Headache differential diagnosis: Difference between revisions
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|Cluster headache | |Cluster headache | ||
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| | |episodic history | ||
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|Clinical assesment | |Clinical assesment | ||
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|[[Seizure]] | |[[Seizure]] | ||
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| | |Hx of seizures | ||
| | |prolactin level | ||
| | |<nowiki>+/- mass lesion</nowiki> | ||
|EEG | |EEG | ||
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|Encephalitis | |Encephalitis | ||
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|Hx of fever, malaise | |Hx of fever, malaise | ||
| | |elevated WBC, low glucose | ||
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| | |CSF PCR | ||
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|[[Brain tumor]] | |[[Brain tumor]] | ||
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|[[Subdural hematoma|Subdural hemorrhage]] | |[[Subdural hematoma|Subdural hemorrhage]] | ||
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|Subarachnoid hemorrhage | |Subarachnoid hemorrhage | ||
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|Hypertensive encephalopathy | |Hypertensive encephalopathy | ||
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|[[Brain abscess|CNS abscess]] | |[[Brain abscess|CNS abscess]] | ||
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|[[Conversion disorder]] | |[[Conversion disorder]] | ||
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|[[Multiple sclerosis]] | |[[Multiple sclerosis]] | ||
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|[[Hemorrhagic stroke]] | |[[Hemorrhagic stroke]] | ||
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|[[Neurosyphilis]] | |[[Neurosyphilis]] | ||
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|[[Wernicke's encephalopathy|Wernicke’s encephalopathy]] | |[[Wernicke's encephalopathy|Wernicke’s encephalopathy]] | ||
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|[[Drug toxicity]] | |[[Drug toxicity]] | ||
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|Metabolic disturbances | |Metabolic disturbances | ||
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|NPH | |NPH | ||
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|Sinusitis | |Sinusitis | ||
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Revision as of 09:22, 9 June 2020
Headache Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Headache differential diagnosis On the Web |
American Roentgen Ray Society Images of Headache differential diagnosis |
Risk calculators and risk factors for Headache differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]
Disease | History and Physical Examination | PMHx | Diagnostic approach | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Unilateral | Bilateral | Throbbing character | Autonomic symptoms | Fever | Photophobia | Aphasia | LOC | Aura | Nause/vomiting | Rash | Neck stiffness | Vision changes | Facial tenderness | Neurologic deficits | Labs and CSF findings | CT/MRI | Gold standard test | ||
Migraine | + | - | + | - | - | + | - | - | + | + | - | - | + | - | - | Trigger factors, family hx | - | - | Clinical assesment |
Tension-type headache (TTH) | - | + | - | - | - | - | - | - | - | - | - | - | - | - | - | stress, genetics | - | - | Clinical assesment |
Cluster headache | + | - | - | + | - | - | - | - | - | - | - | - | + | - | - | episodic history | - | - | Clinical assesment |
Seizure | - | + | - | - | - | - | +/- | + | +/- | - | - | - | - | - | +/- | Hx of seizures | prolactin level | +/- mass lesion | EEG |
Meningitis | - | + | - | - | + | +/- | +/- | - | - | +/- | +/- | + | - | - | + | Hx of fever, malaise | <math>\uparrow</math>WBC
<math>\uparrow</math>Protein <math>\downarrow</math>glucose |
+/- | CSF analysis |
Encephalitis | - | + | +/- | - | + | +/- | +/- | - | - | - | +/- | + | - | - | + | Hx of fever, malaise | elevated WBC, low glucose | + | CSF PCR |
Brain tumor | - | + | |||||||||||||||||
Subdural hemorrhage | -/+ | -/+ | |||||||||||||||||
Subarachnoid hemorrhage | -/+ | + | |||||||||||||||||
Hypertensive encephalopathy | - | + | |||||||||||||||||
CNS abscess | -/+ | -/+ | |||||||||||||||||
Conversion disorder | -/+ | -/+ | |||||||||||||||||
Multiple sclerosis | -/+ | -/+ | |||||||||||||||||
Hemorrhagic stroke | -/+ | -/+ | |||||||||||||||||
Neurosyphilis | -/+ | -/+ | |||||||||||||||||
Wernicke’s encephalopathy | - | -/+ | Clinical assesment and lab findings | ||||||||||||||||
Drug toxicity | - | -/+ | |||||||||||||||||
Metabolic disturbances | - | -/+ | |||||||||||||||||
NPH | - | -/+ | |||||||||||||||||
Sinusitis | - | -/+ |