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Headache is a very common complaint encountered by practitioners in almost every specialty of medicine and surgery. More than 90% of the population experience headache of one type or another at least once during life.
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Nothing in clinical neurology exceeds the demands on the clinician more than diagnosing and managing the patient with headache, a process that demands a combination of clinical skill and good interpersonal relationships. The physician dealing with the patient who presents with headache will by the history determine the likely diagnosis; by the brief, structured examination receive some reassurance that there is no lurking lesion causing the problem; and by his or her ability to see past the patient's naive words of complaint, recognize a pattern of symptomatology, allowing a confident diagnosis that will allow equally confident management.
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