What is the approach to managing a patient presenting with headache?

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Last updated: August 26, 2025View editorial policy

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Approach to Headache Management

The first step in managing a patient with headache is to distinguish between primary and secondary headache disorders through careful history, physical examination, and targeted neuroimaging when red flags are present. 1

Initial Assessment

Key History Elements

  • Pain characteristics: location, quality, severity, duration
  • Associated symptoms: nausea, photophobia, phonophobia, aura
  • Timing patterns: onset, frequency, time of day
  • Triggers and alleviating factors
  • Current medications and response to treatments
  • Family history of headaches

Physical Examination

  • Complete neurological examination
  • Vital signs (especially blood pressure)
  • Head and neck examination
  • Fundoscopic examination

Red Flags Requiring Immediate Attention

  • SNOOP4 mnemonic for concerning features:
    • Systemic symptoms (fever, weight loss)
    • Neurological signs or symptoms
    • Onset sudden or abrupt ("thunderclap")
    • Older age (new headache after age 50)
    • Pattern change or progression
    • Positional triggers
    • Precipitated by Valsalva/exertion
    • Papilledema

Neuroimaging Indications 1, 2

  • Unexplained abnormal neurological examination
  • New onset headache in older persons (>50 years)
  • Progressively worsening headache pattern
  • Headache with atypical features
  • Recent head or neck injury
  • Headache brought on by exertion or Valsalva maneuver
  • History of cancer or immunocompromised state

Treatment Approach

Acute Treatment 1

  1. First-line for mild-moderate attacks:

    • NSAIDs
    • Acetaminophen
    • Combination with caffeine
  2. Second-line for moderate-severe attacks:

    • Triptans (with important contraindications)
    • High-flow oxygen (especially for cluster headache)

Important Triptan Contraindications 3

  • Coronary artery disease
  • Prinzmetal's variant angina
  • Wolff-Parkinson-White syndrome
  • History of stroke or TIA
  • Uncontrolled hypertension
  • Concurrent use of MAO inhibitors
  • Caution with SSRIs/SNRIs (risk of serotonin syndrome)

Preventive Treatment 1

Indications:

  • Two or more attacks per month with disability lasting 3+ days
  • Failure of or contraindication to acute treatments
  • Use of acute medications more than twice weekly

Options:

  • Beta-blockers
  • Anticonvulsants
  • Antidepressants
  • CGRP antagonists
  • Galcanezumab
  • Noninvasive vagus nerve stimulation

Medication Overuse Considerations

  • Limit acute headache medication use to no more than 2 days per week 1
  • Monitor for increasing headache frequency in patients using acute medications
  • Medication overuse headache may present as migraine-like daily headaches or increased frequency of attacks 3
  • Detoxification may be necessary, including withdrawal of overused drugs 3

Referral Criteria 1

  • Uncertain diagnosis
  • Treatment failure despite adequate trials
  • Complex comorbidities
  • Suspected chronic migraine

Common Pitfalls to Avoid 1

  • Failing to recognize red flags suggesting secondary headache
  • Overuse of neuroimaging in typical primary headache presentations
  • Inadequate dosing or premature discontinuation of preventive medications
  • Failure to address medication overuse

Special Considerations

  • Triptans can cause non-coronary vasospastic reactions and significant elevation in blood pressure 3
  • Serotonin syndrome risk increases with concurrent use of SSRIs, SNRIs, TCAs, and MAO inhibitors 3
  • Anaphylactic/anaphylactoid reactions can occur with triptans and may be life-threatening 3
  • Seizures have been reported following triptan administration, use with caution in patients with history of epilepsy 3

By following this structured approach, clinicians can effectively differentiate between primary and secondary headache disorders and implement appropriate management strategies to improve patient outcomes.

References

Guideline

Headache Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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