• Med. Clin. North Am. · Mar 2025

    Review

    Acute Headache Diagnosis and Management.

    • Simy K Parikh.
    • Adjunct Faculty, College of Nursing, Thomas Jefferson University, 901 Walnut Street, Philadelphia, PA 19107, USA. Electronic address: simy.parikh@jefferson.edu.
    • Med. Clin. North Am. 2025 Mar 1; 109 (2): 529541529-541.

    AbstractA clinician's goal when encountering acute headaches is to distinguish primary and secondary headache disorders. A comprehensive history, screening for warning signs of secondary headache, and a physical examination can help determine if further workup is necessary. While neurodiagnostic testing is not indicated for individuals with a history of primary headache disorders with typical symptoms, individuals with atypical signs or symptoms may warrant brain imaging with MRI brain, CT head, CT angiogram, CTV, MRV, conventional cerebral angiography, spine imaging, and/or lumbar puncture. Secondary headaches should be treated for their underlying cause. Primary headache disorders have specific evidence-based treatments that can help with acute pain relief.Copyright © 2024 Elsevier Inc. All rights reserved.

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