Headache
Chronic Progressive Headache
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Chronic Progressive Headache
, Organic Headache, Secondary Headache
See Also
Headache
Headache Causes
Acute Generalized Headache
Acute Localized Headache
Acute Recurrent Headache
Chronic Non-Progressive Headache
Causes
Acute
See
Acute Generalized Headache
Chronic
Increased Intracranial Pressure
(e.g. mass effect)
Intracranial Tumor
Pseudotumor Cerebri
Brain Abscess
Subdural Hematoma
Hydrocephalus
Arachnoid cyst (rare)
Vascular disorder
Arteriovenous malformation
Giant Cell Arteritis
Carotid dissection
Vasculitis
Symptoms and Signs
See
Headache Red Flag
See
Headache History
See
Headache Examination
Examination Focus Areas
Careful
Neurologic Exam
(focus on symmetry)
Brain Tumor
s presenting with neurologic change: 92%
Vasquez-Barquero (1994) Cephalalgia 14:270-2 [PubMed]
Altered Level of Consciousness
Cognitive changes
Nonspecific
Vital Sign
changes
Meningismus
Careful
Eye Neurologic Exam
Asymmetric pupils or other abnormal pupil changes
Papilledema
Retina
l
Hemorrhage
Deep Tendon Reflex
es
Pronator Drift
Eyes closed with arms extended in front of patient
Radiology
See
Headache Diagnostic Testing
Head CT
or
MRI Head
References
Coutin (1996) Am Fam Physician 54(7):2247-52 [PubMed]
Dodlick (1997) Postgrad Med 101(5):46-64 [PubMed]
Ryan (1996) Am Fam Physician 54(3):1051-7 [PubMed]
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