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Description of the Symptom

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This chapter describes pathology that may lead to headaches. Local causes are defined as pathology occurring within the cranial vault, as well as the temporomandibular joint (Fig. 7-1). Remote causes are defined as occurring outside this region. Each symptom description in this chapter is followed by a brief summary of clinical presentation.

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FIGURE 7-1

Local causes of headache include cranium, contents of the cranial vault, articular and periarticular structures of the temporomandibular joint, and nasal sinuses. (A) Anterior lateral view; (B) posterior lateral view.

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Special Concerns

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Headache with:

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  • Awakening from sleep

  • History of head trauma inside of 2 weeks

  • Neurological symptoms, such as dizziness, paresthesias, or weakness

  • New onset after age 50

  • New onset of headache in patient with risk factors for cancer or HIV infection

  • Progressing intensity or frequency

  • Signs of illness, such as fever, nuchal rigidity, or rash

  • Signs of papilledema

  • Sudden onset of headache

  • Worsening with exertion or Valsalva maneuver

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CHAPTER PREVIEW: Conditions That May Lead to Headache
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Overview of Headache

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The ...

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