Headache natural history, complications and prognosis: Difference between revisions

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'''Editor-In-Chief:''' [[User:Bobby Schwartz|Robert G. Schwartz, M.D.]] [mailto:RGSHEAL@aol.com], [http://www.piedmontpmr.com Piedmont Physical Medicine and Rehabilitation, P.A.]; '''Associate Editor-In-Chief''': {{CZ}}
'''Editor-In-Chief:''' [[User:Bobby Schwartz|Robert G. Schwartz, M.D.]] [mailto:RGSHEAL@aol.com], [http://www.piedmontpmr.com Piedmont Physical Medicine and Rehabilitation, P.A.]; '''Associate Editor-In-Chief''': {{CZ}}
==Overview==
==Overview==
The prognosis of headache depends on the underlying cause.
The symptoms of cluster headache usually decreased with age.13% of patients with initial episodic cluster headache  may progress to develop chronic cluster headache.33% of patients with initial episodic cluster headache  may progress to episodic pattern.
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].


OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
==Natural History, Complications, and Prognosis==
==Natural History, Complications, and Prognosis==
===Natural History===
===Natural History===
*The symptoms of cluster headache  usually decreased with age.  
*The symptoms of cluster headache  usually decreased with age.
*The symptoms of (disease name) typically develop ___ years after exposure to ___.
*13% of patients with initial episodic cluster headache  may progress to develop chronic cluster headache.
*13% of patients with initial episodic cluster headache  may progress to develop chronic cluster headache.
*33% of patients with initial episodic cluster headache  may progress to episodic pattern.<ref name="pmid29720812">{{cite journal| author=Wei DY, Yuan Ong JJ, Goadsby PJ| title=Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis. | journal=Ann Indian Acad Neurol | year= 2018 | volume= 21 | issue= Suppl 1 | pages= S3-S8 | pmid=29720812 | doi=10.4103/aian.AIAN_349_17 | pmc=5909131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29720812  }} </ref>
*33% of patients with initial episodic cluster headache  may progress to episodic pattern.<ref name="pmid29720812">{{cite journal| author=Wei DY, Yuan Ong JJ, Goadsby PJ| title=Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis. | journal=Ann Indian Acad Neurol | year= 2018 | volume= 21 | issue= Suppl 1 | pages= S3-S8 | pmid=29720812 | doi=10.4103/aian.AIAN_349_17 | pmc=5909131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29720812  }} </ref>
===Complications===
==Complications==
*Common complications of [disease name] include:
* Status migrainosus: The migraine episode lasts more than 72 hours.
**[Complication 1]
* Persistent aura without infarction: The symptoms of aura last for more than a week in the absence of any neuroimaging findings suggestive of infarction.
**[Complication 2]
* Migrainous infarction: The symptoms of aura last for more than a week in the context of any neuroimaging findings suggestive of infarction in the corresponding brain territory.
**[Complication 3]
* Seizure triggered by a migrainous aura<ref name="pmid23771276">{{cite journal| author=Headache Classification Committee of the International Headache Society (IHS)| title=The International Classification of Headache Disorders, 3rd edition (beta version). | journal=Cephalalgia | year= 2013 | volume= 33 | issue= 9 | pages= 629-808 | pmid=23771276 | doi=10.1177/0333102413485658 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23771276  }} </ref>


===Prognosis===
===Prognosis===
*Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [--]%.
*13% of patients with initial episodic cluster headache  may progress to develop chronic cluster headache.
*Depending on the extent of the [tumor/disease progression] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
*33% of patients with initial episodic cluster headache  may progress to episodic pattern.<ref name="pmid29720812">{{cite journal| author=Wei DY, Yuan Ong JJ, Goadsby PJ| title=Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis. | journal=Ann Indian Acad Neurol | year= 2018 | volume= 21 | issue= Suppl 1 | pages= S3-S8 | pmid=29720812 | doi=10.4103/aian.AIAN_349_17 | pmc=5909131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29720812  }} </ref>
*The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
*[Subtype of disease/malignancy] is associated with the most favorable prognosis.
*The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.


==References==
==References==

Latest revision as of 13:43, 4 May 2021

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Editor-In-Chief: Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

The symptoms of cluster headache usually decreased with age.13% of patients with initial episodic cluster headache may progress to develop chronic cluster headache.33% of patients with initial episodic cluster headache may progress to episodic pattern.

Natural History, Complications, and Prognosis

Natural History

  • The symptoms of cluster headache usually decreased with age.
  • 13% of patients with initial episodic cluster headache may progress to develop chronic cluster headache.
  • 33% of patients with initial episodic cluster headache may progress to episodic pattern.[1]

Complications

  • Status migrainosus: The migraine episode lasts more than 72 hours.
  • Persistent aura without infarction: The symptoms of aura last for more than a week in the absence of any neuroimaging findings suggestive of infarction.
  • Migrainous infarction: The symptoms of aura last for more than a week in the context of any neuroimaging findings suggestive of infarction in the corresponding brain territory.
  • Seizure triggered by a migrainous aura[2]

Prognosis

  • 13% of patients with initial episodic cluster headache may progress to develop chronic cluster headache.
  • 33% of patients with initial episodic cluster headache may progress to episodic pattern.[1]

References

  1. 1.0 1.1 Wei DY, Yuan Ong JJ, Goadsby PJ (2018). "Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis". Ann Indian Acad Neurol. 21 (Suppl 1): S3–S8. doi:10.4103/aian.AIAN_349_17. PMC 5909131. PMID 29720812.
  2. Headache Classification Committee of the International Headache Society (IHS) (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)". Cephalalgia. 33 (9): 629–808. doi:10.1177/0333102413485658. PMID 23771276.

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