Diagnosis and Management of the Primary Headache Disorders in the Emergency Department Setting

Benjamin W. Friedman, Brian Mitchell Grosberg

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Headache continues to be a frequent cause of emergency department (ED) use, accounting for 2% of all visits. Most of these headaches prove to be benign but painful exacerbations of chronic headache disorders, such as migraine, tension-type, and cluster. The goal of ED management is to provide rapid and quick relief of benign headache, without causing undue side effects, and to recognize headaches with malignant course. Although these headaches have distinct epidemiologies and clinical phenotypes, there is overlapping response to therapy; nonsteroidals, triptans, dihydroergotamine, and the antiemetic dopamine antagonists may play a therapeutic role for each of these acute headaches. This article reviews the diagnostic criteria and management strategies for the primary headache disorders.

Original languageEnglish (US)
Pages (from-to)71-87
Number of pages17
JournalEmergency Medicine Clinics of North America
Volume27
Issue number1
DOIs
StatePublished - 2009

Fingerprint

Primary Headache Disorders
Headache
Hospital Emergency Service
Headache Disorders
Dihydroergotamine
Tryptamines
Antiemetics
Dopamine Antagonists
Migraine Disorders
Epidemiology
Phenotype
Therapeutics

Keywords

  • Emergency department
  • Headache
  • Migraine

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Diagnosis and Management of the Primary Headache Disorders in the Emergency Department Setting. / Friedman, Benjamin W.; Grosberg, Brian Mitchell.

In: Emergency Medicine Clinics of North America, Vol. 27, No. 1, 2009, p. 71-87.

Research output: Contribution to journalArticle

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