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Erschienen in: Current Pain and Headache Reports 3/2024

13.12.2023 | Chronic Pain Medicine (O Viswanath, Section Editor)

Ominous Causes of Headache

verfasst von: Latha Ganti, S. Chandana Veluri, Thor S. Stead, Richard Rieck

Erschienen in: Current Pain and Headache Reports | Ausgabe 3/2024

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Abstract

Purpose of Review

While primary headaches like migraines or cluster headaches are prevalent and often debilitating, it's the secondary headaches—those resulting from underlying pathologies—that can be particularly ominous. This article delves into the sinister causes of headaches, underscoring the importance of a meticulous clinical approach, especially when presented with red flags.

Recent Findings

Headaches, one of the most common complaints in clinical practice, span a spectrum from benign tension-type episodes to harbingers of life-threatening conditions. For the seasoned physician, differentiating between these extremes is paramount.

Summary

Headache etiologies covered in this article will include subarachnoid hemorrhage (SAH), cervical artery dissection, cerebral venous thrombosis, meningitis, obstructive hydrocephalus, and brain tumor.
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Zurück zum Zitat • Do TP, Remmers A, Schytz HW, Schankin C, Nelson SE, Obermann M, Hansen JM, Sinclair AJ, Gantenbein AR, Schoonman GG. Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. Neurology. 2019;92(3):134–144. https://doi.org/10.1212/WNL.0000000000006697. Epub 2018 Dec 26. PMID: 30587518; PMCID: PMC6340385. This article summarizes the 15 things to watch out for when patients present with headache: (1) systemic symptoms including fever; (2) neoplasm history; (3) neurologic deficit (including decreased consciousness); (4) sudden or abrupt onset; (5) older age (onset after 65 years); (6) pattern change or recent onset of new headache; (7) positional headache; (8) precipitated by sneezing, coughing, or exercise; (9) papilledema; (10) progressive headache and atypical presentations; (11) pregnancy or puerperium; (12) painful eye with autonomic features; (13) posttraumatic onset of headache; (14) pathology of the immune system such as HIV; (15) painkiller overuse or new drug at onset of headache. • Do TP, Remmers A, Schytz HW, Schankin C, Nelson SE, Obermann M, Hansen JM, Sinclair AJ, Gantenbein AR, Schoonman GG. Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. Neurology. 2019;92(3):134–144. https://​doi.​org/​10.​1212/​WNL.​0000000000006697​. Epub 2018 Dec 26. PMID: 30587518; PMCID: PMC6340385. This article summarizes the 15 things to watch out for when patients present with headache: (1) systemic symptoms including fever; (2) neoplasm history; (3) neurologic deficit (including decreased consciousness); (4) sudden or abrupt onset; (5) older age (onset after 65 years); (6) pattern change or recent onset of new headache; (7) positional headache; (8) precipitated by sneezing, coughing, or exercise; (9) papilledema; (10) progressive headache and atypical presentations; (11) pregnancy or puerperium; (12) painful eye with autonomic features; (13) posttraumatic onset of headache; (14) pathology of the immune system such as HIV; (15) painkiller overuse or new drug at onset of headache.
Metadaten
Titel
Ominous Causes of Headache
verfasst von
Latha Ganti
S. Chandana Veluri
Thor S. Stead
Richard Rieck
Publikationsdatum
13.12.2023
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 3/2024
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-023-01202-6

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