By Aksel Siva, Christian Lampl
This ebook offers the working towards general practitioner with a pragmatic method of the prognosis, review and administration of headache issues in line with classes discovered from real-life headache sufferers. across the world recognized headache specialists current circumstances from their very own perform and speak about the review and administration of every case step-by-step. The sincerely dependent chapters disguise preliminary overview and diagnostic work-up, imaging, differential prognosis, interpretation of findings of extra work-up, cures and reaction and key issues. a large spectrum of headache kinds is roofed, together with either fundamental and secondary headache problems. The reader will how you can diagnose and deal with various headache problems at once from the medical event of specialists. Case-Based prognosis and administration of Headache Disorders could be of price for neurologists and quite a lot of physicians – from these in different specialties to fundamental care givers.
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Extra info for Case-Based Diagnosis and Management of Headache Disorders
2 M. Obermann Differential Diagnosis and How to Work Up Such a Patient? , Sturge-Weber syndrome), and meningitis. The key to the correct diagnosis of this patient is the differentiation of a typical aura with other causes of focal neurological deficits. The unusually long aura with otherwise typical migraine onset should prompt further investigations. A typical aura lasts between 5 min and 1 h, as our patients’ visual aura did. It can be followed by another aura symptom which then can last for another 60 min and so on.
Magnetic resonance imaging (MRI) was performed 3 weeks after symptom onset and showed cortical laminar necrosis in the left occipital lobe consistent with migrainous infarction (Fig. 1). 4 Summary of the Case This 23-year-old student suffered from migrainous infarction following her first migraine with aura attack. She hesitated to seek medical attention, because as a medical student she was well aware of her migraine and suspected this to be her first migraine with typical aura that she knew well from her mother.
2 Differential Diagnosis and How to Work Up This Kind of Patient The most important differential diagnoses of hemiplegic migraine in the acute phase are stroke and transient ischemic attack (TIA). As is the case for hemiplegic migraine, the symptoms of TIA are fully reversible, and neuroimaging often reveals no abnormalities. A characteristic feature of migraine aura symptoms is the gradual spread of symptoms, usually over 5–20 min. In contrast, cerebrovascular ischemic events usually develop within seconds.