[Clinical management of primary headaches: interdisciplinary guidelines].
Primary headaches, whose aetiologies cannot be identified by current diagnostic methods, represent the most frequent headaches and must be distinguished from secondary or symptomatic headaches, e.g. related to traumatic, vascular, inflammatory or neoplastic processes. Only an appropriate treatment will meet the expectations of patients, for who even a mild headache may generate important fears and handicaps. Medical history and physical examination form the basis for targeting the right diagnosis before any biological or radiological testing. The article presents guidelines implemented at the Geneva University Hospitals by the Pain Network of the institution. Therapeutic modalities and recommendations concerning the need for specialized assessments are presented to provide a framework in both emergency situation and long-term care.
Annoni
Jean-Marie
JM
Département des Neurosciences Cliniques, CMU, Faculté de médecine, Université de Genève. jean-marie.annoni@hcuge.ch
Delémont
Cécile
C
Garin
Nicolas
N
Dozier
Catherine
C
Piguet
Valérie
V
Sommer
Johanna
J
Luthy
Christopher
C
D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D003937:Diagnosis, Differential; D051270:Headache Disorders, Primary / Q000175:diagnosis* / Q000628:therapy*; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D017410:Practice Guidelines as Topic
D018712:Analgesics, Non-Narcotic