THE HEADACHES.

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Unusual headaches

Headaches presented with unusual manner like cough, exertion, and sex, poses a diagnostic challenge in the emergency room or primary care provider's office. The majority of these patients have no underlying intracranial pathologic condition and have a good prognosis. Since the pathophysiology is poorly understood, treatment choices are limited. Further research is needed to elucidate the pathop...

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Orthostatic Headaches

The syndrome of low-pressure CSF headaches was first recognized following diagnostic lumbar puncture. In the 1940s and 50s, Woltman in the United States ( [1] ) and Schaltenbrand in Germany ( [2] ) described "spontaneous" posture-related low-pressure headaches that did not develop after lumbar puncture. In spontaneous CSF leaks, there is sometimes a history of strenuous activity or tr...

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Secondary headaches.

PURPOSE OF REVIEW This article identifies the pertinent historical issues that lead to the identification of those headaches needing additional testing to exclude a serious underlying cause. RECENT FINDINGS Recurrences of giant cell arteritis, even after presumed successful treatment, are common. Postural orthostatic tachycardia syndrome is an often unrecognized cause of headache. SUMMARY P...

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The headaches that awaken us.

CLINICAL HISTORY A 56-year-old male with a history of wellcontrolled hypertension and episodic tension-type headache has been awoken from sleep 3 nights per month for the last 2 years between 1:00 a.m. and 2:30 a.m. with a moderately severe bifrontal pressing headache that persists for 1 to 2 hours untreated and 10 minutes if treated with a caffeine containing overthe-counter analgesic. Questio...

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Thunderclap Headaches.

The abrupt onset of severe headache, unlike any experienced before, can be a terrifying experience, and most often requires urgent medical attention. Although many times no cause is found, the first worst headache can be the signal of something very serious. Thunderclap headaches are severe headaches coming on full force in less than a minute, lasting at least 5 minutes, and often appearing wit...

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ژورنال

عنوان ژورنال: Brain

سال: 2000

ISSN: 1460-2156

DOI: 10.1093/brain/123.9.1971