Unidad de Cefaleas, Servicio de Neurología, Instituto de Investigación Sanitaria Princesa, Hospital Universitario de la Princesa, Madrid, España.
Servicio de Neurología. Clínica Rotger y Hospital Quirónsalud Palmaplanas, Grupo Quirónsalud, Palma de Mallorca, España.
Neurologia (Engl Ed). 2022 Sep;37(7):564-574. doi: 10.1016/j.nrl.2018.12.006. Epub 2019 Mar 28.
Headache is the most common neurological complaint at the different levels of the healthcare system, and clinical history and physical examination are essential in the diagnosis and treatment of these patients. With the objective of unifying the care given to patients with headache, the Spanish Society of Neurology's Headache Study Group (GECSEN) has decided to establish a series of consensus recommendations to improve and guarantee adequate care in primary care, emergency services, and neurology departments.
With the aim of creating a practical document, the recommendations follow the dynamics of a medical consultation: clinical history, physical examination, and scales quantifying headache impact and disability. In addition, we provide recommendations for follow-up and managing patients' expectations of the treatment.
With this tool, we aim to improve the care given to patients with headache in order to guarantee adequate, homogeneous care across Spain.
头痛是医疗保健系统各级别的最常见神经学主诉，临床病史和体格检查对于这些患者的诊断和治疗至关重要。为了统一头痛患者的护理，西班牙神经病学协会头痛研究组（GECSEN）决定制定一系列共识建议，以改善和保证初级保健、急诊服务和神经科部门的充分护理。
为了创建一份实用的文件，建议遵循医疗咨询的动态：临床病史、体格检查和量化头痛影响和残疾的量表。此外，我们还为随访和管理患者对治疗的期望提供建议。
通过这个工具，我们旨在改善头痛患者的护理，以保证在整个西班牙提供充分、同质的护理。
