Page 1 of 1: Diseases most often present with a headache

Aucklander · Credits: 2246 My Scrapbook

Which of the following diseases most often present with hedache?

A. Ischemic Stroke
B. Temporal Arteritis
C. Benign positional vertigo
D. Migraine
E. Meniere's disease.

jayanta · Credits: 38219 My Scrapbook My Reading List 45 Books

IT IS EITHER TEMPORAL ARTERITIS OR MIGRAINE.
WHAT HARRISON IS TELLING

REGARDS,AUCKLANDER.

legaldevil · Credits: 3028 My Scrapbook

i would go with b, d and e

jayanta · Credits: 38219 My Scrapbook My Reading List 45 Books

SO,DEAR LEGALDEVIL,ANY FINAL CONFIRMATION WITH REFERRENCE

THANKX.

MOSHE · Credits: 213 My Scrapbook

Thyphoid fever is a common cause of headache in the tropics

drlouis · Credits: 5374 My Scrapbook

Headaches are one of the most common symptoms that neurologists evaluate. Although most are caused by primary disorders, the list differential diagnoses is one of the longest in all of medicine, with over 300 different types and causes. The cause or type of most headaches can be determined by a careful history supplemented by a general and neurologic examination. Reasons for obtaining neuroimaging include medical indications as well as anxiety of patients and families and medico-legal concerns. In the era of managed care, concerns over deselection and negative capitation may dissuade the physician from ordering even a medically indicated scan. The yield of neuroimaging in the evaluation of patients with headache and a normal neurologic examination is quite low. Combining the results of multiple studies performed since 1977 for a total of 3026 scans reveals the overall percentages of various pathologies as: brain tumors, 0.8%; arteriovenous malformations, 0.2%; hydrocephalus, 0.3%; aneurysm, 0.1%; subdural hematoma, 0.2%; and strokes, including chronic ischemic processes, 1.2%. EEG is not useful in the routine evaluation of patients with headache. Similarly, the yield of neuroimaging in the evaluation of migraine is quite low. Combining the results of multiple studies performed since 1976 for a total of 1440 scans of patients with various types of migraine, the overall percentages of various pathologies are: brain tumor, 0.3%; arteriovenous malformation, 0.07%; and saccular aneurysm, 0.07%. WMA have been reported on MRI studies of patients with all types of migraine, with a range from 12% to 46%. The cause of WMA in migraine is not certain. Cerebral atrophy has been variable reported as more frequent and no more frequent in migraineurs compared with controls. The "first or worst" headache has a long list of possible causes and always includes the possibility of acute subarachnoid hemorrhage. Headaches--especially the sentinel type caused by SAH--often are misdiagnosed. The probability of detecting an aneurysmal hemorrhage of CT scans performed at various intervals after the ictus is: day 0.95%; day 3, 74%; 1 week, 50%; 2 weeks, 30%; and 3 weeks, almost nil. The location of a ruptured saccular aneurysm often is suggested by the predominant site of the SAH. The probability of detecting xanthochromia with spectrophotometry in the CSF at various times after a subarachnoid hemorrhage is: 12 hours, 100%; 1 week, 100%; 2 weeks, 100%; 3 weeks, more than 70%; and 4 weeks, more than 40%. The management of thunderclap headaches with normal CT scan and CSF examinations is controversial. Most patients have a benign course but an unruptured saccular aneurysm occasionally may be responsible for the headache. MR angiography may be a reasonable test to obtain instead of a cerebral arteriogram in many of these cases. About 30% to 90% of patients have headaches of various types and causes after mild head injury. Although most headaches are relatively benign, perhaps 1% to 3% of these patients have life-threatening Pathology , including subdural and epidural hematomas, that are detected on CT and MRI scans. Headaches caused by subdural hematomas can be nonspecific. When new-onset headaches begin in patients over the age of 50 years, the physician always should consider whether it may be a secondary headache disorder requiring specific diagnostic testing and treatment. Up to 15% of patients 65 years and over who present to neurologists with new-onset headaches may have serious Pathology such as stroke, TA, neoplasm, and subdural hematoma. Headaches are the most common symptom of TA, reported by 60% to 90%. The only over the temple. The diagnosis of TA is based on a high index of clinical suspicion that usually but not always is confirmed by laboratory testing. The erythrocyte sedimentation rate can be normal in 10% to 36% of patients with TA. A superficial temporal artery biopsy can give a false-negative result in 5% to 44% of patients.
NEUROLOGIC CLINICS 1996

One of these, temporal arteritis, needs to be recognized and promptly treated with corticosteroids to avoid permanent visual loss. Other causes of headache that are more common in older people include subdural hematomas, trigeminal neuralgia, herpes zoster infection, and malignancies.
Headaches in older patients: special problems and concerns.OCT 2006

THE IDEA IS TO IDENTIFY THE SEVERE HEADACHE THAT CAN BE LIFE THREATENING( eg SAH,MENINGITIS ETC) OR VISION THREATENING (TEMPORAL ARTERITIS) IN THE APPROPRIATE AGE GROUP OR CIRCUMSTANCES TAKING IN TO ACCOUNT THE WHOLE PICTURE AND INTEGRATE IN TO A SINGLE WORKING GROUP RATHER THAN ISOLATE THE HEADACHE ALONE AND LOSE THE PATIEBT OR THE GOLDENHOUR!!!!!!!!!!

mdi · Credits: 250 My Scrapbook

b,d

vivek_patel · Credits: 3098 My Scrapbook

migrane
cant think of migrane without headache

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