TY - JOUR
T1 - Diagnosing Secondary and Primary Headache Disorders
AU - Robbins, Matthew S.
AU - Dodick, David W.
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2021
Y1 - 2021
N2 - PURPOSE OF REVIEW This article provides a systematic diagnostic approach to the patient with headache. RECENT FINDINGS The vast majority of patients presenting with headache in clinical practice have a primary headache disorder. The most common primary headache disorder in clinical practice is overwhelmingly migraine. Unfortunately, a substantial proportion of patients with migraine do not receive an accurate diagnosis. In addition, the clinical features of migraine overlap with secondary causes of headache, making a careful history and deliberative evaluation for warning symptoms or signs of a secondary headache disorder of paramount importance. SUMMARY The approach to the patient with headache requires knowledge of the diagnostic criteria for primary headache disorders, recognition of the importance of a systematic evaluation for red flags associated with secondary headache disorders, and awareness of the pearls and pitfalls encountered in the diagnostic evaluation of a patient with headache.
AB - PURPOSE OF REVIEW This article provides a systematic diagnostic approach to the patient with headache. RECENT FINDINGS The vast majority of patients presenting with headache in clinical practice have a primary headache disorder. The most common primary headache disorder in clinical practice is overwhelmingly migraine. Unfortunately, a substantial proportion of patients with migraine do not receive an accurate diagnosis. In addition, the clinical features of migraine overlap with secondary causes of headache, making a careful history and deliberative evaluation for warning symptoms or signs of a secondary headache disorder of paramount importance. SUMMARY The approach to the patient with headache requires knowledge of the diagnostic criteria for primary headache disorders, recognition of the importance of a systematic evaluation for red flags associated with secondary headache disorders, and awareness of the pearls and pitfalls encountered in the diagnostic evaluation of a patient with headache.
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U2 - 10.1212/CON.0000000000000980
DO - 10.1212/CON.0000000000000980
M3 - Review article
C2 - 34048392
AN - SCOPUS:85107257291
VL - 27
SP - 572
EP - 585
JO - Continuum (Minneapolis, Minn.)
JF - Continuum (Minneapolis, Minn.)
SN - 1080-2371
IS - 3
ER -