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Expert Commentary–Unusual Headache Syndromes

Expert Commentary–Unusual Headache Syndromes Curr Pain Headache Rep (2012) 16:287­288 DOI 10.1007/s11916-012-0266-y INVITED COMMENTARY Marcelo E. Bigal Published online: 10 May 2012 # Springer Science+Business Media, LLC 2012 There is no disease so rare that it does not deserve attention. Rare diseases are rare, but rare disease patients are numerous [1]. Headache medicine may be an arduous field. While identifying and treating common headache disorders is often not difficult, so many medical conditions may present with headache as the first or chief complaint that the differential diagnosis of patients with headache may be overwhelming [2]. The most common headache syndromes are primary headaches. They typically do not impose major diagnostic challenges, although they are not always easy to treat. In the primary headaches, headache is the "disease" itself. Failure to identify and to properly treat a primary headache will cause unnecessary burden to the patient [3­6]. As for the secondary headaches, the headaches are the symptom of another disease. The situation is very different. Failure to identify a secondary disease may represent a very ominous situation. Not only may the patient face unnecessary suffering, but more concerning, a treatable condition may be missed until it is too late [7, 8]. Though conceptually http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Pain and Headache Reports Springer Journals

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