Emergency department evaluation of headache

L. C. Newman, Richard B. Lipton

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Although headache is a common complaint in the ED, it is often considered to be more of a nuisance than a true medical emergency. It is imperative for the physician evaluating patients in the emergency setting to have a good understanding of the many disorders that may have headache as a feature. It is of utmost important to first identify or eliminate the secondary causes of headache through history taking and physical examinations as described in this chapter. If a secondary cause of headache is identified, appropriate steps aimed at treating the underlying illness must be addressed. If the presenting complaint is the result of a primary headache disorder, treatment options as described here should be employed, and referrals for follow-up care should be given to avoid repeated ED visits. Although, the majority of patients presenting to the ED suffer from an acute exacerbation of one of the primary headache disorders, care must be taken to rule out more serious causes of headache, especially in patients who have new or unusual symptoms. Diagnosis should always be established before initiation of therapy.

Original languageEnglish (US)
Pages (from-to)285-303
Number of pages19
JournalNeurologic Clinics
Volume16
Issue number2
DOIs
StatePublished - 1998

Fingerprint

Headache
Hospital Emergency Service
Primary Headache Disorders
Emergencies
Aftercare
Physical Examination
Referral and Consultation
Physicians
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Emergency department evaluation of headache. / Newman, L. C.; Lipton, Richard B.

In: Neurologic Clinics, Vol. 16, No. 2, 1998, p. 285-303.

Research output: Contribution to journalArticle

Newman, L. C. ; Lipton, Richard B. / Emergency department evaluation of headache. In: Neurologic Clinics. 1998 ; Vol. 16, No. 2. pp. 285-303.
@article{b6d9eb116f9344d7a90b0f4aaa26aa88,
title = "Emergency department evaluation of headache",
abstract = "Although headache is a common complaint in the ED, it is often considered to be more of a nuisance than a true medical emergency. It is imperative for the physician evaluating patients in the emergency setting to have a good understanding of the many disorders that may have headache as a feature. It is of utmost important to first identify or eliminate the secondary causes of headache through history taking and physical examinations as described in this chapter. If a secondary cause of headache is identified, appropriate steps aimed at treating the underlying illness must be addressed. If the presenting complaint is the result of a primary headache disorder, treatment options as described here should be employed, and referrals for follow-up care should be given to avoid repeated ED visits. Although, the majority of patients presenting to the ED suffer from an acute exacerbation of one of the primary headache disorders, care must be taken to rule out more serious causes of headache, especially in patients who have new or unusual symptoms. Diagnosis should always be established before initiation of therapy.",
author = "Newman, {L. C.} and Lipton, {Richard B.}",
year = "1998",
doi = "10.1016/S0733-8619(05)70065-7",
language = "English (US)",
volume = "16",
pages = "285--303",
journal = "Neurologic Clinics",
issn = "0733-8619",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Emergency department evaluation of headache

AU - Newman, L. C.

AU - Lipton, Richard B.

PY - 1998

Y1 - 1998

N2 - Although headache is a common complaint in the ED, it is often considered to be more of a nuisance than a true medical emergency. It is imperative for the physician evaluating patients in the emergency setting to have a good understanding of the many disorders that may have headache as a feature. It is of utmost important to first identify or eliminate the secondary causes of headache through history taking and physical examinations as described in this chapter. If a secondary cause of headache is identified, appropriate steps aimed at treating the underlying illness must be addressed. If the presenting complaint is the result of a primary headache disorder, treatment options as described here should be employed, and referrals for follow-up care should be given to avoid repeated ED visits. Although, the majority of patients presenting to the ED suffer from an acute exacerbation of one of the primary headache disorders, care must be taken to rule out more serious causes of headache, especially in patients who have new or unusual symptoms. Diagnosis should always be established before initiation of therapy.

AB - Although headache is a common complaint in the ED, it is often considered to be more of a nuisance than a true medical emergency. It is imperative for the physician evaluating patients in the emergency setting to have a good understanding of the many disorders that may have headache as a feature. It is of utmost important to first identify or eliminate the secondary causes of headache through history taking and physical examinations as described in this chapter. If a secondary cause of headache is identified, appropriate steps aimed at treating the underlying illness must be addressed. If the presenting complaint is the result of a primary headache disorder, treatment options as described here should be employed, and referrals for follow-up care should be given to avoid repeated ED visits. Although, the majority of patients presenting to the ED suffer from an acute exacerbation of one of the primary headache disorders, care must be taken to rule out more serious causes of headache, especially in patients who have new or unusual symptoms. Diagnosis should always be established before initiation of therapy.

UR - http://www.scopus.com/inward/record.url?scp=0031968475&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031968475&partnerID=8YFLogxK

U2 - 10.1016/S0733-8619(05)70065-7

DO - 10.1016/S0733-8619(05)70065-7

M3 - Article

C2 - 9537963

AN - SCOPUS:0031968475

VL - 16

SP - 285

EP - 303

JO - Neurologic Clinics

JF - Neurologic Clinics

SN - 0733-8619

IS - 2

ER -