'Headache' table (revisited).


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Posted by drummer (209.105.155.54) on May 07, 2000 at 14:37:38:

I asked Doc Greg for a little assistance with this Headache Table. Doc Greg threw me some big words. :-) He threw me, ptosis, lacrimation, polyuria, miosis and prodromes. :-) After I looked these big words up – I re-did the table below. Please don't take it personal – I didn't. I tried to make it as simple and as easy to understand and follow, as possible. I figure the table can help new people, with new 'headaches', that come stumbling by CH.com. Thanks Doc. :-) What thinkest you?

Feature

Cluster Headache

CPH

Migraine Headache

Tension Headache

Patient genderUsually maleUsually femaleUsually femaleEqually male/female
Age at onset20 to 50 years old20 to 50 years old10 to 40 years oldAny age
Frequency of attacks1 to 8/day15 to 20/day1 to 8/monthAlmost daily
Duration of attacks30 min. to 4 Hrs.5 to 15 min.4 to 72 Hrs.Gradual onset, steady
Intensity of painExcruciatingly relentlessExcruciating jabsModerate to severeConstant, dull ache
Location of painStrictly unilateralUnilateralUnilateral or bilateralBilateral
Nasal Congestion70%70%NoneNone
Droopy, teary eyeCommonCommonUncommonUncommon
Incidence of associated nausea and vomitingRareRareCommonRare
Incidence of attacks awakening patient from sleepCommonCommonRareRare
Characteristic behaviorPatient cannot remain still during severe attackDifficult to remain still - movement can 'trigger' attacksPatient prefers hibernationPatient prefers hibernation
Family history7%unknown90%Associated with stress
TreatmentSee your doctorVery responsive to IndomethacinSee your doctorSee your doctor



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