Headache in the Emergency Department

Author:

Friedman Benjamin W.,Lipton Richard B.

Publisher

Springer Science and Business Media LLC

Subject

Anesthesiology and Pain Medicine,Neurology (clinical),General Medicine

Reference23 articles.

1. Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000;342(1):29–36.

2. Linn FH, Rinkel GJ, Algra A, van Gijn J. Headache characteristics in subarachnoid haemorrhage and benign thunderclap headache. J Neurol Neurosurg Psychiatry. 1998;65(5):791–3.

3. •• McCormack RF, Hutson A. Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan? Acad Emerg Med. 2010 Apr;17(4):444–51. This decision analysis published early in 2010 contextualizes the evolving decision faced by emergency physicians: in patients at high risk of aneurysmal subarachnoid bleed, should a noncontrast head CT followed by a CT angiogram replace the traditional pathway of CT followed by lumbar puncture?

4. •• Perry JJ, Stiell IG, Sivilotti ML, et al. High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study. BMJ. 2010 Oct 28;341:c5204. doi:101136/bmj.c5204. This is a long-anticipated prospective cohort study that may lower the frequency of normal diagnostic testing by identifying patients at very low risk of aneurismal subarachnoid hemorrhage.

5. • Perry JJ, Eagles D, Clement CM, et al. An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule. CJEM. 2009;11(6):516–22. This survey of emergency physicians from four English-speaking countries provides an opportunity to compare practice across international boundaries.

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