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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on headache or other clinical topics then use Trip today.
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Migraine and Tension Headache ? 2018 Kaiser Foundation Health Plan of Washington. All rights reserved. 1 Migraine and Tension Headache Guideline Background 2 Diagnosis Red flag warning signs 2 Differential diagnosis 2 Imaging 3 Migraine versus tension headache 3 Medication overuse headache 3 Menstruation-related migraine 3 Tension Headache Acute treatment 4 Prophylaxis 5 Migraine Headache Acute treatment 6 Treatment of refractory migraine 7 Prophylaxis 8 Menstruation-related migraine (...) prophylaxis 11 Medication Overuse Headache Treatment 12 Evidence Summary 13 References 18 Clinician Lead and Guideline Development 21 Last guideline approval: April 2018 Guidelines are systematically developed statements to assist patients and providers in choosing appropriate health care for specific clinical conditions. While guidelines are useful aids to assist providers in determining appropriate practices for many patients with specific clinical problems or prevention issues, guidelines are not meant
Guideline for primary care management of headache in adults Guideline for primary care management of headache in adults | The College of Family Physicians of Canada Main menu User menu Search Search for this keyword Search for this keyword Review Article Practice Guideline for primary care management of headache in adults Werner J. Becker , Ted Findlay , Carmen Moga , N. Ann Scott , Christa Harstall and Paul Taenzer Canadian Family Physician August 2015, 61 (8) 670-679; Werner J. Becker (...) at the Institute of Health Economics. Paul Taenzer Adjunct Clinical Assistant Professor in the Faculty of Medicine at the University of Calgary. Abstract Objective To increase the use of evidence-informed approaches to diagnosis, investigation, and treatment of headache for patients in primary care. Quality of evidence A comprehensive search was conducted for relevant guidelines and systematic reviews published between January 2000 and May 2011. The guidelines were critically appraised using the AGREE
Headache Evidence Maps - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4
Headache Date of origin: 1996 Last review date: 2013 ACR Appropriateness Criteria ® 1 Headache American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Headache Variant 1: Chronic headache. No new features. Normal neurologic examination. Radiologic Procedure Rating Comments RRL* MRI head without and with IV contrast 4 O MRI head without IV contrast 4 O CT head without IV contrast 3 ??? CT head without and with IV contrast 3 ??? CT head with IV contrast 3 ??? MRA head (...) without and with IV contrast 2 O MRA head without IV contrast 2 O Arteriography cervicocerebral 2 ??? CTA head with IV contrast 2 ??? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Chronic headache with new feature or neurologic deficit. Radiologic Procedure Rating Comments RRL* MRI head without and with IV contrast 8 O MRI head without IV contrast 7 O CT head without IV contrast 7 ??? CT head without and with IV
Migraine headache in adults Migraine headache in adults - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Migraine headache in adults Last reviewed: February 2019 Last updated: October 2018 Summary Migraine is a chronic, genetically determined, episodic, neurological disorder that usually presents in early-to-mid life. Patients complain of intermittent headache and associated symptoms, such as visual disturbance (...) in general are preferred over non-specific treatments. However, there are no trials directly comparing triptans. Complications include status migrainosus, migrainous infarction, chronic migraine, persistent aura without infarction and seizures, analgesic gastropathy, transformation of episodic to chronic migraine, and medication-overuse headache. Definition Migraine is a chronic, genetically determined, episodic neurological disorder that usually presents in early-to-mid life. Key features in the history
Melatonin Is Superior to Amitriptyline for Headache Prevention Based on the Proportion of Patients Who Improved >50% in Headache Frequency UTCAT3159, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Melatonin Is Superior to Amitriptyline for Headache Prevention Based on the Proportion of Patients Who Improved >50% in Headache Frequency Clinical Question In adults with migraine headaches, is melatonin superior than (...) amitriptyline in preventing the frequency and intensity of migraine headaches? Clinical Bottom Line For patients with migraine headaches, melatonin 3 mg is better than placebo for migraine prevention, more tolerable than amitriptyline, and as effective as amitriptyline 25 mg. Tolerability measures included the incidences of adverse events, including those that led to the premature withdrawal from the study as well as those that were life threatening. Best Evidence (you may view more info by clicking
Pathophysiology and Treatment of Migraine and Related Headache (Treatment) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse
Tension-type headache Tension-type headache - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Tension-type headache Last reviewed: February 2019 Last updated: July 2018 Summary Tension-type headaches can be either episodic or chronic. Stress and mental tension are common triggers. Symptoms include dull, non-pulsatile, bilateral, constricting pain (not severe); pericranial tenderness is common. Unlike migraine (...) , there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity. Usually responds to simple analgesics; preventative treatments have less evidence for their effectiveness. Non-drug therapies include relaxation, electromyographic biofeedback, cognitive behavioural therapy, and physiotherapy. Definition Tension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical
Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache Practice guideline update summary: Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share May 10, 2016 ; 86 (19) Special Article Practice guideline update summary (...) : Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache Report of the Guideline Development Subcommittee of the American Academy of Neurology David M. Simpson , Mark Hallett , Eric J. Ashman , Cynthia L. Comella , Mark W. Green , Gary S. Gronseth , Melissa J. Armstrong , David Gloss , Sonja Potrebic , Joseph Jankovic , Barbara P. Karp , Markus Naumann , Yuen T. So , Stuart A. Yablon First published April 18, 2016, DOI: https://doi.org/10.1212/WNL
Assessment of acute headache in adults Assessment of acute headache in adults - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Assessment of acute headache in adults Last reviewed: February 2019 Last updated: June 2018 Summary Headache is pain localised to any part of the head, behind the eyes or ears, or in the upper neck. Headaches represent 2% of all emergency department visits. Ninety percent of men and 95 (...) % of women have at least one headache per year. Diagnostic clues should be derived primarily from history. Hallmark physical signs are often absent, and many physical findings are non-specific. The majority of patients presenting with acute headache have a benign diagnosis, but a high index of suspicion should be maintained for life-threatening causes of headache. Ramirez-Lassepas M, Espinosa CE, Cicero JJ, et al. Predictors of intracranial pathologic findings in patients who seek emergency care because
Injection of Botulinum Toxin (Botox) for Prophylaxis of Headaches in Adults with Chronic Migraine 1/5 Public Summary Document Application No. 1168 – Botulinum toxin type A for the prophylaxis of headaches in patients with chronic migraine Sponsor/Applicant/s: Allergan Australia Pty Ltd Date of MSAC consideration: 1 August 2013 1. Purpose of application In February 2011, an application to the Medical Services Advisory Committee (MSAC) was received from Allergan Australia Pty Ltd for injection (...) of botulinum toxin type A (BOTOX ® ) for the prevention (prophylaxis) of chronic migraine. The MSAC application was co-dependent on an application to the Pharmaceutical Benefits Advisory Committee (PBAC) for the drug component of the service (i.e. extension of the current Botulinum Toxin Program (Section 100 arrangements) so the drug is listed for prophylaxis of headaches in adults with chronic migraine who meet certain criteria). The application was lodged during transitional arrangements for managing co
Manual Therapy for the Treatment of Cervicogenic Headaches: Clinical Effectiveness Manual Therapy for the Treatment of Cervicogenic Headaches: Clinical Effectiveness | CADTH.ca Find the information you need Manual Therapy for the Treatment of Cervicogenic Headaches: Clinical Effectiveness Manual Therapy for the Treatment of Cervicogenic Headaches: Clinical Effectiveness Published on: July 12, 2017 Project Number: RA0914-000 Product Line: Research Type: Devices and Systems Report Type: Reference (...) List Result type: Report Question What is the clinical effectiveness of using manual therapy for the treatment of adults or pediatric patients with cervicogenic headaches? Key Message Fourteen systematic reviews, 12 randomized controlled trials, and one non-randomized study were identified regarding manual therapy for the treatment of cervicogenic headaches. Tags headache disorders, acupressure, headache, manipulation, chiropractic, massage, musculoskeletal manipulations, traction, Cervicogenic
Migraine Headache Migraine Headache Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Migraine Headache Migraine Headache Aka: Migraine (...) Headache , Migraine , Classic Migraine , Migraine with Aura , Common Migraine , Migraine without Aura , Chronic Migraine Without Aura , Migraine Headache Diagnostic Criteria From Related Chapters II. Epidemiology Gender Females more commonly affected (peak ratio 3:1) Children Age 3 to 7 years: 1.2 to 3.2% Age 7 to 11 years: 4 to 11% Boys: 7 years old mean age of onset Girls: 12 years old mean age of onset Age 15 years: 8 to 23% Adults : 44.5 Million U.S. in 2009 Women: 18-26% Men: 6-9% Most Migraine
Pathophysiology and Treatment of Migraine and Related Headache (Overview) Migraine Headache: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni1vdmVydmlldw (...) == processing > Migraine Headache Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Overview Practice Essentials Migraine is a complex disorder characterized by recurrent episodes of headache, most often unilateral and in some cases associated with visual or sensory symptoms—collectively known as an aura—that arise most often before the head pain but that may occur during or afterward (see the image