Book contents
- Emergency Headache
- Emergency Headache
- Copyright page
- Contents
- Contributors
- Preface
- 1 Introduction
- 2 Epidemiology of Headache in the Emergency Department
- 3 Approach to History Taking and the Physical Examination
- 4 Approach to Investigations
- 5 Thunderclap Headache in the Emergency Department
- 6 Other Secondary Headaches in the Emergency Department
- 7 The Migraine Patient in the Emergency Department
- 8 The Patient with a Trigeminal Autonomic Cephalalgia in the Emergency Department
- 9 Other Primary Headache Disorders That Can Present to the Emergency Department
- 10 Medication Overuse Headache in the Emergency Department
- 11 Approach to the Pediatric Patient with Headache in the Emergency Department
- 12 Approach to Pregnant or Lactating Patients with Headache in the Emergency Department
- 13 Approach to the Elderly Patient with Headache in the Emergency Department
- 14 Preventing Emergency Department Visits in Primary Headache Patients and Prevention of Bounce-Backs to the Emergency Department
- Index
- References
8 - The Patient with a Trigeminal Autonomic Cephalalgia in the Emergency Department
Published online by Cambridge University Press: 09 October 2017
- Emergency Headache
- Emergency Headache
- Copyright page
- Contents
- Contributors
- Preface
- 1 Introduction
- 2 Epidemiology of Headache in the Emergency Department
- 3 Approach to History Taking and the Physical Examination
- 4 Approach to Investigations
- 5 Thunderclap Headache in the Emergency Department
- 6 Other Secondary Headaches in the Emergency Department
- 7 The Migraine Patient in the Emergency Department
- 8 The Patient with a Trigeminal Autonomic Cephalalgia in the Emergency Department
- 9 Other Primary Headache Disorders That Can Present to the Emergency Department
- 10 Medication Overuse Headache in the Emergency Department
- 11 Approach to the Pediatric Patient with Headache in the Emergency Department
- 12 Approach to Pregnant or Lactating Patients with Headache in the Emergency Department
- 13 Approach to the Elderly Patient with Headache in the Emergency Department
- 14 Preventing Emergency Department Visits in Primary Headache Patients and Prevention of Bounce-Backs to the Emergency Department
- Index
- References
Summary
Trigeminal autonomic cephalalgias (TACs) are primary headaches responsible for unilateral facial and/or cranial pain with ipsilateral autonomic signs. In the absence of any radiological or biological marker, diagnosis relies upon clinical history. Patients are often misdiagnosed as having secondary headaches due to sinus, dental, or eye disorders or as having migraine, leading to inadequate management. Efficient treatments do exist, and differ among the various TACs. Patients with TACs often present to the emergency department (ED) with excruciating headache. These are pain urgencies that require quick diagnosis and tailored treatment. Therefore, management of TACs, and especially of cluster headache (CH), the most common TAC, should be well known by ED physicians.
- Type
- Chapter
- Information
- Emergency HeadacheDiagnosis and Management, pp. 80 - 87Publisher: Cambridge University PressPrint publication year: 2017