Case-Based Diagnosis and Management of Headache Disorders by Aksel Siva, Christian Lampl

By Aksel Siva, Christian Lampl

This booklet presents the practising health care professional with a pragmatic method of the analysis, assessment and administration of headache problems in accordance with classes discovered from real-life headache sufferers. the world over recognized headache specialists current circumstances from their very own perform and speak about the assessment and administration of every case step-by-step. The basically based chapters conceal preliminary evaluate and diagnostic work-up, imaging, differential analysis, interpretation of findings of additional work-up, remedies and reaction and key issues. a large spectrum of headache varieties is roofed, together with either basic and secondary headache issues. The reader will easy methods to diagnose and deal with varied headache problems at once from the medical adventure of specialists. Case-Based analysis and administration of Headache Disorders might be of worth for neurologists and quite a lot of physicians – from these in different specialties to fundamental care givers.

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Antonucci F, Rossi C, Gianfranceschi L et al (2008) Long-distance retrograde effects of botulinum neurotoxin A. J Neurosci 28:3689–3696 2. Ashkenazi A (2010) Botulinum toxin type A for chronic migraine. Curr Neurol Neurosci Rep 10:140–146 3. Aurora SK, Dodick DW, Turkel CC et al (2010) OnabotulinumtoxinA for treatment of chronic migraine: results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 1 trial. Cephalalgia 30:793–803 4. Aurora SK, Gawel M, Brandes JL et al (2007) Botulinum toxin type a prophylactic treatment of episodic migraine: a randomized, double-blind, placebo-controlled exploratory study.

11 for diagnostic considerations). In this case reduction or cessation of attack medication is necessary. Treatment of CM is practically always based on medical treatment in combination with complementary approaches. Basically all preventive medications used to treat high-frequency (but still episodic) migraines are used. However, if a CM patient is seeking help from a headache specialist, many medical treatments have already been applied – without appropriate success or untolerable side effects.

May to August 2011) Case 2 Patient EG, a female born in 1960, chief dental hygienist, was started on Botox in 2004 for chronic migraine with numerous disabling attacks per month. Typically her husband had to leave his work and pick her up at her practice due to inability to continue her work or make the way home by herself. In addition to that, her husband had to pick up their daughter from day care. Injections were initiated according to a modified phase II study paradigm with 100 units. Her skin is causing extreme pain sensation to every single injection – despite pretreatment with local lidocaine ointment and ice.

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