Case-Based Diagnosis and Management of Headache Disorders by Aksel Siva, Christian Lampl

By Aksel Siva, Christian Lampl

This publication presents the training health professional with a realistic method of the prognosis, assessment and administration of headache problems in keeping with classes discovered from real-life headache sufferers. across the world recognized headache specialists current circumstances from their very own perform and talk about the review and administration of every case step-by-step. The in actual fact dependent chapters disguise preliminary review and diagnostic work-up, imaging, differential analysis, interpretation of findings of extra work-up, treatments and reaction and key issues. a large spectrum of headache varieties is roofed, together with either fundamental and secondary headache problems. The reader will how to diagnose and deal with assorted headache problems without delay from the medical adventure of specialists. Case-Based prognosis and administration of Headache Disorders can be of worth for neurologists and a variety of physicians – from these in different specialties to fundamental care givers.

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2 Differential Diagnosis and How to Work Up This Kind of Patient The most important differential diagnoses of hemiplegic migraine in the acute phase are stroke and transient ischemic attack (TIA). As is the case for hemiplegic migraine, the symptoms of TIA are fully reversible, and neuroimaging often reveals no abnormalities. A characteristic feature of migraine aura symptoms is the gradual spread of symptoms, usually over 5–20 min. In contrast, cerebrovascular ischemic events usually develop within seconds.

Brain MRI indicates deep white matter lesions. Beck Depression Inventory score >24. • When she accesses the ED, brain CT is negative. She is then assigned to the Headache Center. • Detoxification procedure as day-hospital inpatient, psychological evaluation, treatment with OnabotulinumtoxinA on a 3-monthly basis for an actual followup of 30 months. • Reduced frequency of migraine headache days (4–5/months) with mild intensity, easily resolved with triptan. Beck Depression Inventory score <24. Suggested Reading 1.

Lamotrigine is potentially useful in preventing migraine aura. Suggested Reading 1. Costa C1, Tozzi A, Rainero I et al (2013) Cortical spreading depression as a target for antimigraine agents. J Headache Pain 14:62 2. Current management of amaurosis fugax. The Amaurosis Fugax Study Group. Stroke. 1990;21:201–208. 3. Cutrer FM, Huerter K (2007) Migraine aura. Neurologist 13:118–125 4. Dalkara T1, Zervas NT, Moskowitz MA (2006) From spreading depression to the trigeminovascular system. Neurol Sci 27(Suppl 2):S86–S90 5.

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