Business Plan Pro Premier V12 Cr [HOT]
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Business Plan Pro Premier V12 Cr [HOT]
Patients with intermittent and chronic types of primary headache have acute attacks of varying durations and severity. The term primary refers to the absence of identifiable secondary causes for the headache. Patients with chronic daily headache (CDH) may be easily recognized by either the frequency, duration, or severity of headaches. However, some patients with chronic daily stressor and milder headaches may be difficult to distinguish from patients with CDH.
Primary or secondary headache with migraine features include migraine without aura, migraine with aura, tension-type headache (TTH), and sinus headache. The more frequent primary headaches are episodic migraine, chronic migraine, and new daily persistent headache (NDPH).[26,27] Secondary headache in the pediatric population include secondary thunderclap headache, infectious headache, and drug-induced headache.[28] Characteristic features in headache pathophysiology guide the diagnosis of these primary and secondary headaches.
Episodic migraine: An attack of migraine without aura characterized by unilateral (IHS criteria) or bilateral (MIDAS criteria) headache, usually lasting 4 to 72 hours. Episodic migraine attacks are separated by at least 24 hours of headache-free intervals. Attacks are defined as migraines by having a duration of 4 hours or more (IHS criteria), or more than 15 headache-free days over the preceding 3 months (MIDAS criteria).
Chronic daily migraine: An attack of migraine without aura occurring from 4 to 14 times a month for more than 3 months that is never relieved by abortive medications or not associated with an identifiable trigger.
An onset of migraine with nausea, photophobia, and phonophobia without prodrome. Symptoms are present for >=4 hours, and better during the first 6 hours than later in the day. The headache is chronic by 7 days duration but may include a bout of migraines with aura.
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