Secondary Headache

Author:  Clifford J Mann / Editor: Andrew Parfitt / Reviewer: Sarah Hickin-Yacoub / Code: A5Published: 29/01/2021

Description:

This session will focus on secondary causes of acute severe headaches that are likely to present to an emergency department.

After completing this session you will be able to:

  • Describe a pragmatic, focussed method of eliciting the relevant history of acute secondary headache
  • List an appropriate differential diagnosis for acute secondary headache
  • Explain a logical method to rule in, or rule out, the principle causes of acute secondary headache
  • State characteristic findings on lumbar puncture and CT of the more important differential diagnoses of acute secondary headache

References:

  1. Batty R, Straiton J. Brain Abscesses, Epidural Abscess, Subdural Empyaema. Radiology – Integrated Training Initiative: e-learning session 6b_129. Royal College of Radiologists, London, 2006.
  2. Mayberg MR et al. Guidelines for the management of aneurysmal subarachnoid haemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Hearth Association. Stroke 1994, 25 pp.2315-2328 in BMJ 330, p. 63 (8 January), doi:10.1136/bmj.38302.504063.8F (published 13 December 2004), 2005.
  3. Kaal ECA, Vecht CJ. The management of brain oedema in brain tumours. Curr Opin. Oncol 2004;16:593-600.
  4. Ottawa SAH rule
  5. Lisette F. van Dam, Marianne A.A. van Walderveen, Lucia J.M. Kroft, Nyika D. Kruyt, Marieke J.H. Wermer, Matthias J.P. van Osch, Menno V. Huisman, Frederikus A. Klok, Current imaging modalities for diagnosing cerebral vein thrombosis A critical review, Thrombosis Research, 2020. 189:132-139

Leave a Reply