n CME : Your SA Journal of CPD - When to refer a headache patient for investigation and specialist treatment : main article

Volume 23, Issue 7
  • ISSN : 0256-2170



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.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error