n CME : Your SA Journal of CPD - When to refer a headache patient for investigation and specialist treatment : main article
|Article Title||When to refer a headache patient for investigation and specialist treatment : main article|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Publication Date||Jul 2005|
|Pages||336 - 339|
The majority of headaches are migraine and tension headaches. <br>Migraine patients should be referred to a specialist if the features are atypical or if the headache does not respond to simple therapy. <br>When a patient with intermittent tension-type headache develops chronic daily headaches - refer to a specialist as it is most likely a drug-induced headache. <br>Secondary headaches may be caused by head and/or neck trauma, cranial or cervical vascular disorders, non-vascular intracranial disorders, a substance or its withdrawal, infection, disorders of homeostasis, psychiatric disorders, abnormalities of the cranium, neck, eyes, ears or sinuses. <br>The warning features of a headache that requires further investigation are sudden onset, progression with increasing severity, associated systemic illness, focal neurological features, papilloedema, associated pregnancy, cough or exertion, or recent headache onset in a cancer or AIDS patient.
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