Headache

New Daily Persistent Headache

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New Daily Persistent Headache

  • See Also
  1. Headache
  2. Migraine Headache
  3. Tension Headache
  4. Headache Red Flag
  5. Organic Headache
  6. Chronic Daily Headache
  • Symptoms
  1. Characteristics
    1. Pressing, tightening Headache
  2. Region
    1. Bilateral involvement
  3. Timing
    1. Constant and unremitting in the first 3 days and then persists
      1. Contrast with Migraine Headache or Tension Headache that may be become constant over a longer period of time
    2. Duration longer than 3 days from onset
    3. Occurs daily for >3 months
  4. Provocative factors
    1. Not worse with exertion (contrast with Exertional Headache)
    2. No associated autonomic symptoms (contrast with Cluster Headache and other trigeminal autonomic Cephalgias)
  • Management
  1. Typically refractory to standard Headache Management
  2. Consider Migraine Prophylaxis medications
  • References
  1. (2004) Cephalgia 24(suppl 1): 9-160 [PubMed]
  2. Yancey (2014) Am Fam Physician 89(8): 642-8 [PubMed]