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Headache-Related Neuroimaging

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21. Headache, Migraine (Overview)

impact of migraine The economic cost resulting from migraine-related loss of productive time in the US workforce is more than $13 billion per year, most of which is in the form of reduced work productivity. In the American Migraine Study, more than 85% of women and 82% of men with severe migraine had some headache-related disability. Migraineur men required 3.8 bed-rest days per year, whereas women required 5.6 bed-rest days per year. [ ] International statistics The World Health Organization (WHO (...) may be appropriate to exclude temporal/giant cell arteritis). Neuroimaging is not necessary in patients with a history of recurrent migraine headaches and a normal neurologic examination. The American Headache Society released a list of 5 commonly performed tests or procedures that are not always necessary in the treatment of migraine and headache, as part of the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely campaign. The recommendations include: [ , ] Don't perform

2014 eMedicine.com

22. Headache: Pediatric Perspective (Overview)

, steroids, indomethacin, thyroid hormone, and lithium carbonate, may be inciting agents. Other causes Headache related to meningeal irritation may be caused by infection (meningitis), inflammation (eg, from a tumor), or hemorrhage (eg, from vascular malformation or malignant hypertension). Previous Next: Epidemiology Occurrence in the United States Nearly 40% of all Americans have a significant headache at some time in their lives. Headaches are very common during childhood and become increasingly (...) , Patton SR, Hommel KA, Hershey AD. Quality of life in paediatric migraine: characterization of age-related effects using PedsQL 4.0. Cephalalgia . 2004 Feb. 24(2):120-7. . Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis . 2012 Apr. 54(8):e72-e112. . Graf WD, Kayyali HR, Alexander JJ, Simon SD, Morriss MC. Neuroimaging-use trends in nonacute pediatric headache before

2014 eMedicine.com

23. Pathophysiology and Treatment of Migraine and Related Headache (Follow-up)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine.com

24. Headache, Migraine (Follow-up)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine.com

25. Migraine Headache: Neuro-Ophthalmic Perspective (Follow-up)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine.com

26. Migraine Headache (Follow-up)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine.com

27. Headache, Migraine (Treatment)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine Emergency Medicine

28. Headache, Migraine (Follow-up)

prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life. [ ] In 2016, the American Academy of Neurology updated its 2008 guidelines on using botulinum toxin for brain disorders. Botulinum toxin A is now recommended for the management of chronic migraine, defined as attacks lasting 4 or more hours on at least 15 (...) ):1178-83. . Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging?. JAMA . 2006 Sep 13. 296(10):1274-83. . Sahai-Srivastava S, Desai P, Zheng L. Analysis of headache management in a busy emergency room in the United States. Headache . 2008 Jun. 48(6):931-8. . Tornabene SV, Deutsch R, Davis DP, Chan TC, Vilke GM. Evaluating the use and timing of opioids for the treatment of migraine headaches in the emergency

2014 eMedicine Emergency Medicine

29. Headache, Children (Diagnosis)

, steroids, indomethacin, thyroid hormone, and lithium carbonate, may be inciting agents. Other causes Headache related to meningeal irritation may be caused by infection (meningitis), inflammation (eg, from a tumor), or hemorrhage (eg, from vascular malformation or malignant hypertension). Previous Next: Epidemiology Occurrence in the United States Nearly 40% of all Americans have a significant headache at some time in their lives. Headaches are very common during childhood and become increasingly (...) , Patton SR, Hommel KA, Hershey AD. Quality of life in paediatric migraine: characterization of age-related effects using PedsQL 4.0. Cephalalgia . 2004 Feb. 24(2):120-7. . Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis . 2012 Apr. 54(8):e72-e112. . Graf WD, Kayyali HR, Alexander JJ, Simon SD, Morriss MC. Neuroimaging-use trends in nonacute pediatric headache before

2014 eMedicine.com

30. Pediatrics, Headache (Diagnosis)

, steroids, indomethacin, thyroid hormone, and lithium carbonate, may be inciting agents. Other causes Headache related to meningeal irritation may be caused by infection (meningitis), inflammation (eg, from a tumor), or hemorrhage (eg, from vascular malformation or malignant hypertension). Previous Next: Epidemiology Occurrence in the United States Nearly 40% of all Americans have a significant headache at some time in their lives. Headaches are very common during childhood and become increasingly (...) , Patton SR, Hommel KA, Hershey AD. Quality of life in paediatric migraine: characterization of age-related effects using PedsQL 4.0. Cephalalgia . 2004 Feb. 24(2):120-7. . Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis . 2012 Apr. 54(8):e72-e112. . Graf WD, Kayyali HR, Alexander JJ, Simon SD, Morriss MC. Neuroimaging-use trends in nonacute pediatric headache before

2014 eMedicine Emergency Medicine

31. Headache, Migraine (Diagnosis)

impact of migraine The economic cost resulting from migraine-related loss of productive time in the US workforce is more than $13 billion per year, most of which is in the form of reduced work productivity. In the American Migraine Study, more than 85% of women and 82% of men with severe migraine had some headache-related disability. Migraineur men required 3.8 bed-rest days per year, whereas women required 5.6 bed-rest days per year. [ ] International statistics The World Health Organization (WHO (...) may be appropriate to exclude temporal/giant cell arteritis). Neuroimaging is not necessary in patients with a history of recurrent migraine headaches and a normal neurologic examination. The American Headache Society released a list of 5 commonly performed tests or procedures that are not always necessary in the treatment of migraine and headache, as part of the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely campaign. The recommendations include: [ , ] Don't perform

2014 eMedicine Emergency Medicine

32. Headache, Migraine (Overview)

impact of migraine The economic cost resulting from migraine-related loss of productive time in the US workforce is more than $13 billion per year, most of which is in the form of reduced work productivity. In the American Migraine Study, more than 85% of women and 82% of men with severe migraine had some headache-related disability. Migraineur men required 3.8 bed-rest days per year, whereas women required 5.6 bed-rest days per year. [ ] International statistics The World Health Organization (WHO (...) may be appropriate to exclude temporal/giant cell arteritis). Neuroimaging is not necessary in patients with a history of recurrent migraine headaches and a normal neurologic examination. The American Headache Society released a list of 5 commonly performed tests or procedures that are not always necessary in the treatment of migraine and headache, as part of the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely campaign. The recommendations include: [ , ] Don't perform

2014 eMedicine Emergency Medicine

33. Pediatrics, Headache (Overview)

, steroids, indomethacin, thyroid hormone, and lithium carbonate, may be inciting agents. Other causes Headache related to meningeal irritation may be caused by infection (meningitis), inflammation (eg, from a tumor), or hemorrhage (eg, from vascular malformation or malignant hypertension). Previous Next: Epidemiology Occurrence in the United States Nearly 40% of all Americans have a significant headache at some time in their lives. Headaches are very common during childhood and become increasingly (...) , Patton SR, Hommel KA, Hershey AD. Quality of life in paediatric migraine: characterization of age-related effects using PedsQL 4.0. Cephalalgia . 2004 Feb. 24(2):120-7. . Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis . 2012 Apr. 54(8):e72-e112. . Graf WD, Kayyali HR, Alexander JJ, Simon SD, Morriss MC. Neuroimaging-use trends in nonacute pediatric headache before

2014 eMedicine Emergency Medicine

34. Orgasmic Cephalgia

they affect different age groups and have different gender distributions. Valsalva-like manoeuvres are the common triggers. Migraine is commonly comorbid with exertion headaches and coital headaches, and some patients with coital headache may have reversible cerebral vasoconstriction syndromes. [ ] Whilst most headaches relating to sexual activity are benign, a few are associated with significant morbidity ('malignant coital cephalgia'): Some patients have reversible cerebral vasoconstriction syndromes (...) . The latter is most significant because of its similarity to significant causes of secondary headache including subarachnoid haemorrhage (and warning bleeds for subarachnoid haemorrhage) and reversible cerebral vasoconstriction syndromes. Neuroimaging is needed to distinguish primary, benign causes of sexual headache from secondary, potentially life-threatening causes. Primary sexual headache is included in the list of 'Other Primary Headaches', which is the fourth group of primary headaches

2008 Mentor

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