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Evidence-based diagnosis of nontraumatic headache in the emergency department: a consensus statement on four clinical scenarios |
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| Authors: | Cortelli Pietro Cevoli Sabina Nonino Francesco Baronciani Dante Magrini Nicola Re Giuseppe De Berti Gianni Manzoni Gian Camillo Querzani Pietro Vandelli Alberto;Multidisciplinary Group for Nontraumatic Headache in the Emergency |
| Institution: | Pietro Cortelli,MD,; Sabina Cevoli,MD,; Francesco Nonino,MD,; Dante Baronciani,MD,; Nicola Magrini,MD,; Giuseppe Re,MD,; Gianni De Berti,MD,; Gian Camillo Manzoni,MD,; Pietro Querzani,MD,; Alberto Vandelli,MD,,on behalf of the Multidisciplinary Group for Nontraumatic Headache in the Emergency Department |
| Abstract: | Objective.—To provide to emergency department (ED) physicians with guidelines for diagnosis of patients with nontraumatic headaches. Background.—Many patients present to an ED with the chief complaint of headache. Causes of nontraumatic headache include life-threatening illnesses, and distinguishing patients with such ominous headaches from those with a primary headache disorder can be challenging for the ED physician. Conclusion.—We present a consensus statement aimed to be a useful tool for ED doctors in making evidence-based diagnostic decisions in the management of adult patients with nontraumatic headache. Methods.—A multidisciplinary work performed an extensive review of the medical literature and applied the information obtained to commonly encountered scenarios in the ED. |
| Keywords: | spinal puncture diagnosis guidelines computed tomography electroencephalography subarachnoid hemorrhage temporal arteritis cerebrospinal fluid emergencies |
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