Headache

Question 1

Approach to Headache

Answer 1

Primary
Migraine
Tension
Cluster
Analgesia

Secondary
A. Generalised
- SOL
- ICB - trauma, aneurysm
- Meningitis / encephalitis
- Idiopathic intracranial hypertension
- Cerebral venous thrombosis - OCP, hypercoagulable state
- Hypertensive emergency

B. Localised
- Giant cell arteritis (temporal arteritis)
- AACG
- Sinusitis
- TMJ dysfunction
- Trigeminal neuralgia

C. Systemic
- Acromegaly and pituitary apoplexy
- Pituitary adenoma
- Phaeochromocytoma
- Hyperviscocity - PRV, myeloproliferative
- OSA