Evaluation of Headache

Abstract

The evaluation of headache begins with ruling out a health- or life-threatening cause. If concern is identified, the workup must progress rapidly. Headache is classically defined as primary or secondary. If suspicion is alleviated, a reasonable approach involves determining whether symptoms are related to a benign secondary headache disorder versus a primary headache disorder. Headaches may resolve without further need for treatment if a secondary cause of headache can be identified and eliminated. Alternatively, if symptoms appear to be related to a primary headache disorder, establishing a correct diagnosis is vital to subsequently developing a treatment plan.