haemorrhage; meningitis; migraine; cluster headache; SUBARACHNOID HEMORRHAGE; INTRACRANIAL ANEURYSMS; CLINICAL-FEATURES; MANAGEMENT; DIAGNOSIS; MISDIAGNOSIS; PREVALENCE; MIGRAINE;
D O I
10.7861/clinmedicine.18-5-422
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Headache is common. Up to 5% of attendances to emergency departments and acute medical units are due to headache. Headache is classified as either primary (eg migraine, cluster headache) or secondary to another cause (eg meningitis, subarachnoid haemorrhage). Even in the acute setting the majority of cases are due to primary causes. The role of the attending physician is to take a comprehensive history to diagnose and treat benign headache syndromes while ruling out sinister aetiologies. This brief article summarises the approach to assessment of headache presenting in acute and emergency care.
引用
收藏
页码:422 / 427
页数:6
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