By James W. Lance AO CBE MD Hon DSc FRCP(London) FRACP FAA, Peter J. Goadsby BMedSc MB BS MD PhD DSc FRACP
In response to the present class of the overseas Headache Society, this revised and up-to-date seventh variation presents updated, sensible counsel at the very most recent advances in study into the pathophysiology, medical facets, and therapy of every kind of headache―including migraine, tension-type headache, cluster headache, and protracted day-by-day headache. It presents an optimum combination of scientific knowledge and proper easy technological know-how, written in an easy-to-read, attractive style.
- Features a bankruptcy association in line with the HIS type of headache, making info effortless to find.
- Delivers balanced assurance of the newest clinical discoveries in addition to attempted and actual medical observations.
- Includes up to date discussions at the pathophysiology and remedy of migraine, plus a brand new bankruptcy on Trigeminal Autonomic Cephalgias (cluster headaches).
- Delivers a very revised bankruptcy on tension-type headache that displays fresh adjustments in medical practice.
- Provides revisions in accordance with up-to-date directions offered on the overseas Headache Society, Congress of Headache, September 2003.
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Extra resources for Mechanism and Management of Headache
Lance, J. W. (1984). Clinical diagnosis and computer analysis of headache symptoms. J Neurol Neurosurg Psychiatry, 47, 128–133. Friedman, A. , Finley, K. , Graham, J. , Kunkle, E. , Ostfeld, A. , & Wolff, H. G. (1962). Classification of headache. The Ad Hoc Committee on the Classification of Headache. Arch Neurol, 6, 173–176. Headache Classification Subcommittee of the International Headache Society. (2004). ). Cephalalgia, 24(Suppl 1), 1–160. Rasmussen, B. , & Olesen, J. (1991). A population-based analysis of the diagnostic criteria of the International Headache Society.
Sensory System A parietal lobe disturbance may cause subtle sensory deficit, with difficulty in discriminating two points or recognizing objects placed in the hand. Sensory inattention should be sought by touching both arms or legs simultaneously with the patient’s eyes closed. Long sensory tracts may be involved with deeply placed cerebral lesions or brainstem disorders, resulting in a more clear-cut sensory disturbance. Sphincters and Sexual Functions Urgency of micturition may appear with upper motor neuron lesions, and a casual approach toward the time and place of relaxing the sphincters may be a feature of frontal lobe disturbance.
In children, measure the head circumference, because repeated recordings are of value in detecting progressive hydrocephalus. In adult life, a large head suggests hydrocephalus from aqueduct stenosis or another cause of obstruction of the cerebrospinal fluid (CSF) pathways. Auscultation of the skull (listening over the orbits, temples, and mastoid processes) may disclose a systolic bruit in the case of angioma, vascular tumors, Physical Examination 35 or stenosis of the cranial vessels. When listening over the closed eyelid, ask patients to open the other eye and hold their breath to prevent eyelid flutter and breath sounds from obscuring a bruit.
Mechanism and Management of Headache by James W. Lance AO CBE MD Hon DSc FRCP(London) FRACP FAA, Peter J. Goadsby BMedSc MB BS MD PhD DSc FRACP