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Nothing in clinical neurology exceeds the demands on the clinician more than diagnosing and managing the patient with headache, a process that demands a combination of clinical skill and good interpersonal relationships. The physician dealing with the patient who presents with headache will by the history determine the likely diagnosis; by the brief, structured examination receive some reassurance that there is no lurking lesion causing the problem; and by his or her ability to see past the patient's naive words of complaint, recognize a pattern of symptomatology, allowing a confident diagnosis that will allow equally confident management. As always, the physician must determine during the interview what the patient wants—is it pain relief, reassurance that no serious disease underlies the symptoms experienced, or simply an explanation?
The classifications of headaches that will be discussed in this chapter and other types of headaches are listed in
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Textbook of Primary Care Medicine, 3rd ed.
By: William Pryse-Phillips, T. Jock Murray © 2005 ELSEVIER Inc. All Rights Reserved |
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