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Now in its updated Second Edition, this handbook provides the key information necessary to diagnose and treat headache. The information is presented in a practical and highly accessible manner. This edition incorporates the past few years' major advances in both diagnosis and treatment of headache. New chapters cover stratification of headache care and outcomes; serotonin syndrome; and borderline personality disorder. Also new to this edition is a chapter on what to do and when to refer in intractable cases.
Thoroughly updated for its Second Edition, this handbook is a practical, easily accessible guide to the diagnosis and management of headache patients. Geared to both primary care physicians and neurologists, the book presents a systematic approach to diagnosis and offers expert recommendations for treating all types of headaches, including migraine, chronic daily headache, tension and cluster headaches, post-traumatic headaches, headache during pregnancy, headache in children, headaches with onset after age 50, and headaches caused by HEENT disorders. This edition includes new drug treatments such as topiramate, almotriptan, frovatriptan, eletriptan, botulinum toxin, and tizanidine. Also included are 42 case studies, patient education materials, alternative treatments, and a medicolegal section.
Headache disorders are among the most common disorders of the nervous system. They are pandemic and, in many cases, they are recurrent and can accompany the patient for the whole life. These disorders impose a substantial burden on headache sufferers, on their families and on society: the individual impact is measured by the frequency and severity of attacks, while the societal burden is measured in terms of loss of activity at work and school as well as of costs for the health system. As a matter of facts, headaches are ranked in the top ten, and maybe the top five, causes of disability worldwide: they are therefore extraordinarily common. Population-based studies have mostly focused on migraine, which, even if it is the most frequently studied headache disorder, is not the most common . Other types of headache, such as the more prevalent TTH and sub-types of the more disabling chronic daily headache, have so far received less attention and need to be better investigated. This book will provide a useful tool to a wide medical population, who is required specific skills to diagnose and manage these frequent and often disabling disorders .Furthermore, it could also represents a compendium for medical students who are usually introduced to this topic through multidisciplinary university programmes.
Headache Medicine has recently become an official medical subspecialty. Practitioners who specialize in the field come from many different backgrounds including neurology, internal medicine, anesthesiology, rehabilitation medicine, family medicine, psychiatry, dentistry and others. A great deal of research is being done in HM, and, as a result, the field is one which is growing rapidly in every way. Interestingly, most patients with headache are not being treated by specialists in HM, in large part because of the vast numbers of patients requiring medical attention for headache disorders, and the relatively small number of bona fide specialists. Thus, there is a need for resources to guide these practitioners as they manage headache patients. There are several excellent scholarly texts in the field and numerous books for the public about headache. There are really no concise manuals of HM, however, there are books aimed at the bulk of skilled practitioners taking care of the major share of headache sufferers, who wish to understand the important concepts of diagnosis, treatment, and prognosis in this complex field. This is the aim of Dr. Levin's book which consists of 4 parts: Part 1- Headache Medicine Basic Science, Part 2- Diagnosis of Primary Headache Disorders, Part 3- Diagnosis of Secondary Headache Disorders, and Part 4- Headache Treatment. Chapters in each section are concise, but include cutting edge information about these aspects of headache medicine. The organization of the contents of this book is similar to the Curriculum for Headache Medicine designed by the United Council for Neurologic Subspecialties (UCNS) which is the organization responsible for accrediting Headache Medicine training programs and accrediting individual practitioners. The content of the book mirrors that of the UCNS board examination as well. Chapters include key tables and illustrations. Review questions are included at the end of each chapter and serve as a study resource. The editor is a charter diplomate of the UCNS HM examination and has directed board review courses for the American Headache Society and Headache Cooperative of New England. All of the eligible chapter authors have taken and passed this exam as well. The International Classification of Headache Disorders is used throughout this text and a concerted effort has been made to base content on evidence when available, rather than personal practices. Each chapter is intended as a stand alone monograph and as a result the book can be read in virtually any order.
There are two crucial issues in the treatment and management of headache patients: More than 50% of individuals experiencing headache have only been treated symptomatically, with no appropriate diagnosis established; and history and neurologic examination are essential to establishing a diagnosis, and thus selecting appropriate therapy. Headache and Migraine Biology and Management is a practical text that addresses these issues, featuring contributions from expert clinical authors. The book covers in detail topics including chronic and episodic migraine, post-traumatic headache, sinus headache, cluster headache, tension headache, and others. Chapters are also dedicated to treatment subjects, including psychiatric and psychological approaches, medication overuse, inpatient treatment, and pediatric issues. This book is an ideal resource for researchers and clinicians, uniting practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs. This resource is useful to those who want to understand headache biology, treat and manage symptoms, and for those performing research in the headache field. A practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs Features chapters from leading physicians and researchers in headache medicine Full-color text that includes both an overview of multiple disciplines and discusses the measures that can be used to treat headaches
According to the National Headache Foundation, over 45 million Americans suffer from chronic, recurring headaches (28 million from migraine alone). Headache is the most common complaint for which people see neurologists. Headache can impede job functioning and undermine oneÌs quality of life if not managed effectively. Despite this, research that would help in the care and management of headache patients is sadly lacking. The Jefferson Headache Manual is a practical guide for the practitioner seeking assistance in diagnosing and treating headache patients. Written by the experts at one of the foremost headache centers in the United States, the Manual provides a systematic approach to identifying and managing all types of headaches. Migraine, chronic daily and tension headache, cluster headache, post-lumbar puncture and high and low pressure headaches, medication overuse, and unusual primary headaches are all covered. In addition, this handy reference includes chapters on post-traumatic headache, associated comorbid disorders, headache in the emergency department, and regional considerations in the neck, nose and sinuses, and contains up-to-date information on the latest prescription drug treatments, infusion and inpatient therapies, botulinum toxin, and behavioral management. Based upon the Jefferson philosophy and unique experience of the authors, this comprehensive yet concise manual will appeal to anyone who strives to practice state of the art headache medicine. Features of the Jefferson Headache Manual include Practical, problem-oriented approach to diagnosis and management Expert advice and recommendations Packed with useful graphics, tables, and illustrations Differential diagnoses lists, clinical criteria boxes, and ÏRed FlagsÓ help practitioners make informed decisions quickly Covers pharmacologic and non-pharmacologic treatments
In this book, headache experts summarize all the currently available therapies for primary headaches and most importantly, describe the ‘tricks’ that can ensure the success of headache pharmacotherapy. Prevention and acute treatment of migraine and cluster headache receive particular attention and individual chapters are devoted to the treatment of primary headaches in special groups, i.e. children, pregnant women and the elderly. Further chapters focus on selected secondary headache disorders and cranial neuralgias for which pharmacotherapy is available. The book is designed to meet the daily practice needs of general physicians, general neurologists, neurologists in training and medical students. Headache remains a leading reason for people to seek medical consultation, and migraine and other primary headache disorders are classified by the WHO as among the most disabling medical conditions in the general population, often affecting individuals during their most productive years. Unfortunately, under treatment and mismanagement are the fate of many headache patients and this book provides a sound basis for optimizing treatment.
This comprehensive, practical title invites all clinicians to take a fresh look at the evaluation and management of chronic daily headache (CDH). Developed by a distinguished international panel of experts, the book examines key social and economic issues around CDH and clarifies the diagnosis of CDH disorders, providing an understanding of the underlying biological substrates, offering guidance on the use of diagnostic testing and additional consultations, and outlining treatment strategies with the greatest potential to alleviate the burden of these patients and to provide the highest quality of care. The book fully examines the constellation of symptoms that constitute chronic daily headache, while also discussing the role of behavioral medicine and the important elements involved in taking a good history. The major forms and biology of chronic daily headache are covered, as is the role of diagnostic testing and treatment. The risk factors that lead patients to transform episodic primary headache disorders into the chronic form are examined. Invasive and neuromodulatory techniques are also discussed. A section on the classification of these disorders rounds out this important contribution to the literature. Chronic Headache – A Comprehensive Guide to Evaluation and Management will be of great interest to neurologists, primary care physicians, nurse practitioners, physician assistants, medical students, and other clinicians with an interest in chronic daily headache.
The first textbook that focused on the multidisciplinary treatment of migraine including pharmacological and non-pharmacological approaches. This comprehensive text discusses epidemiology, pathophysiology, diagnosis, and management of patients with migraine headache integrating clinical experience and expertise with current evidence-based best practices. The authors are worldwide experts recognized in migraine and headache with experience in academic, research, and practice settings. This book reviews the options for medical management of patients with migraine by way of: pharmacological interventions; musculoskeletal interventions including muscle and joint.centered interventions, manual therapy, and dry needling; and complementary and alternative medicine techniques including naturopathy, acupuncture, and placebo. With a multimodal and multidisciplinary approach, this comprehensive resource provides a variety of therapeutic tools for students and practitioners to provide excellent care and medical management of patients with migraine headache
Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.