By William B. Young MD, Stephen D. Silberstein MD, Stephanie J. Nahas MD, Michael J. Marmura MD
Based on the nationwide Headache origin, over forty five million american citizens be afflicted by persistent, routine complications (28 million from migraine alone). Headache is the most typical grievance for which individuals see neurologists. Headache can hamper task functioning and undermine one's caliber of existence if no longer controlled successfully. regardless of this, study that may assist in the care and administration of headache sufferers is unfortunately missing. The Jefferson Headache handbook is a pragmatic advisor for the practitioner looking advice in diagnosing and treating headache sufferers. Written via the specialists at one of many most well known headache facilities within the US, the guide offers a scientific method of deciding upon and handling every kind of complications. Migraine, power day-by-day and rigidity headache, cluster headache, post-lumbar puncture and low and high strain complications, drugs overuse, and strange basic complications are all coated. moreover, this useful reference contains chapters on post-traumatic headache, linked comorbid issues, headache within the emergency division, and nearby concerns within the neck, nostril and sinuses, and includes updated details at the newest prescription medicines, infusion and inpatient remedies, botulinum toxin, and behavioral administration. established upon the Jefferson philosophy and distinct adventure of the authors, this finished but concise guide will entice somebody who strives to perform "state of the artwork" headache drugs. good points of the Jefferson Headache handbook comprise : sensible, problem-oriented method of analysis and administration specialist suggestion and suggestions choked with priceless photographs, tables, and illustrations Differential diagnoses lists, medical standards packing containers, and "Red Flags" aid practitioners make expert judgements fast Covers pharmacologic and non-pharmacologic remedies
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Extra info for Jefferson Headache Manual
Monitor Frequency of Medication Use Overuse of acute pain medication is a complication of frequent headache and can lead to increased headache frequency and treatment refractoriness. Medication overuse headache (MOH) is defined as using simple analgesics more than 15 days a month or using triptans, ergots, opioids, or combination medications more than 10 days a month for more than 3 months. There is no credit for using multiple abortive types if the patient still uses any abortive more than one-half of the days of the month.
Indd 23 11/11/2010 5:33:23 PM 24 ■ Jefferson Headache Manual of effect—most commonly a colloid cyst—may present as postural headache, although this headache is not generally orthostatic. A postural headache can occur with dysautonomia (POTS = postural orthostatic tachycardia syndrome), which is diagnosed with a tilt table test. In some cases, all testing is normal, and the etiology of orthostatic phenomena is unclear. EYE PAIN AND HEADACHE Headache may be located in or near the eye; this phenomenon has its own differential diagnosis and evaluation.
2. Definite changes happen in the brain and blood vessels before, during, and after migraine attacks. Waves of reduced brain activity and blood flow sweep over the brain surface, corresponding to many of the nonpain features of migraine. Blood vessels constrict and dilate at different stages of the attack. Chemicals that make certain structures even more sensitive are released, resulting in increased pain. 3. Having migraines does not mean you are crazy. It is true that many patients with uncontrolled headaches become depressed, and many patients with depression also have migraines.
Jefferson Headache Manual by William B. Young MD, Stephen D. Silberstein MD, Stephanie J. Nahas MD, Michael J. Marmura MD