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Date: 10 May 2012
Expert Commentary–Unusual Headache Syndromes
- Marcelo E. Bigal
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There is no disease so rarethat it does not deserve attention.Rare diseases are rare,but rare disease patients are numerous .
Headache medicine may be an arduous field. While identifying and treating common headache disorders is often not difficult, so many medical conditions may present with headache as the first or chief complaint that the differential diagnosis of patients with headache may be overwhelming .
The most common headache syndromes are primary headaches. They typically do not impose major diagnostic challenges, although they are not always easy to treat. In the primary headaches, headache is the “disease” itself. Failure to identify and to properly treat a primary headache will cause unnecessary burden to the patient [3–6]. As for the secondary headaches, the headaches are the symptom of another disease. The situation is very different. Failure to identify a secondary disease may represent a very ominous situation. Not only may the patient face unnecessary suffering, ...
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Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24:9–160.CrossRef
Arruda MA, Guidetti V, Galli F, Albuquerque RC, Bigal ME. Primary headaches in childhood—a population-based study. Cephalalgia. 2010;30:1056–64.
Lipton RB, Bigal ME. When the treatment of headache fails. In: Lipton RB, Bigal ME, editors. Migraine and other headache disorders. New York: Taylor & Francis; 2009. p. 509–18.
- Expert Commentary–Unusual Headache Syndromes
Current Pain and Headache Reports
Volume 16, Issue 4 , pp 287-288
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- Online ISSN
- Current Science Inc.
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- Marcelo E. Bigal (1)
- Author Affiliations
- 1. Head of the Merck Investigator Study Program, Scientific Engagement and Education (MISP/SEE), Office of the Chief Medical Officer-Merck, North Wales, PA, USA