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Indomethacin-sensitive headache diagnosis schema

Schema of diagnostic approach in a patient with indomethacin-sensitive headache, separated into characteristics of primary stabbing headache, trigeminal autonomic cephalalgias, and exertional headaches.

From:
Wei DY, Yuan Ong JJ, Goadsby PJ. Overview of trigeminal autonomic cephalalgias: nosologic evolution, diagnosis, and management. Ann Indian Acad Neurol 2018;21(Suppl 1):S39-44.
Gonzalez-Quintanilla V, Madera J, Pascual J. Update on headaches associated with physical exertion. Cephalalgia 2023;43(3):3331024221146989.
Kwon S, Lee MJ, Kim M. Epicranial headache part 1: primary stabbing headache. Cephalalgia 2023;43(2):3331024221146985.)

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Associated Disorders

  • Chiari type 1 malformation
  • Cluster headache
  • Reversible cerebral vasoconstriction syndrome
  • Subarachnoid hemorrhage