Algoritm diagnostiki golovnoy boli


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The article discusses algorithm for diagnosis of headache, designed for physicians of different specialties. In the diagnosis of headache, premium effort consists in definition of primary or secondary headaches. This strategy is implemented through a search for "red flags" that may indicate the secondary nature of the headache. If “red flags" are found, additional examinations are required, and their range is individual for each patient. For primary headaches, diagnosis should follow the diagnostic criteria outlined in the International Headaches Classification, 2003. If the clinical picture does not fit to any type of primary headache, i.e., in the presence of atypical features, search for secondary headache is required.

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参考

  1. Evans R/, Purdy A. Identification or exclusion of secondary headaches. In: Lipton R.B., Bigal M.E. (eds) Migraine and other headache disorders. Informa Healthcare, New York, 2006:131-44.
  2. Lipton R.B., Silberstein S.D., Saper J.R., et al. Why headache treatment fails. Neurology 2003;60:1064-70.
  3. Боль. Руководство для врачей и студентов / Под ред. Н.Н. Яхно. М., 2009. 304 с.
  4. Международная классификация головных болей. 2-е изд. Пер. В.В. Осиповой, Т.Г. Вознесенской. 2003. 219 с.

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