Författare: Remahl Ingela Nilsson, Waldenlind Elisabet, Sjöstrand Christina, Meyer Eva Laudon
Titel: Vanlig eller farlig huvudvärk? - en klinisk utmaning [summary] (serie: Tema huvudvärk) 2007 nr 23 sid 1796-800
Ämnesord:
Huvudvärksproblem
Huvudvärk
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Summary:
Most patients visiting an emergency department turn out to have migraine or other benign causes to their headache. But new or progressive headache especially with sudden onset may indicate a serious or even life-threatening illness. A detailed and relevant medical history in combination with a physical and neurological examination is fundamental for differentiating between recurrent primary headaches and dangerous headache causes. Relatives and witnesses may add important information. Be sure not to miss “warning signs” like sudden onset, high intensity, progressive course, high temperature, neck rigidity, transient unconsciousness, epileptic seizures and focal neurological signs. If there is a cause for concern immediately proceed with relevant neuroinvestigation ( Computer tomography, lumber puncture, blood chemistry), observe carefully vital signs and neurological status and initiate adequate treatment or transportation to the best fitted level of care. If you suspect a serious or even life-threatening cause do not hesitate to contact the nearest department of neurology or neurosurgery. When symptoms together with physical and neurological signs are in line with the IHS diagnostic criteria for migraine, tension-type or cluster headache no further investigations are needed. Start relevant treatment.
Ingela Nilsson Remahl, Elisabet Waldenlind, Christina Sjöstrand, Eva Laudon Meyer
Correspondence: Ingela Nilsson Remahl, Huvudvärkscentrum, Neurologiska kliniken, Karolinska Universitetssjukhuset Huddinge, SE-141 86 Stockholm, Sweden ingela.nilsson-remahl@karolinska.se
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