Bono G, Antonaci F, Mancioli A, Guaschino E, Minonzio G, Mauri M
Sez. Neurologia, Dip. Medicina Clinica e UCADH, Università degli Studi dell'Insubria--Varese, A.O. Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, I-21100 Varese, Italy.
Neurol Sci. 2006 Mar;27 Suppl 1:S59-61. doi: 10.1007/s10072-006-0552-8.
Typical cases of the most common kinds of headache can be diagnosed and treated by general practitioners (GPs). Non-traumatic patients with de novo acute sudden-onset disabling headaches as well as significant worsening of pre-existing headaches seek care at emergency departments (EDs) and represent a diagnostic challenge for the consultant neurologist, who is the specialist of reference for the entire diagnostic process. Explicit diagnostic criteria for the classification of headache disorders (ICHD-II) are fundamental for verifying the final diagnosis, but in the emergency setting diagnostic and therapeutic guidelines and recommendations, coupled with lists of diagnostic alarms and warnings, may further contribute to the preliminary identification of secondary headaches.
最常见类型头痛的典型病例可由全科医生（GP）进行诊断和治疗。非创伤性患者出现新发急性突发致残性头痛以及既往头痛显著加重时，会前往急诊科（ED）就诊，这对会诊神经科医生构成了诊断挑战，神经科医生是整个诊断过程的参考专家。头痛疾病分类（ICHD-II）的明确诊断标准对于核实最终诊断至关重要，但在急诊环境中，诊断和治疗指南及建议，再加上诊断警报和警示列表，可能会进一步有助于初步识别继发性头痛。
