Migraine and Other Headaches

by Willam B. Young, M.D. and Stephen D.Silberstein, M.D.

• ISBN13: 9781932603033
• ISBN10: 1932603034
• Format: Trade Paper
• Copyright: 2004-05-10
• Publisher: Demos Health

Summary

Headache is the most common complaint for which people see neurologists andhe seventh most common reason they visit their primary care doctors. It ishe third most common cause of missed work, and can seriously undermine theuality of life if not effectively managed. Migraine and Other Headaches ishe essential guide for everyone who suffers from headaches, and will providehe information needed to obtain effective medical care and long-term relief.ifferent types of headache are thoroughly explained in easy to understandanguage, beginning with migraine, the most common severe headache, whichccurs in approximately 12 percent of the U.S. population. The authorsiscuss the different types of migraine: migraine without aura (previouslyalled common migraine), migraine with aura, and basilar migraine. Emphasiss placed on the necessity of early treatment, the importance ofnderstanding the difference between a headache cause and a headache trigger,nd how to avoid common triggers. Rebound headache, caused by the overuse ofcute medication, is a topic of special significance and is discussed in

Author Biography

William B. Young, MD, is Assistant Professor of Neurology and Director of the Inpatient Program at the Jefferson Headache Center at Thomas Jefferson University Stephen D. Silberstein, MD, is Professor of Neurology and Director of the Jefferson Headache Center at Thomas Jefferson University, and is Co-Director of the national and international Headache Guideline Project in cooperation with the Agency for Health Care Policy and Research

Table of Contents

About the AAN Press Quality of Life Guides	vii
Foreword	ix
Preface	xi
SECTION I HISTORY, PHILOSOPHY, AND GENERAL CONCEPTS
CHAPTER 1 "Just a Headache"	3	(6)
CHAPTER 2 History of Headache	9	(10)
CHAPTER 3 The Causes of Headache	19	(18)
Causes versus Triggers	19	(1)
Triggers	19	(4)
Location and Duration of Pain	23	(1)
Frequency and Timing of Attacks	24	(1)
Pain Severity and Quality	25	(2)
Family History	27	(1)
Physical and Neurologic Examinations	28	(4)
The Concept of Primary Headache	32	(2)
The Concept of Secondary Headaches	34	(1)
When You Visit Your Physician	34	(3)
CHAPTER 4 Serious Headaches Requiring Medical Attention	37	(8)
Serious Medical Conditions That Can Cause Headache	37	(5)
Spinal Headache and Other Low Pressure Headaches	42	(3)
CHAPTER 5 Managing Headaches: An Overview	45	(16)
The Mind/Body Connection	53	(1)
Family Relations	54	(1)
Treatment Overview	54	(1)
How to Find a Good Headache Doctor	55	(1)
Combating Stumbling Blocks Set Up by Insurance Companies	56	(5)
SECTION II PRIMARY HEADACHE-MIGRAINE
CHAPTER 6 Migraine: The Big One	61	(26)
Migraine Without Aura	62	(2)
Migraine with Aura	64	(2)
The Cause of Migraine	66	(4)
How Common Is Migraine?	70	(2)
Symptoms of Migraine	72	(9)
Chronic Migraine	81	(6)
CHAPTER 7 Treating Migraine with Medication	87	(18)
Medication for Acute Migraine	87	(9)
Preventive Treatment	96	(2)
Preventive Medications	98	(4)
Special Circumstances	102	(3)
CHAPTER 8 Alternative Therapies for Migraine	105	(18)
Dietary Supplements	106	(3)
Physical Treatments	109	(4)
Behavioral Therapies	113	(10)
SECTION III OTHER PRIMARY HEADACHES AND ASSOCIATED ILLNESSES
CHAPTER 9 Tension-Type Headache	123	(6)
Causes of Tension-Type Headache	124	(1)
Treatment of Tension-Type Headache	125	(4)
CHAPTER 10 Cluster Headaches	129	(8)
Causes of Cluster Headache	130	(2)
Treatment of Cluster Headache	132	(5)
CHAPTER 11 Unusual Headaches	137	(6)
Paroxysmal Hemicrania	137	(1)
Chronic Daily Headache	137	(1)
Hemicrania Continua	138	(1)
New Daily Persistent Headache	139	(1)
"Ice Pick" Headache	140	(1)
Sexual Activity Headache	141	(2)
CHAPTER 12 Nonheadache Illnesses that Frequently Accompany Headache	143	(6)
Psychological Disturbances	143	(1)
Fibromyalgia	144	(1)
Irritable Bowel Syndrome	144	(1)
Restless Legs Syndrome	144	(1)
Raynaud's Phenomenon	145	(4)
SECTION IV SECONDARY HEADACHE
CHAPTER 13 Sinus Headache and Nasal Disease	149	(6)
Cause of Sinusitis	150	(1)
Diagnostic Testing	151	(1)
Rhinosinusitis	152	(1)
Deviated Septum Headache	153	(1)
Sinus Headache Treatment	153	(1)
Confusing Migraine with Sinus Headache	154	(1)
CHAPTER 14 Disorders of the Neck	155	(8)
CHAPTER 15 Post-Traumatic Headache	163	(6)
CHAPTER 16 Atypical Facial Pain and Trigeminal Neuralgia	169	(8)
M. Alan Stiles, D.M.D.
APPENDIX
Resources	177	(4)
Index	181