Department of Neurology, Danish Headache Centre, Glostrup Hospital, University of Copenhagen, Glostrup, 2600, Copenhagen, Denmark.
J Headache Pain. 2012 Feb;13 Suppl 1(Suppl 1):S1-29. doi: 10.1007/s10194-011-0402-9.
Headache and facial pain are among the most common, disabling and costly disorders in Europe. Correct diagnosis and treatment is important for achieving a high quality of care. As a national organisation whose role is to educate and advocate for the needs of patients with primary headaches, the Danish Headache Society has set up a task force to develop a set of guidelines for the diagnosis, organisation and treatment of the most common types of headaches and for trigeminal neuralgia in Denmark. The guideline was published in Danish in 2010 and has been a great success. The Danish Headache Society decided to translate and publish our guideline in English to stimulate the discussion on optimal organisation and treatment of headache disorders and to encourage other national headache authorities to produce their own guidelines. The recommendations regarding the most common primary headaches and trigeminal neuralgia are largely in accordance with the European guidelines produced by the European Federation of Neurological Societies. The guideline provides a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organised in Denmark. This description is followed by individual sections on the characteristics, diagnosis, differential diagnosis and treatment of each of the major headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular problems regarding headache in children and headache in relation to female hormones and pregnancy are described.
头痛和面部疼痛是欧洲最常见、致残和昂贵的疾病之一。正确的诊断和治疗对于实现高质量的护理非常重要。丹麦头痛学会作为一个专门教育和倡导原发性头痛患者需求的国家组织，成立了一个工作组，制定了一套丹麦常见头痛类型和三叉神经痛的诊断、组织和治疗指南。该指南于 2010 年以丹麦语出版，取得了巨大成功。丹麦头痛学会决定将我们的指南翻译成英文并出版，以激发关于头痛疾病最佳组织和治疗的讨论，并鼓励其他国家的头痛当局制定自己的指南。关于最常见的原发性头痛和三叉神经痛的建议与欧洲神经病学会联合会制定的欧洲指南基本一致。该指南为初级保健医生、对头痛有共同兴趣的神经科医生以及治疗头痛患者的其他卫生保健专业人员提供了一个在日常临床实践中使用的实用工具。该指南首先描述了如何检查和诊断头痛患者，以及丹麦如何组织头痛治疗。接下来是关于每种主要头痛疾病和三叉神经痛的特征、诊断、鉴别诊断和治疗的单独章节。该指南包括许多表格，以便快速浏览。最后，描述了儿童头痛和与女性激素及妊娠相关的头痛的特殊问题。
