Mechanism and Management of Headache, 7e by James W. Lance AO CBE MD Hon DSc FRCP(London) FRACP

By James W. Lance AO CBE MD Hon DSc FRCP(London) FRACP FAA, Peter J. Goadsby BMedSc MB BS MD PhD DSc FRACP

According to the present category of the foreign Headache Society, this revised and up to date seventh version offers up to date, functional assistance at the very newest advances in study into the pathophysiology, scientific points, and therapy of every kind of headache―including migraine, tension-type headache, cluster headache, and persistent day-by-day headache. It presents an optimum mixture of medical information and suitable uncomplicated technology, written in an easy-to-read, attractive style.

  • Features a bankruptcy association in line with the HIS category of headache, making details effortless to find.
  • Delivers balanced assurance of the newest clinical discoveries in addition to attempted and actual scientific 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 contemporary alterations in scientific practice.
  • Provides revisions in accordance with up to date instructions awarded on the overseas Headache Society, Congress of Headache, September 2003.

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Example text

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. Cephalalgia, 11, 129–134. Chapter 4 Diagnosis Based on the History The case history and its interpretation are the most important factors in headache diagnosis. Information about the nature of the headache, under each descriptive subheading, contributes to the differential diagnosis. Each feature is considered in turn, to evaluate its significance.

The visual fields of those patients in whom the suspicion of an intracranial lesion has arisen should be tested to confrontation and inattention to one half-field sought if the parietal lobe is thought to be involved. The optic discs should be examined when appropriate for signs of optic atrophy or papilloedema. Swelling of the disc occurs in about 15% of cases of 36 Mechanism and Management of Headache retrobulbar (optic) neuritis, but in such patients, unlike patients with papilloedema from raised intracranial pressure, central vision is severely impaired.

It may spread to the neck, ear, or eye, in which case it may be confused with cluster headache. It differs from cluster headache in its pattern of recurrence, being without the remissions that usually occur between bouts of cluster headache, and with each episode lasting for 4 hours to several days. Guiloff and Fruns (1988) reported 22 patients with migraine or cluster headache who experienced pain in the upper or lower limbs on the same side as their headache, suggesting thalamic involvement in the genesis of such attacks.

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