Headache: Difference between revisions

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(Created page with "== Red Flags == {| class="wikitable" |+ ! !Red Flag !Clinical Features !Etiologies to Exclude |- |S |Systemic signs, symptoms, or disease |fever, weight loss, HIV, immunosuppression, malignancy, pregnancy, or postpartum |metastatic disease, CNS infection, CVST, RCVS, IIH |- |N |Neurologic signs or symptoms |neurologic deficits or atypical or prolonged neurologic symptoms, or both |neoplastic, inflammatory, infectious, or vascular CNS disease |- |O |Onset (lat...")
 
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Latest revision as of 17:46, 12 March 2023

Red Flags

Red Flag Clinical Features Etiologies to Exclude
S Systemic signs, symptoms, or disease fever, weight loss, HIV, immunosuppression, malignancy, pregnancy, or postpartum metastatic disease, CNS infection, CVST, RCVS, IIH
N Neurologic signs or symptoms neurologic deficits or atypical or prolonged neurologic symptoms, or both neoplastic, inflammatory, infectious, or vascular CNS disease
O Onset (late) headache onset after age 50 years neoplastic, inflammatory, or infectious CNS disease, giant cell arteritis
O Onset (sudden) thunderclap headache with onset to maximum intensity in less than 60 seconds subarachnoid hemorrhage, CVST, RCVS, arterial dissection
P Papilledema optic disc swelling, with or without pulsatile tinnitus, diplopia, transient visual obscuration, and weight gain increased intracranial pressure (mass lesion, hemorrhage, edema, CVST, IIH)
P Postural aggravation headache triggered or worsened by standing up or lying down intracranial hypotension or intracranial hypertension
P Precipitated by valsalva headache triggered by valsalva (coughing, exercise, intercourse) Chiari malformation, mass lesion in posterior fossa
P Pattern changing, or progressive change in previously stable pattern of headache, or progressively worsening any secondary cause