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The article presents a case study of a 24-year-old woman, who complained of a severe, throbbing headache that is present when she is upright and is relieved when she lies down. When she is upright, she also experiences dizziness, blurred vision, light sensitivity, nausea, and occasional diplopia. She had a lumbar puncture five days earlier as part of an emergency department workup for a severe headache that was associated with photophobia, nausea, vomiting, and dizziness. The results of the puncture showed no evidence of an infectious process or hemorrhage.

The article presents a case of a 14-year-old boy who suffered from frequent severe headaches characterized by sharp, throbbing pain behind his left eye and left temple which may last from 30 minutes to two hours in the U.S. A headache specialist noted that aneurysm of a brain blood vessel is the most dangerous cause of a strictly unilateral headache of sudden onset. The patient's history reveals that his headache pain is of comparatively short duration which not triggered by physical exertion.

The article discusses the clinical implications of selective serotonin reuptake inhibitors (SSRIs) and triptan combination therapy for migraine. According to a 2006 U.S. Food and Drug Administration advisory based on 27 reports of a serotonin syndrome associated with the combined use of SSRIs and triptans, risks associated with the combined therapy included life-threatening events. However, some physicians may still recommend such therapy depending on the degree of the disease.

This article presents a case study of a 47-year-old woman with short-lasting, strictly unilateral headaches. She describes the pain as sharp and stabbing that involves only the right orbital, temporal, and occipital areas. The severe headaches last an average of 15 to 30 minutes and usually occur daily.

The article presents two case studies on episodic migraine. According to the headache specialist, abortive medications are needed to be taken as early as possible and patients who have migraine with aura can use the aura as a signal to begin treatment. The specialist stresses that therapy with corticosteroids may be effective more for episodic migraine with aura. Meanwhile, the specialist recommends an early initiation of treatment with parenteral medications for episodic migraine without aura.

The article presents an interview with Dr. Seymour Diamond, director and founder of the Diamond Headache Clinic in Chicago. Diamond gives his diagnostic approach regarding a patient having a severe, worsening headaches associated with progressive neurologic symptoms. He also classifies the headaches of the patients that started during her teenage years. He cites further workup to be done for the patients that includes magnetic resonance imaging scans of the brain as the first step.

The article presents the dialogue between a primary care doctor and a headache specialist concerning the diagnosis of a patient with chronic daily headache of sudden onset. When asked by the doctor with regard to the diagnosis of the patient, the specialist stated that the sudden onset of the headaches and the lack of some factors that might contribute to his condition suggest new daily persistent headache, citing the International Headache Society's Classification of Headache Disorders.

The article presents a case study of a 32-year-old woman who complains of severe throbbing pain at the top of her; numbness and weakness on the left side of her face and in her left arm and leg; and nausea, vomiting, and light and noise sensitivity. When the pain started, the patient felt light tingling in her lips that slowly spread down to her arm and leg. INSET: FOCUS ON MIGRAINE WITH NEUROLOGIC DEFICITS..

The article presents the case of a 47-year old white women suffering from frequent headaches. The headaches occur behind her left eye or temporal area wherein she also experiences concomitant tearing and nasal congestion. She was diagnosed of having several types of headaches including migraines without aura and short-lasting unilateral neuralgiform headaches.

Presents a headache specialist's views on a woman with worsening headaches and depression. Determination of the cause of the woman's worsening headaches; Use of the woman's own analysis to help her understand her particular personal trigger; Efficiency of psychotherapy in helping patients to manage migraine triggers.

The article provides current recommendations from primary care physicians for the use of corticosteroids in the treatment of migraine. In prolonged migraine episodes, narcotic agents provide only minimal relief. Corticosteroid treatment and methylprednisolone are options that primary care clinicians consider for their parents with prolonged migraine.