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Learning objectives
> You should be able to describe potential origins and risk factors for headaches
> You should be able to review the neuroanatomical basis of the risk factors and potential origins
> You should be able to identify key information in clinical history in order to use it in differential diagnosis
How headaches are classified as primary, secondary or neuropathic and as episodic or chronic, with the diagnostic criteria for tension-type headache, migraine with and without aura, and the trigeminal autonomic cephalalgias.
The secondary headaches clinicians need to recognize, from vascular events, raised and low CSF pressure and Chiari malformation to medication overuse and altered homeostasis, plus how cranial neuralgias present.
How the trigeminocervical nucleus lets pain refer both from the neck to the head and from the head to the neck, why confirmation bias misleads clinicians, and the main risk factors for headache.
How to take a headache history that separates headache types by location, intensity, duration, migraine and autonomic features, and that screens for focal neurological symptoms, infection, giant cell arteritis and comorbid conditions.
How onset, age, pregnancy, trauma, triggers, posture, sleep and medication use shape the headache history, when a patient should be sent for imaging, and how to recognize medication overuse headache.
Learning objectives
> You should be able to describe potential origins and risk factors for headaches
> You should be able to review the neuroanatomical basis of the risk factors and potential origins
> You should be able to identify key information in clinical history in order to use it in differential diagnosis
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