Annals of Indian Academy of Neurology
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Year : 2012  |  Volume : 15  |  Issue : 5  |  Page : 62-65

New daily persistent headache


West of Scotland Regional Headache Service, Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, Glasgow, United Kingdom

Correspondence Address:
Alok Tyagi
Consultant Neurologist, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.100011

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New daily persistent headache (NDPH) is a chronic headache developing in a person who does not have a past history of headaches. The headache begins acutely and reaches its peak within 3 days. It is important to exclude secondary causes, particularly headaches due to alterations in cerebrospinal fluid (CSF) pressure and volume. A significant proportion of NDPH sufferers may have intractable headaches that are refractory to treatment. The condition is best viewed as a syndrome rather than a diagnosis. The headache can mimic chronic migraine and chronic tension-type headache, and it is also important to exclude secondary causes, particularly headaches due to alterations in CSF pressure and volume. A large proportion of NDPH sufferers have migrainous features to their headache and should be managed with treatments used for treating migraine. A small group of NDPH sufferers may have intractable headaches that are refractory to treatment.


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