The differential diagnosis of postpartum headache includes primary headache
disorder, preeclampsia and eclampsia, meningitis, acute ischemic stroke, intracerebral and subarachnoid hemorrhage, cerebral venous sinus thrombosis, posterior reversible encephalopathy syndrome, and reversible cerebral vasoconstriction syndromes.
There is increasing evidence to suggest that neurostimulation techniques, including hypothalamic deep brain stimulation, TMS, transcranial direct current stimulation and occipital nerve stimulation, can be considered promising tools in the management of primary headache
disorders such as cluster headache (16).
The study, which looked at a series of 40 patients, is the largest to date from a single institution and examined treatment of hypnic headache, defined as a primary headache
disorder characterized by onset during sleep that causes waking.
The recurrent nature of the headaches in this patient suggests a primary headache
disorder, with migraine being the most likely.
They cover the healthcare professional's responsibility, pain constructs, anatomical and physiologic considerations, comorbid conditions, and the neurophysiology, biopsychosocial model, and epidemiology of orofacial pain, then general assessment, diagnostic classification, vascular and nonvascular intracranial causes, primary headache
disorders, episodic and continuous neuropathic pain, intraoral pain disorders, the diagnosis and management of TMD, cervicogenic mechanisms and extracranial causes of orofacial pain and headaches, the impact on sleep (a new chapter), and biobehavioral considerations.
Goadsby of the University of California, San Francisco, noted that about a fifth of patients with primary headache
were classified as having an abnormal neurologic exam.
When optometrists are faced with a patient complaining of headaches, an attempt at classifying the disorder as a primary headache
(eg migraine, tension headache) or secondary headache (eg tumour, stroke) should be made.
Migraine is a primary headache
disorder manifesting as recurring attacks, usually lasting for four to 72 hours, and involving pain of moderate to severe intensity, often accompanied by nausea, and sometimes vomiting, and/or sensitivity to light, sound, and other sensory stimuli.
disorders fall into 3 main categories: migraine, tension-type headache, and cluster headache.
Kim completed her dissertation on "Magnetic field therapy: An exploration of its relation to pain and power in adults with chronic primary headache
from a Rogerian perspective" (UMI Number 9955725).
Medication overuse headache in patients with primary headache
disorders: Epidemiology, management, and pathogenesis.
Dr Peter Goadsby, Institute of Neurology, Queen Square, London, the lead investigator of the study, commented, "These results are highly significant when facing the dilemma of how to treat this debilitating type of primary headache