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Chapter 9 - Chronic daily headache

Published online by Cambridge University Press:  05 March 2013

By
Robert P. Cowan
Edited by
Mark W. Green  and
Philip R. Muskin
Mark W. Green
Affiliation:
Mount Sinai School of Medicine, New York
Philip R. Muskin
Affiliation:
Columbia University Presbyterian Hospital, New York
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Summary

Chronic daily headache (CDH) is the most common presenting headache in headache specialty practices and can be devastating in its effect on patients, their families, and physicians who care for them. The International Classification of Headache Disorders (ICHD-2) is the standard for codification of headache. Medication overuse headache (MOH) is currently the most common cause of CDH in the industrialized countries. CDH presents as any head pain that occurs frequently. MOH has a typical presentation that can be recognized along with other primary headache types. MOH remains the single most common factor in the transformation of episodic headache to chronic headache, and is the default diagnosis when patients present with CDH. Long-term strategies to revert chronic headache to an episodic occurrence include biobehavioral, lifestyle, and integrative approaches in addition to medication and education. CDH is a contributor to suffering and economic burden worldwide.

Keywords

prognosispsychiatric comorbiditytension-type headacheNSAIDsacetaminophenaspirin
Type
Chapter
Information
The Neuropsychiatry of Headache , pp. 95 - 105
Publisher: Cambridge University Press
Print publication year: 2013

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