Evans R W
Department of Neurology, Park Plaza Hospital, Houston, Texas, USA.
Med Clin North Am. 2001 Jul;85(4):865-85. doi: 10.1016/s0025-7125(05)70348-5.
A careful and complete headache history supplemented by a neurologic and general physical examination, as appropriate, enables the astute physician to diagnose most headaches correctly without diagnostic testing. When indications are present (see Box 1), some headache patients with a normal physical examination require testing even though the yield may be low. Failure to test may result in misdiagnosis of potentially serious and life-threatening causes of headaches, such as brain tumors, chronic meningitis, SAH, and temporal arteritis.
一份详尽完整的头痛病史，再酌情辅以神经学和全面的体格检查，能使敏锐的医生在无需诊断性检测的情况下正确诊断出大多数头痛病例。当有指征时（见表1），一些体格检查正常的头痛患者即便检查结果阳性率可能较低也仍需进行检测。不进行检测可能会导致对一些潜在严重且危及生命的头痛病因误诊，如脑肿瘤、慢性脑膜炎、蛛网膜下腔出血和颞动脉炎。
