Modern Headache Therapy (1951)
Title: “Modern Headache Therapy”
Author: ARNOLD P. FRIEDMAN, M.D.
Publisher: THE C. V. MOSBY COMPANY, ST. LOUIS
Year of Publication: 1951
LOC Catalog Entry: http://lccn.loc.gov/51014477
Copyright Status: Public Domain in the United States and countries following the rule of the shorter term
“Patients with chronic headache represent a major problem to the practitioner. Their numbers are great and their symptoms tenacious, despite earnest effort at treatment. The purpose of this book is to present to the general practitioner principles which will help achieve the best therapeutic results and care of patients with chronic headache.
Recent studies have greatly increased our knowledge of the physiological and psychological mechanisms involved in headache. These advances indicate the necessity of treating the patient as a whole, considering both the physical and emotional aspects.
Since the symptom of headache may be the result of any of a wide variety of disorders, discovery of its cause is a stimulating challenge to the physician. However, this diagnostic problem is of little interest to the patient, whose immediate concern is relief. As always, it is of prime importance that the physician consider both the cause of the symptom (i.e., the clue to its eventual elimination) and its early alleviation. Analgesia without investigation may lead to disability or death. On the other hand, elaborate examination and laboratory procedures without early relief are of little comfort to the patient.
The observations recorded herein are based upon experiences derived both from a private practice devoted primarily to the study and treatment of headache and from the records of three headache clinics. More than five thousand patients have been observed and treated during the past six years. A clinical evaluation of the newer therapeutic agents is presented. It is hoped that this book will be useful to the practitioner and the medical student as a basic guide in headache therapy.
Dr. Charles Brenner and Dr. H. Houston Merritt have been associated with this work from its beginning, and I am especially grateful for their help and encouragement. I wish to express thanks to Dr. Bernhard Dattner, Dr. Theodore J. G. von Storch, Dr. Louis Leiter, and Dr. Henry Doubilet for their valuable suggestions and for reading the manuscript. To Dr. Harold G. Wolff and his co-workers I wish to express my indebtedness; their pioneer work on headache physiology has laid the foundation for most of our recent clinical advances. I am indebted to Ruth Glantz for her editorial assistance and aid in preparing the manuscript.”
A. P. F.
TABLE OF CONTENTS:
CHAPTER I DIAGNOSIS 13
CHAPTER II TREATMENT 31
Pharmacotherapy, 31; Psychotherapy, 35; Physiotherapy, 39; Surgical Methods, 39.
CHAPTER III MECHANISMS OF PAIN 45
CHAPTER IV HEADACHES ASSOCIATED WITH INTRACRANIAL DISORDERS 53
Brain Tumor, 53; Physiology, 53; Diagnosis, 54; Treatment, 56; Other Intracranial Masses, 57; Diagnosis, 57; Treatment, 59; Cerebral Vascular Diseases, 61; Lumbar Puncture, 62; Physiology, 62; Diagnosis, 63; Prevention, 63; Treatment, 64; Meningitis, 65.
CHAPTER V HEADACHES ASSOCIATED WITH EXTRACRANIAL DISORDERS 67
Introduction, 67; Headaches from Sustained Muscular Contraction in the Head and Neck, 67; Treatment, 68; Ocular, 70; Nasal and Paranasal, 72; Aural, 75; Oral, 76; Osseous Structures, 78.
CHAPTER VI HEADACHE DUE TO SYSTEMIC DISORDERS 82
Cardiovascular Diseases, 82; Renal Diseases, 85; Peripheral Vascular Diseases, 86; Blood Dyscrasias, 87; Hypoglycemia, 88; Allergy, 89; Gastrointestinal Disorders, 91; Endocrine Disturbances, 92; Other Systemic Conditions, 94.
CHAPTER VII MIGRAINE HEADACHE 98
General Etiology, 98; Specific Physiology and Causative Factors, 99; Symptoms, 103; Migraine Equivalents, 104; Diagnosis, 105; Differential Diagnosis, 106; Therapy, 109; Physiotherapy, 110; Surgical Procedures, 110; Prophylactic Pharmacotherapy, 111; Symptomatic Pharmacotherapy, 112; Ergotamine Tartrate, 113; D.H.E. Therapy, 115; Other Medication, 115; Psycother-apy, 116; Failures in Therapy, 117; Migraine Variants, 118.
CHAPTER VIII PSYCHOGENIC HEADACHE 128
Introduction, 128; Mechanism, 129; Psychological Factors in Etiology, 130; Diagnosis, 132; Treatment, 135; Tension Headache, 138.
CHAPTER IX POSTTRAUMATIC HEADACHE 141
Etiology, 141; Incidence, 145; Diagnosis, 145; Treatment, 146.
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