By Anne MacGregor, Alison Frith

In its varied shows, headache is likely one of the most typical indicators obvious through family members practitioners. the trouble is in diagnosing the reason for the headache in order that the correct therapy is supplied, or if referral to a consultant is the steered plan of action. The ABC of Headache is helping with this quandary and courses the surgeon to appear for the potential explanations of featuring indicators. in response to genuine case histories, each one bankruptcy courses the reader from signs via to analysis and administration. This new ABC is a hugely illustrated, informative, and sensible resource of information. With hyperlinks to extra info and assets, it's a priceless textual content for healthcare pros in any respect degrees of perform and coaching.

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If oral medications become intolerable, other routes for administering medications may be necessary. Prevention of dehydration is an important objective. If oral fluid replacement is unsuccessful, admission to hospital for intravenous treatment is an appropriate option. Each child with CVS should have a care plan agreed by parents, general practitioner and hospital paediatrician for the management of acute attacks. Preventive treatment, including pizotifen, amitriptyline or erythromycin, may be necessary in children with frequent episodes requiring hospital admissions.

J Fam Plann Reprod Healthcare 2007; 33(1): 36–47. MacGregor EA, Frith A, Ellis J, Aspinall L. Predicting menstrual migraine with a home-use fertility monitor. Neurology 2005; 64: 561–3. MacGregor EA, Frith A, Ellis J, Aspinall L, Hackshaw A. Incidence of migraine relative to menstrual cycle phases of rising and falling estrogen. Neurology 2006; 67: 2154–8. Martin VT, Behbehani M. Ovarian hormones and migraine headache: understanding mechanisms and pathogenesis – Part 1. Headache 2006; 46: 3– 23.

Neurology 2003; 60(10): 1682–3. Silberstein SD, Lipton RB, Saper JR. Chronic daily headache including transformed migraine, chronic tension-type headache, and medication overuse headache. In Wolff’s Headache (8th edition). Eds Stephen D. Silberstein, Richard B. Lipton, David W. Dodick. Oxford and New York: Oxford University Press, 2007. Zeeberg P, Olesen J, Jensen R. Probable medication-overuse headache: the effect of a 2-month drug-free period. Neurology 2006; 66:1894–8. CHAPTER 6 Menstrual Headaches Alison Frith OVERVIEW • Fifty per cent of women with migraine report an association with menstruation • Menstrual migraine is more severe and difficult to treat than non-menstrual migraine in some women • Diary cards are essential for accurate diagnosis as there are no specific investigations • Standard acute treatments are the same as for non-menstrual attacks • Specific prophylaxis for menstrual migraine must be individualized and may be perimenstrual or continuous, contraceptive or non-hormonal were absent during pregnancy.

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