MANAGEMENT OF PATIENTS WITH CHRONIC HEADACHE

Abstract
Patients with chronic headache represent a considerable problem to the practitioner both because of their numbers and because of the stubbornness with which their symptoms often persist despite every effort at treatment. It is our purpose in this paper to outline some principles in the study and care of such patients which will help to achieve the best therapeutic results. The great majority of all patients with chronic headache fall into one of the three following groups: migrainous, post-traumatic or psychogenic. The first two need no further definition here. In the third group we include patients whose headaches are found to be related to emotional stress, the relationship being seen either at once or after some study. These patients are without evidence of any organic disease which might be causally related to the headaches. They are chiefly women who have usually had headaches for many years, of either the acute,

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