OBJECTIVE<br />Identify the different types and subtypes of headache, comparing the characteristics of them. <br />Establish a diagnosis based in the range of the International Classification of Headache Disorders .<br />
Primary headache<br />The diagnosis of a primary headache requires that all other identifiable and probable conditions that can secondarily cause headache be excluded. <br />For this crucial diagnostic step to take place, the clinician must be familiar with the typical features of each headache type, carried out a competent physical examination, and selected the appropriate special investigations (CT).<br />
Secondary Headache<br />This type have an important consideration, not only because of the potential danger inherent in some, even also because of their prevalence.<br />
According to lifetime prevalence studies of headache:<br /> -Primary and secondary tension type headache are the most common (69%)<br />-Headache from systemic infection is second in frequency (63%)<br /><ul><li>Migraine is next (16%)
Brain tumors (0.1%).</li></li></ul><li>Diagnosis of primary headache syndromes<br />Frequency: low to moderate frecuency, episodic headache and high frecuency.<br />Attack duration: more than 4 hours and those that last less than 4 hours.<br />
Patient behavior and appearance during attack<br />In typical migraine attacks, the patient chooses silence, tries to sleep (often finding that sleep relieves the headache), and does not want to be disturbed. <br />But in cluster headache the opposite occurs.<br />Unfortunately, this signs are similar in patients with meningitis, encephalitis or subarachoidhemorrhage.<br />
Duration<br />Untreated or unsuccessfully treated migraineslast 4–72 hours. <br />Cluster headaches are shorter, having a duration range of 15–180 minutes. <br />Episodic tension type headache has a duration of 30 minutes to 7 days.<br />
Conclusion<br />Is very important for the clinician be able to classify the different types of cephaleas, based in their etiology, signs-symptoms and therefore create a treatment plan for the patient.<br />
Bibliography<br />Joubert, D. J. (August, 2005). Diagnosis of headache. Headache • THEME, 621-625.Recovered in July 27; from: http://www.racgp.org.au/Content/NavigationMenu/Publications/AustralianFamilyPhys/2005Issues/AugustHeadache/200508joubert.pdf<br />
A particular slide catching your eye?
Clipping is a handy way to collect important slides you want to go back to later.