The rapid pace of advance in the basic and clinical sciences has led to striking changes in the practice of medicine. This is particularly evident in clinical neurology. Twenty years ago neurology was justly criticised for its preoccupation with diagnosis and classification, and for the relative paucity of treatments then available. All this has now changed, and neurology has become a treatment-oriented specialty. This change has been brought about partly as a result of the introduction of new and accurate methods of diagnosis, especially immunological, electrophysiological and imaging techniques, and partly as a result of new forms of treatment. Examples of these new treatments include the control of cerebral edema, new antibiotics for infections of the nervous system, drug level measurements for the evaluation of the adequacy of treatment of epilepsy and advances in neurosurgical technique. In addition, many patients presenting with neurological disorders are found to be suffering not from primary diseases of the nervous system but rather from neurological compli cations of systemic disease. Vascular disease, cancer and infections are common examples. The degenerative disorders have recently become a focus of attention as their importance in the aging societies of the developed Western countries has been realised, and this raises the hope of improved management and treatment of these disorders.
Reihe
Sprache
Verlagsort
Verlagsgruppe
Illustrationen
9 s/w Abbildungen
XII, 178 p. 9 illus.
Dateigröße
ISBN-13
978-1-4471-3127-4 (9781447131274)
DOI
10.1007/978-1-4471-3127-4
Schweitzer Klassifikation
1 A Lot of Sufferers.- The Role of the Neurologist.- Absenteeism from Work.- References.- 2 Disturbances of Structure and Function.- Classification of Headache.- References.- 3 Approaching the Patient.- History Taking.- Clinical Examination.- When to Investigate.- Reference.- 4 Organic Causes of Headache.- Intracranial Masses.- Hydrocephalus.- Arteriovenous Malformations.- Pain from the Neck.- Sinusitis.- Temporal Arteritis.- The Teeth and Temporomandibular Joints.- Intracranial Vasodilation.- Meningitis.- Subarachnoid Haemorrhage.- Neuralgias.- Blood Pressure.- Diseases of the Eyes.- Diseases of the Skull.- References.- 5 Miscellaneous Functional Headaches.- Atypical Facial Pain.- Cough Headache.- Exertional Headache.- Coital Headache.- Lumbar Puncture Headache.- Drug-Induced Headache.- Food-Induced Headache.- Ethyl Alcohol-Induced Headache.- References.- 6 Epidemiology of Headache.- Migraine and Personality.- Headache and Depression.- References.- 7 Clinical Features of Migraine and Other Headaches.- Sex Ratio.- Frequency of Attacks.- Duration.- Nausea and Vomiting.- Location of the Headache.- Aura Symptoms.- Inheritance.- Long-Term Prognosis.- Complications.- Variants of Migraine.- References.- 8 Precipitating Causes of Migraine.- Stress.- Hypoglycaemia.- The Female Reproductive Cycle.- Food-Precipitated Migraine.- References.- 9 The Pathophysiology of Headache.- The Site of Origin of the Pain.- Blood Flow Studies in Migraine.- Catecholamines.- Disturbances of Platelet Function.- Opioid Peptides.- Neural or Vascular?.- References.- 10 Treatment of Acute Headaches.- Nausea.- General Principles of Analgesia.- Non-steroidal Anti-inflammatory Drugs.- Ergotamine.- Other Drugs Used to Treat Established Headache.- References.- 11 The Prevention of Headache.- Sedative Agents.- Non-steroidal Anti-inflammatory Drugs.- ?-Blocking Drugs.- Drugs Acting by Modification of Serotonin Function.- Drugs Acting on ?-Adrenoceptors.- Calcium Channel Blockers.- Other Drugs in Migraine.- Which Drug?.- Miscellaneous Treatment.- Biofeedback.- References.- 12 Cluster Headache.- Clinical Characteristics.- Pathophysiology.- Management.- References.- 13 Post-traumatic Headache.- Mechanism.- Role of Psychological Factors.- Post-traumatic Migraine.- Management of Post-traumatic Headache.- References.- 14 A Recapitulation.
