Chronic daily headache, defined as headache on 15 days or more per month for more than three months, is covered generally in another section of this supplement. However, because the syndrome of “new daily persistent headache” (NDPH) is so clinically distinct (table 1), and has an interesting range of secondary possibilities that are curable, we have elected to highlight the problem here. This i...

CONTEXT Chronic tension-type headaches are characterized by near-daily headaches and often are difficult to manage in primary practice. Behavioral and pharmacological therapies each appear modestly effective, but data are lacking on their separate and combined effects. OBJECTIVE To evaluate the clinical efficacy of behavioral and pharmacological therapies, singly and combined, for chronic ten...

CLINICAL HISTORY This 47-year-old woman has a history of migraine since aged 4 years. Until 1 year ago, the headaches occurred one to two times per week, lasted all day, resulted in functional incapacity, and were not relieved by over-the-counter medications or nonsteroidal antiinflammatory drugs. About 10 years ago, she was taking Fiorinal #3 but stopped when she developed rebound headaches. S...

BACKGROUND Chronic daily headache is a major healthcare problem, with significant resource implications for specialist services. Since 1999, GPs in Greater Glasgow have had direct access to computerised tomography (CT) for investigation of chronic daily headache. AIM The purpose of this study is to assess the significance of pathology, impact of the service, and GP satisfaction. METHOD The ...

BACKGROUND Chronic daily headache (CDH) in children has been documented in general and clinical populations. Comorbid psychological conditions, risk factors and functional outcomes of CDH in children are not well understood. OBJECTIVES To examine anxiety and depression, associated risk factors and school outcomes in a clinical population of youth with CDH compared with youth with episodic hea...

UNLABELLED Medication-overuse headache (MOH) is a challenging neurological disease, which brings frustration for sufferers and treating physicians. The patient's lack of adherence and limited treatment evidence are frequent. The aim of this study was to compare the outcome and treatment strategies between consecutive MOH patients with daily and near-daily headache from a tertiary center. METH...

background: the last two decades have witnessed a remarkable increase in the number of people suffering a variety of painful syndromes. objective: the goal of this study was to determine the correlation between body mass index and chronic pain in hospital workers during 2006. methods: in this prospective descriptive study 210 cases were enrolled during 2006 at beheshti and ayatollah kashani med...

Migraine is common in adolescents. It can significantly reduce quality of life, may contribute to significant school absences, and disrupt social activities. This article will address the clinical presentation, natural history, types, evaluation, diagnosis and prognosis of migraine. Common adolescent lifestyle factors such as stress, irregular mealtimes, and sleep deprivation may exacerbate mig...