Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

Annals of Emergency Medicine

Volumn 52, Issue 4, 2008, Pages 407-436

  Edlow, Jonathan A ^a   Panagos, Peter D ^a   Godwin, Steven A ^a   Thomas, Tamara L ^a   Decker, Wyatt W ^a  

^a Adult Patients Presenting to the Emergency Department with Acute Headache

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE DISEASE; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY CARE; EMERGENCY MEDICINE; EMERGENCY WARD; EVIDENCE BASED MEDICINE; HEADACHE; HEALTH CARE POLICY; HUMAN; LUMBAR PUNCTURE; MEDICAL SOCIETY; NEUROIMAGING; PRIORITY JOURNAL; REVIEW; SUBARACHNOID HEMORRHAGE;

CEREBRAL ANGIOGRAPHY; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; EVALUATION STUDIES AS TOPIC; EVIDENCE-BASED MEDICINE; HEADACHE; HUMANS; MIDDLE AGED; PUNCTURES; SOCIETIES, MEDICAL; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 52049119909     PISSN: 01960644     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2008.07.001     Document Type: Review

References (91)

1. Goldstein J.N., Camargo Jr. C.A., Pelletier A.J., et al. Headache in United States emergency departments: demographics, work-up and frequency of pathological diagnoses. Cephalalgia 26 (2006) 684-690
2. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of patients presenting to the emergency department with acute headache. Ann Emerg Med 39 (2002) 108-122
3. Perry J.J., Stiell I.G., Wells G.A., et al. Attitudes and judgment of emergency physicians in the management of patients with acute headache. Acad Emerg Med 12 (2005) 33-37
4. Schriger D.L., Cantrill S.V., and Greene C.S. The origins, benefits, harms, and implications of emergency medicine clinical policies. Ann Emerg Med 22 (1993) 597-602
5. Diamond S. Head pain: diagnosis and management. Clin Symp 46 (1994) 1-34
6. Moskowitz M.A. Neurogenic inflammation in the pathophysiology and treatment of migraine. Neurology 43 suppl 3 (1993) S16-S20
7. Lance J.W. Current concepts of migraine pathogenesis. Neurology 43 suppl 3 (1993) S11-S15
8. Peroutka S.J. 5-Hydroxytryptamine receptor subtypes and the pharmacology of migraine. Neurology 43 suppl 3 (1993) S34-S38
9. US Headache Consortium. Evidence-based treatment guidelines for migraine headache in the primary care setting: pharmacological management of acute attacks. American Academy of Neurology, 2000. http://www.aan.com Accessed January 1, 2001
10. Seymour J.J., Moscati R.M., and Jehle D.V. Response of headaches to nonnarcotic analgesics resulting in missed intracranial hemorrhage. Am J Emerg Med 13 (1995) 43-45
11. Gross D.W., Donat J.R., and Boyle C.A. Dihydroergotamine and metoclopramide in the treatment of organic headache. Headache 35 (1995) 637-638
12. Lipton R.B., Mazer C., Newman L.C., et al. Sumatriptan relieves migraine-like headaches associated with carbon monoxide exposure. Headache 37 (1997) 392-395
13. Agostoni E. Headache in cerebral venous thrombosis. Neurol Sci 25 (2004) S206-S210
14. Abisaab J., Nevadunsky N., and Flomenbaum N. Emergency department presentation of bilateral carotid artery dissections in a postpartum patient. Ann Emerg Med 44 (2004) 484-489
15. Leira E.C., Cruz-Flores S., Leacock R.O., et al. Sumatriptan can alleviate headaches due to carotid artery dissection. Headache 41 (2001) 590-591
16. Pfadenhauer K., Schonsteiner T., and Keller H. The risks of sumatriptan administration in patients with unrecognized subarachnoid haemorrhage (SAH). Cephalalgia 26 (2006) 320-323
17. Rothrock J. The perils of misinterpreting a treatment response. Headache 45 (2005) 599-600
18. Wang K.-C., Fuh J.-L., Lirng J.-F., et al. Headache profiles in patients with a dilatated cyst of the cavum septi pellucidi. Cephalalgia 24 (2004) 867-874
19. American College of Emergency Physicians, American Academy of Neurology, American Association of Neurological Surgeons, American Society of Neuroradiology. Practice parameter: neuroimaging in the patient presenting with seizure. Ann Emerg Med 28 (1996) 114-118
20. Fitzpatrick R., and Hopkins A. Referrals to neurologists for headaches not due to structural disease. J Neurol Neurosurg Psychiatry 44 (1981) 1061-1067
21. American Academy of Neurology. Practice parameter: the utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations. Neurology 44 (1994) 1353-1354
22. US Headache Consortium. Evidence-based guidelines in the primary care setting: neuroimaging in patients with nonacute headache. American Academy of Neurology, 2000. http://www.aan.com Accessed January 1, 2001
23. American College of Emergency Physicians. Clinical policy for the initial approach to adolescents and adults presenting to the emergency department with a chief complaint of headache. Ann Emerg Med 27 (1996) 821-844
24. Lledo A., Calandre L., Marinez-Menendez B., et al. Acute headache of recent onset and subarachnoid hemorrhage: a prospective study. Headache 34 (1994) 172-174
25. Harling D.W., Peatfield R.C., Van Hille P.T., et al. Thunderclap headache: is it migraine?. Cephalalgia 9 (1989) 87-90
26. Akpek S., Arac M., Atilla S., et al. Cost-effectiveness of computed tomography in the evaluation of patients with headache. Headache 35 (1995) 228-230
27. Demaerel P., Boelaert I., Wilms G., et al. The role of cranial computed tomography in the diagnostic work-up of headache. Headache 36 (1996) 347-348
28. Mitchell C.S., Osborn R.E., and Grosskreutz S.R. Computed tomography in the headache patient: is routine evaluation really necessary?. Headache 33 (1993) 82-86
29. Mills M.L., Russo L.S., Vines F.S., et al. High yield criteria for urgent cranial computed tomography scans. Ann Emerg Med 15 (1986) 1167-1172
30. Ramirez-Lassepas M., Espinosa C.E., Cicero J.J., et al. Predictors of intracranial pathologic findings in patients who seek emergency care because of headache. Arch Neurol 54 (1997) 1506-1509
31. Kahn C.E., Sanders G.D., Lyons E.A., et al. Computed tomography for nontraumatic headache: current utilization and cost-effectiveness. Can Assoc Radiol J 44 (1993) 189-193
32. Duarte J., Sempere A.P., Delgado J.A., et al. Headache of recent onset in adults: a prospective population-based study. Acta Neurol Scand 94 (1996) 67-70
33. Day J.W., and Raskin N.H. Thunderclap headache: symptom of unruptured cerebral aneurysm. Lancet 2 (1986) 1247-1248
34. Schwedt T.J., Matharu M.S., and Dodick D.W. Thunderclap headache. Lancet Neurol 5 (2006) 621-631
35. Linn F.H.H., Wijdicks E.F.M., van der Graaf Y., et al. Prospective study of sentinel headache in aneurysmal subarachnoid haemorrhage. Lancet 344 (1994) 590-593
36. Wijdicks E.F., Kerkhoff H., and van Gijn J. Long-term follow-up of 71 patients with thunderclap headache mimicking subarachnoid haemorrhage. Lancet 2 (1988) 68-70
37. Landtblom A.-M., Fridriksson S., Boivie J., et al. Sudden onset headache: a prospective study of features, incidence and causes. Cephalalgia 22 (2002) 354-360
38. Morgenstern L.B., Luna-Gonzales H., Huber Jr. J.C., et al. Worst headache and subarachnoid hemorrhage: prospective, modern computed tomography and spinal fluid analysis. Ann Emerg Med 32 (1998) 297-304
39. Reinus W.R., Wippold F.J., and Erickson K.K. Practical selection criteria for unenhanced cranial CT in patients with acute headache. Emerg Radiol 1 (1994) 81-84
40. Lipton R.B., Feraru E.R., Weiss G., et al. Headache in HIV-1 related disorders. Headache 31 (1991) 518-522
41. Rothman R.E., Keyl P.M., McArthur J.C., et al. A decision guideline for emergency department utilization of noncontrast head computed tomography in HIV-infected patients. Acad Emerg Med 6 (1999) 1010-1019
42. Sharshar T., Lamy C., Mas J.L., and Stroke in Pregnancy Study Group. Incidence and causes of strokes associated with pregnancy and puerperium. A study in public hospitals of lle de France. Stroke 26 (1995) 930-936
43. Melhado E.M., Maciel Jr. J.A., and Guerreiro C.A. Headache during gestation: evaluation of 1,101 women. Can J Neurol Sci 34 (2007) 187-192
44. Selo-Ojeme D.O., Marshman L.A., Ikomi A., et al. Aneurysmal subarachnoid haemorrhage in pregnancy. Eur J Obstet Gynecol Reprod Biol 116 (2004) 131-143
45. DeLashaw M.R., Viziol Jr. T.L., and Counselman F.L. Headache and seizure in a young woman postpartum. J Emerg Med 29 (2005) 289-293
46. English L.A., and Mulvey D.C. Ruptured arteriovenous malformation and subarachnoid hemorrhage during emergent cesarean delivery: a case report. AANA J 72 (2004) 423-426
47. Linn F.H., Rinkel G.J., Algra A., et al. Headache characteristics in subarachnoid haemorrhage and benign thunderclap headache. J Neurol Neurosurg Psychiatry 65 (1998) 791-793
48. Edlow J.A. Diagnosis of subarachnoid hemorrhage in the emergency department. Emerg Med Clin North Am 21 (2003) 73-87
49. Edlow J.A. Diagnosis of subarachnoid hemorrhage. Neurocrit Care 2 (2005) 99-109
50. Edlow J.A., and Caplan L.R. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med 342 (2000) 29-36
51. van Gijn J., Kerr R.S., and Rinkel G.J. Subarachnoid haemorrhage. Lancet 369 (2007) 306-318
52. Perry J.J., Sivilotti M.L.A., Stiell I.G., et al. Should spectrophotometry be used to identify xanthochromia in the cerebrospinal fluid of alert patients suspected of having subarachnoid hemorrhage?. Stroke 37 (2006) 2467-2472
53. Linn F.H., Voorbij H.A., Rinkel G.J., et al. Visual inspection versus spectrophotometry in detecting bilirubin in cerebrospinal fluid. J Neurol Neurosurg Psychiatry 76 (2005) 1452-1454
54. Edlow J.A., Bruner K.S., and Horowitz G.L. Xanthochromia. Arch Pathol Lab Med 126 (2002) 413-415
55. Edlow J.A., Malek A.M., and Ogilvy C.S. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med 34 (2008) 237-251
56. Kuntz K.M., Kokmen E., Stevens J.C., et al. Post-lumbar puncture headaches: experience in 501 consecutive procedures. Neurology 42 (1992) 1884-1887
57. Leblanc R. The minor leak preceding subarachnoid hemorrhage. J Neurosurg 66 (1987) 35-39
58. van der Wee N., Rinkel G.J., Hasan D., et al. Detection of subarachnoid haemorrhage on early CT: is lumbar puncture still needed after a negative scan?. J Neurol Neurosurg Psychiatry 58 (1995) 357-359
59. Kassell N.F., Tomer J.C., Haley Jr. E.C., et al. The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: overall management results. J Neurosurg 73 (1990) 18-36
60. Sidman R., Connolly E., and Lemke T. Subarachnoid hemorrhage diagnosis: lumbar puncture is still needed when the computed tomography scan is normal. Acad Emerg Med 3 (1996) 827-831
61. Sames T.A., Storrow A.B., Finkelstein J.A., et al. Sensitivity of new-generation computed tomography in subarachnoid hemorrhage. Acad Emerg Med 3 (1996) 16-20
62. Smith W.P., Batnitzky S., and Rengachary S.S. Acute isodense subdural hematomas: a problem in anemic patients. AJR Am J Roentgenol 136 (1981) 543-546
63. Shah K.H., Richard K.M., Nicholas S., et al. Incidence of traumatic lumbar puncture. Acad Emerg Med 10 (2003) 151-154
64. Evans R.W. Complications of lumbar puncture. Neurol Clin 16 (1998) 83-105
65. Schievink W.I. Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 60 (2003) 1713-1718
66. Fridriksson S., Hillman J., Landtblom A.-M., et al. Education of referring doctors about sudden onset headache in subarachnoid hemorrhage. Acta Neurol Scand 103 (2001) 238-242
67. Quattrone A., Bono F., Oliveri R.L., et al. Cerebral venous thrombosis and isolated intracranial hypertension without papilledema in CDH. Neurology 57 (2001) 31-36
68. Perry J.J., Spacek A., Forbes M., et al. Is the combination of negative computed tomography result and negative lumbar puncture result sufficient to rule out subarachnoid hemorrhage?. Ann Emerg Med 51 (2008) 707-713
69. Foot C., and Staib A. How valuable is a lumbar puncture in the management of patients with suspected subarachnoid haemorrhage?. Emerg Med 13 (2001) 326-332
70. O'Neill J., McLaggan S., and Gibson R. Acute headache and subarachnoid haemorrhage: a retrospective review of CT and lumbar puncture findings. Scott Med J 50 (2005) 151-153
71. Boesiger B.M., and Shiber J.R. Subarachnoid hemorrhage diagnosis by computed tomography and lumbar puncture: are fifth generation CT scanners better at identifying subarachnoid hemorrhage?. J Emerg Med 29 (2005) 23-27
72. Byyny R.L., Mower W.R., Shum N., et al. Sensitivity of noncontrast cranial computed tomography for the emergency department diagnosis of subarachnoid hemorrhage. Ann Emerg Med 51 (2008) 697-703
73. Petito F., and Plum F. The lumbar puncture. N Engl J Med 290 (1974) 225-227
74. Lashutka M.K., Chandra A., Murray H.N., et al. The relation of intracranial pressure to intraocular pressure. Ann Emerg Med 43 (2004) 585-591
75. Schull M. Lumbar puncture first: an alternative model for the investigation of lone acute sudden headache. Acad Emerg Med 6 (1999) 131-136
76. Duffy G.P. Lumbar puncture in the presence of raised intracranial pressure. BMJ 1 (1969) 407-409
77. Duffy G.P. Lumbar puncture in spontaneous subarachnoid hemorrhage. BMJ 285 (1982) 1163-1164
78. French J.K., and Glasgow G.L. Lumbar puncture in subarachnoid hemorrhage: yes or no?. N Z Med J 98 (1985) 383-384
79. Zisfein J., and Tuchman A.J. Risks of lumbar puncture in the presence of intracranial mass lesions. Mt Sinai J Med 55 (1988) 283-287
80. Gopol A.K., Whitehouse J.D., Simel D.L., et al. Cranial computed tomography before lumbar puncture: a prospective clinical evaluation. Arch Intern Med 159 (1999) 2681-2685
81. Savitz S.I., and Edlow J. Thunderclap headache with normal CT and lumbar puncture: further investigations are unnecessary: for. Stroke 39 (2008) 1392-1393
82. Field A., and Wang E. Evaluation of the patient with nontraumatic headache: an evidence-based approach. Emerg Med Clin North Am 17 (1999) 127-152
83. Walton J. Subarachnoid Haemorrhage (1956), E&S Livingstone, Edinborough, Scotland
84. Raps E.C., Rogers J.D., Galetta S.L., et al. The clinical spectrum of unruptured intracranial aneurysms. Arch Neurol 50 (1993) 265-268
85. Witham T.F., and Kaufmann A.M. Unruptured cerebral aneurysm producing a thunderclap headache. Am J Emerg Med 18 (2000) 88-90
86. McCarron M.O., and Choudhari K.A. Aneurysmal subarachnoid leak with normal CT and CSF spectrophotometry. Neurology 64 (2005) 923
87. Hughes R.L. Identification and treatment of cerebral aneurysms after sentinel headache. Neurology 42 (1992) 1118-1119
88. Slivka A., and Philbrook B. Clinical and angiographic features of thunderclap headache. Headache 35 (1995) 1-6
89. Dodick D.W., Brown R.D., Britton J.W., et al. Nonaneurysmal thunderclap headache with diffuse, multifocal, segmental, and reversible vasospasm. Cephalalgia 19 (1999) 118-123
90. Carstairs S.D., Tanen D.A., Duncan T.D., et al. Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage. Acad Emerg Med 13 (2006) 486-492
91. Sekhar L., and Heros R. Origin, growth, and rupture of saccular aneurysm: a review. Neurosurgery 8 (1981) 248-260