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[Neuroimaging guidelines in nonacute headaches].
Acta Neurol Taiwan. 2010 Jun; 19(2):137-44.AN

Abstract

The Treatment Guideline Subcommittee of the Taiwan Headache Society evaluated the indication of neuroimaging for nonacute headache according to the principles of evidence-based medicine. We have assessed the qualities of studies, levels of evidence, and referred to other guidelines proposed by Western countries. After several panel discussions, we merged opinions from the subcommittee members and proposed a Taiwan consensus. Neuroimaging is not necessary for patients with nonacute and recurrent migraine or tension-type headache when there is no recent change of headache characteristics and neurological examinations are normal. Neuroimaging is suggested for patients who have headaches with abnormal neurological examinations. For patients who are diagnosed as having cluster headache and have never received neuroimaging studies, or patients whose headache characteristics are atypical for cluster headaches, neuroimaging studies should be considered. Neuroimaging is also recommended for patients with cough headache, exertional headache and headache associated with sexual activity. Although the resolution of MRI is superior to CT, evidence is insufficient to make recommendation regarding the choice of MRI or CT for the evaluation of nonacute headache patient. Clinicians should make a judgment by themselves according to the patient's specific conditions.

Authors+Show Affiliations

Department of Neurology, Taipei Veterans General Hospital, Taiwan.

Pub Type(s)

English Abstract
Journal Article
Review

Language

chi

PubMed ID

20714966

Citation

Treatment Guideline Subcommittee of the Taiwan Headache Society. "[Neuroimaging Guidelines in Nonacute Headaches]." Acta Neurologica Taiwanica, vol. 19, no. 2, 2010, pp. 137-44.
Treatment Guideline Subcommittee of the Taiwan Headache Society. [Neuroimaging guidelines in nonacute headaches]. Acta Neurol Taiwan. 2010;19(2):137-44.
Treatment Guideline Subcommittee of the Taiwan Headache Society. (2010). [Neuroimaging guidelines in nonacute headaches]. Acta Neurologica Taiwanica, 19(2), 137-44.
Treatment Guideline Subcommittee of the Taiwan Headache Society. [Neuroimaging Guidelines in Nonacute Headaches]. Acta Neurol Taiwan. 2010;19(2):137-44. PubMed PMID: 20714966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Neuroimaging guidelines in nonacute headaches]. A1 - ,, PY - 2010/03/12/received PY - 2010/03/15/revised PY - 2010/03/15/accepted PY - 2010/8/18/entrez PY - 2010/8/18/pubmed PY - 2010/11/17/medline SP - 137 EP - 44 JF - Acta neurologica Taiwanica JO - Acta Neurol Taiwan VL - 19 IS - 2 N2 - The Treatment Guideline Subcommittee of the Taiwan Headache Society evaluated the indication of neuroimaging for nonacute headache according to the principles of evidence-based medicine. We have assessed the qualities of studies, levels of evidence, and referred to other guidelines proposed by Western countries. After several panel discussions, we merged opinions from the subcommittee members and proposed a Taiwan consensus. Neuroimaging is not necessary for patients with nonacute and recurrent migraine or tension-type headache when there is no recent change of headache characteristics and neurological examinations are normal. Neuroimaging is suggested for patients who have headaches with abnormal neurological examinations. For patients who are diagnosed as having cluster headache and have never received neuroimaging studies, or patients whose headache characteristics are atypical for cluster headaches, neuroimaging studies should be considered. Neuroimaging is also recommended for patients with cough headache, exertional headache and headache associated with sexual activity. Although the resolution of MRI is superior to CT, evidence is insufficient to make recommendation regarding the choice of MRI or CT for the evaluation of nonacute headache patient. Clinicians should make a judgment by themselves according to the patient's specific conditions. SN - 1028-768X UR - https://www.unboundmedicine.com/medline/citation/20714966/[Neuroimaging_guidelines_in_nonacute_headaches]_ L2 - https://medlineplus.gov/headache.html DB - PRIME DP - Unbound Medicine ER -