Secondary headache in emergency

Carolei, Antonio; Ripa, Patrizia

doi:10.1186/1129-2377-16-s1-a27

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…The prevalence of patients with primary or unspecific headache characteristics, three of four patients in our cohort, is consistent with previous literature 13 ,19 ]. We highlight that one in five patients suffered a headache secondary to non-serious diseases…”

Section: Discussionsupporting

confidence: 92%

“…The results obtained in previous similar studies are heterogeneous. Thus, our percentage of people with severe secondary headache due to central nervous system diseases is actually lower than that observed in studies carried out in our country, such as that of Jiménez-Caballero, who documented a percentage of 13% [ 13 ], in accordance with other studies such as that of Locker et al [ 19 ], but similar to that published in other retrospective studies [ 9 , 20 ]. In this sense, Reinus et al, after reviewing 333 patients with acute headache, only detected 17 who reported the worst headache of their life, and of them only one had lesions on cranial CT responsible for the symptoms [ 21].…”

Section: Discussionsupporting

confidence: 91%

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Incidence of Alarm Criteria and Attitude Towards Headache Patients Seen in Primary Care

Hassan¹

2020

IJMBS

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Introduction: The alarm criteria make it possible to identify people who consult for severe secondary headaches in the primary care services. Objective: To determine the sociodemographic characteristics of patients who come to the emergency room due to headache, the incidence of alarm criteria, treatment and diagnosis after one year of follow-up. Patients and methods: Retrospective and observational cross-sectional study of people treated in the primary care of the Arnau de Vilanova Hospital between June 2014 and May 2015 due to headache. Results: A total of 303 people were identified, of which 165 were eventually included in the study. There was a predominance of women (66.7%). The mean age was 41.2 ± 15.9 years. Only 16.4% were referred from primary care and 52 (31.5%) had alarm criteria. In half of these cases a cranial computed tomography was performed, and in 4 (7.7%), a lumbar puncture. A serious cause of the headache was identified in 4 cases (2.4%). After one year of follow-up, three patients who initially did not consult due to alarm criteria were diagnosed with serious diseases of the central nervous system, and 23 (13.9%) returned to the emergency room for the same reason. Conclusions: Only one out of every two patients meets alarm criteria. The proportion of severe secondary headache is really low. It is necessary to improve the multidisciplinary approach to headache in our setting to avoid consulting for primary headaches without alarm criteria. Keywords: sociodemographic.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Incidence of Alarm Criteria and Attitude Towards Headache Patients Seen in Primary Care

Hassan¹

2020

IJMBS

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Etiology of a Secondary Headache: Ophthalmic Artery Aneurysm

Simon

Long

Katz

2017

The Journal of Emergency Medicine

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Clinical patterns of primary stabbing headache: a single clinic-based prospective study

et al. 2017

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BackgroundThe clinical features and disease courses of primary stabbing headache (PSH) are diverse. We aimed to identify distinct clinical patterns of PSH.MethodsWe prospectively screened consecutive first-visit patients who presented with stabbing headache at the Samsung Medical Centre Headache Clinic from June 2015 to March 2016. Demographics, headache characteristics, and disease courses were prospectively evaluated. After discerning factors related to the chronicity at the time of presentation, clinical patterns were identified based on the frequency (daily vs. intermittent), clinical course (remitted or not), and total disease duration (<3 or >3 months).ResultsIn the 65 patients with PSH included in this study, monophasic (n = 31), intermittent (n = 17), and chronic daily (n = 12) patterns were identified. The median disease durations were 9 days for monophasic PSH, 9 months for chronic daily PSH, and 2 years for intermittent PSH. The features of monophasic PSH were greater severity, single and side-locked locations, more attacks per day, daily occurrence, and good treatment response. Chronic daily PSH was associated with female predominance, longer-lasting stabs, and multiple or migrating locations on bilateral or alternating sides. The characteristics of intermittent PSH included female predominance and sporadic stabs with less intensity.ConclusionsOur study demonstrated distinct clinical patterns of PSH. In addition to help early recognition of disease, our findings suggest different pathophysiologic mechanisms. Future prospective studies are required to reveal the etiologies of these different PSH patterns and their optimal treatment strategies.

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Secondary headache in emergency

Cited by 3 publications

References 4 publications

Incidence of Alarm Criteria and Attitude Towards Headache Patients Seen in Primary Care

Incidence of Alarm Criteria and Attitude Towards Headache Patients Seen in Primary Care

Etiology of a Secondary Headache: Ophthalmic Artery Aneurysm

Clinical patterns of primary stabbing headache: a single clinic-based prospective study

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