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    Headache Clinics: Organisation, Patients and Treatment

    Headache Clinics by Jensen, Rigmor; Diener, Hans-Christoph; Olesen, Jes;

    Organisation, Patients and Treatment

    Series: Frontiers in Headache Research Series;

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    Product details:

    • Publisher OUP Oxford
    • Date of Publication 29 March 2007

    • ISBN 9780199296569
    • Binding Hardback
    • No. of pages320 pages
    • Size 250x170x20 mm
    • Weight 710 g
    • Language English
    • Illustrations 50 black and white and 20 colour illustrations
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    Short description:

    There are few specialised headache centres throughout the world and those that do exist are often not developed enough to provide the services required. This book takes a look at the current situation examining the organisation of headache clinics, methods of diagnosis and treatment and how the future of headache clinics can be improved.

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    Long description:

    Headache is a huge public health problem and migraine alone cost 27 billion Euros per year in Europe. It is therefore important how the health care service for headache patients is organised throughout the world. Patients seen at headache clinics are more severely affected than those seen in general practice, and headache clinics need to be familiar with a long list of relatively rare headache disorders.

    Part of the "Frontiers in Headache Research" series, this volume is the first book to focus specifically on headache clinics, their classification and organization, their methods of diagnosis, and their approaches to multi-disciplinary management. The clinical features of patients seen in headache clinics are thoroughly discussed. The value of a number of diagnostic laboratory techniques including when and how to use neuro-imaging is discussed. Also a number of more specialised methods employed only in referral headache centres are covered, such as nitro-glycerine challenge, indomethacin test, and oxygen breathing. The treatment options for severely affected patients are discussed including the possibilities of combining two or more prophylactic medications, the use of epidural blood patch and the different methods for discontinuation of medication overuse.

    This volume will be an invaluable resource for neurologists, physicians in headache/pain clinics and interested general practitioners.

    This concise book has to be recommended to any practitioner caring for headache patients.

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    Table of Contents:

    Classification and organization of headache clinics
    The epidemiology and cost of severe headache disorders
    Should an acute headache service be part of a headache clinic?
    A multidisciplinary academic headache centre in the United States
    Organization of a multidisciplinary headache centre in Europe
    Approach to headache management - USA, UK and India compared
    Organization of a headache centre - an Indian perspective
    Establishment and organization of a research headache clinic: advantages and disadvantages
    Favourable results in a migraine clinic: objectives and background
    A local network as a 'headache clinic' in the French Alpes
    Discussion Summary: Classification and organization of headache clinics
    Patient characteristics in headache clinics
    Characteristics of patients in headache centres
    Hospitalization of headache patients: why, when and how?
    Cormorbidity of migraine in a specialized headache clinic
    Medical and psychological characteristics of patients with chronic daily headache with migrainous features: compared to migraineurs in the French general population. GRIM 3 survery
    Similarities and differences in tension-type headache and migraine patients of primary care providers and a tertiary care headache centre in Switzerland
    Demographic, nosological, and therapeutic characteristics in a headache outpatient clinic
    Headache management in a neurological university clinic without a specialized headache centre
    Pericranial muscle tenderness is associated with widespread pain sensitivity, psychiatric cormorbidity and dysfunctional psychological responses to pain in healthy young adult females
    Discussion Summary: Patient characteristics in headache clinics
    Diagnostic methods
    Electronic charts and diaries in a headache clinic
    Evaluation and quantification of tenderness and sensitization
    Provocation and treatment as diagnostic procedures
    Imaging and other tests in headache diagnosis
    Diaries and calenders for migraines. A review.
    The development of an electronic web diary for the monitoring of primary headaches
    Stress-induced pain and muscle activity in patients with migraine and tension-type headache
    Frequent tension-type headache sufferers exhibit widespread pain sensitivity across pressure and thermal pain modalities
    Discussion Summary: Diagnostic methods
    Multidisciplinary management
    The team approach (overall concept and use of other specialities)
    Headache clinics: physical therapy
    Psychological therapy
    The role of the clinical nurse specialist in headache
    Therapy of medication overuse headache
    Migraine management in a 10-year perspective: an interim analysis
    Social care: litigation, compensation, disability claims
    Efficacy of therapeutic intervention in headache units in patients with frequent headaches. EFUNCE study
    Medication overuse headache: long-term results of stationary versus ambulatory withdrawal therapy
    Discussion Summary: Multidisciplinary management
    Discussion Summary: Multidisciplinary management - medication overuse
    The future of headache clinics
    Cost-effectiveness of headache clinics
    National healthcare plans for headache?
    Headache clinics for children
    Discussion Summary: The future of headache clinics

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