Clinical Case Database / Category: Patient Management
Assessment of patients complaining of headache
Publication details
Richard Peatfield
Foundation Years Journal, volume 8, issue 3, p.10 (123Doc Education, London, March 2014)
Abstract
Migraine is extremely common. 6% of men and 15% of women have migraine fulfilling the official criteria of the International Headache Society, while up to 70-80% of the population have milder headaches that probably have a similar mechanism, and certainly respond to the same range of analgesic drugs (1). The vast majority of patients attending neurology clinics complaining of headache without other symptoms or any physical abnormalities have migraine; often the best approach is to ask about headache, abdominal pain and even motion sickness in their adolescent years! A small proportion do have other significant diseases, including subarachnoid haemorrhage, meningitis, temporal arteritis, cervical spondylosis, idiopathic intracranial hypertension, sinusitis and variants of migraine such as cluster headache and the various hemicranias.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Richard Peatfield
Consultant Neurologist
Charing Cross Hospital
Fulham Palace Road
London W6 8RF
r.peatfield@imperial.ac.uk
References
1. Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population--a prevalence study. J Clin Epidemiol. 1991;44:1147-57.
2. Grant R Overview: Brain tumour diagnosis and management Royal College of Physicians
guidelines J Neurol Neurosurg Psychiatry 2004 75 (Suppl II): ii18–ii23.
3. Vázquez-Barquero A, Ibáñez FJ, Herrera S, Izquierdo JM, Berciano J, Pascual J Isolated headache as the presenting clinical manifestation of intracranial tumors: a prospective study Cephalalgia 1994 14, 270–271.
4. Sempere A, Porta-Etessam J, Medrano V, Garcia-Morales I, Concepcion L, Ramos A, et al.
Neuroimaging in the evaluation of patients with non-acute headache. Cephalalgia 2005; 25: 30-35.
5. Kernick DP, Ahmed F, Bahra A, Dowson A, Elrington G, Fontebasso M, Giffin NJ, Lipscombe S,
MacGregor A, Peatfield R, Weatherby S, Whitmarsh T, Goadsby PJ. Imaging patients with suspected brain tumour: guidance for primary care. Br J Gen Pract. 2008 Dec; 58: 880-5
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.