Headache In Clinical Practice

The authors of the first edition worked together again to revise data for the second edition of this popular volume. Based at three of the world's leading centers for the study and treatment of headache, these experts share their insights on every aspect of this common and irritating condition. In particular, the sections on migraine, cluster headache and vascular disease have been updated. Based on the classification system developed by the International Headache Society, Headache in Clinical Practice provides those interested in headache with an up-to-date compendium of current opinion, from epidemiology, pathophysiology and investigation, through options for intervention and management.

There are two crucial issues in the treatment and management of headache patients: More than 50% of individuals experiencing headache have only been treated symptomatically, with no appropriate diagnosis established; and history and neurologic examination are essential to establishing a diagnosis, and thus selecting appropriate therapy. Headache and Migraine Biology and Management is a practical text that addresses these issues, featuring contributions from expert clinical authors. The book covers in detail topics including chronic and episodic migraine, post-traumatic headache, sinus headache, cluster headache, tension headache, and others. Chapters are also dedicated to treatment subjects, including psychiatric and psychological approaches, medication overuse, inpatient treatment, and pediatric issues. This book is an ideal resource for researchers and clinicians, uniting practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs. This resource is useful to those who want to understand headache biology, treat and manage symptoms, and for those performing research in the headache field. A practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs Features chapters from leading physicians and researchers in headache medicine Full-color text that includes both an overview of multiple disciplines and discusses the measures that can be used to treat headaches

This book is a foundation for further study into childhood headache and serve as a quick, up-to-date reference for the recognition, diagnosis, basic understanding, evaluation and management of headache disorders in children and adolescents. Covers primary headache disorders including migraine Covers secondary headaches, including sinus, and post traumatic headache Provides thoughtful guidelines on behavioural management strategies as well as pharmacologic therapies

This book is a comprehensive guide to the management of headaches. Divided into five sections, chapters are presented in a question and answer format. The book begins with an overview of headaches, explaining classification, diagnostic testing and pathophysiology. The following sections cover primary headaches (migraine, tension-related) and secondary headaches (post trauma, vascular-related, infections). The final sections discuss headaches in specific patient groups such as children, the elderly, women, and in pregnancy; and complementary and alternative therapies. Key points Comprehensive guide to management of headaches Covers both primary and secondary headaches, and specific patient groups Includes section on complementary and alternative therapies Highly experienced, internationally recognised editor and author team

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.

M. WILKINSON Patients with frequent or daily headaches pose a very difficult problem for the physician who has to treat them, particularly as many patients think that there should be a medicine or medicines which give them instant relief. In the search for the compound which would meet this very natural desire, many drugs have been manufactured and the temptation for the physician is either to increase the dose of a drug which seems to be, at any rate, partially effective, or to add one or more drugs to those which the patient is already taking. Although there have been some references to the dangers of overdosage of drugs for migraine in the past, it was not until relatively recently that it was recognized that drugs given for the relief of headache, if taken injudiciously, may themselves cause headache. The first drugs to be implicated in this way were ergotamine and phenazone. In the case of ergotamine tartrate, the dangers of ergotism were well known as this was a disorder which had been known and written about for many years. In the treatment of headache, fully blown ergotism is rare and in recent years has usually been due to self-medication in doses much greater than those prescribed although there are a few recorded cases where toxic amounts have been given.

This practical and comprehensive title provides illuminating, evidence-based approaches in headache medicine for using traditional medical therapies in conjunction with alternative approaches to care. In all, the book details how multidisciplinary management and the combination of conventional and complementary medical services – integrative medicine – leads to superior patient outcomes: improved patient satisfaction, reduced stress, and more readily treatable, less serious illness. State-of-the-art and developed by experts in their fields, these 12 chapters present research and analysis of a wide range of non-pharmacologic interventions in headache care, seeking to inspire clinicians to formulate personalized headache treatment plans, and to work together by integrating their expertise in a multidisciplinary context to address patients’ unique conditions, needs, circumstances, and treatment. Chapter one provides an overview of integrative medicine and proposes a step-wise approach for incorporating integrative modalities into a headache practice. Chapter two focuses on the attention to be paid to relevant aspects of a patient’s medical history. The next four chapters discuss lifestyle factors that play a role in headache, including trigger identification, exercise, nutrition, and sleep. The scope of mind-body therapies such as acupuncture, yoga, and mindfulness is explored in chapter seven, and the psychology of pain is the subject of chapter eight. Chapter nine investigates the safety and efficacy of nutraceuticals, or pharmaceutical alternatives. The final three chapters review neuromodulation and interventional approaches to headache management. An invaluable and timely contribution to the clinical literature, Integrative Headache Medicine – An Evidence-Based Guide for Clinicians will be of great interest to neurologists, pain physicians, primary care clinicians, behavioral psychologists, psychiatrists, physical therapists, social workers, nutritionists and any other health professionals interested in delivering the highest quality care for headache patients.

This book provides a detailed overview of the current state of knowledge regarding the pathophysiology of both primary headaches – migraine, tension-type headache (TTH), and cluster headache – and the very important and frequent type of secondary headache, medication overuse headache (MOH). After an introductory chapter describing relevant neuroanatomy and vascular anatomy, the evidence gained from animal models regarding the pathophysiology of migraine and the other primary headaches is reviewed. Knowledge of the genetic component in the different types of headache is then examined with reference to recent evidence, for example regarding the implication of the trigeminovascular system and cortical spreading depression in migraine. Detailed information is provided on insights into primary headaches from imaging studies, including functional magnetic resonance imaging and positron emission tomography and on their neurophysiology and biochemistry. A further series of important chapters describe present knowledge of the pathophysiology of each specific type of headache and consider future directions. Written by acknowledged experts in their fields from Europe and the United States, clinicians and students will find Pathophysiology of Headaches to be an excellent source of up-to-date information on why patients experience headaches. In addition, it will be of value for pain researchers investigating the underlying mechanisms of headache.