Annals of Indian Academy of Neurology
  Users Online: 70 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
REVIEW ARTICLE
Year : 2012  |  Volume : 15  |  Issue : 5  |  Page : 7-14

The art of history-taking in a headache patient


Department of Neurology, Consultant in Charge, The Headache and Migraine Clinics, Jaslok Hospital and Research Centre, Lilavati Hospital and Research Centre, Mumbai, India

Correspondence Address:
K Ravishankar
A/64, Kalpataru Residency, Sion (East), Mumbai 400 022
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.99989

Rights and Permissions

Headache is a common complaint that makes up for approximately 25% of any neurologists outpatient practice. Yet, it is often underdiagnosed and undertreated. Ninety percent of headaches seen in practice are due to a primary headache disorder where there are no confirmatory tests, and neuroimaging studies, if done, are normal. In this situation, a good headache history allows the physician to recognize a pattern that in turn leads to the correct diagnosis. A comprehensive history needs time, interest, focus and establishment of rapport with the patient. When to ask what question to elicit which information, is an art that is acquired by practice and improves with experience. This review discusses the art of history-taking in headache patients across different settings. The nuances of headache history-taking are discussed in detail, particularly the questions related to the time, severity, location and frequency of the headache syndrome in general and the episode in particular. An emphasis is made on the recognition of red flags that help in the identification of secondary headaches.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed6283    
    Printed135    
    Emailed2    
    PDF Downloaded266    
    Comments [Add]    
    Cited by others 5    

Recommend this journal