Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 7-Day Trial for You or Your Team.

Learn More →

Ophthalmoplegic Migraine or Tolosa‐Hunt Syndrome?

Ophthalmoplegic Migraine or Tolosa‐Hunt Syndrome? Letters to the Editor Computed Tomography in the Routine Evaluation of Headache Mauro Silvestrini, M.D., Giorgio Bernardi, M.D. Clinic of Neurology, "Tor Vergata" University of Rome IRCCS, "S. Lucia", Rome, Italy The value of computed tomography (CT) in the evaluation of patients with headache was discussed by Mitchell et al. in the February 1993 issue of Headache. Based on their results and on data of previous studies, they concluded that in headache patien ts with typical clinical symptoms and with normal physical and neurological examination, routine brain CT has a very low yield for discovering significant intracranial disease. Hence, based solely on cost-effectiveness of CT there should be a dramati c reduction of examination by CT in headache patients. However, as stated in the Editorial by Campbell in the same issue of Headache, the strict adherence to a purely statistical point of view has the potential hazard of overlooking several importan t aspects of clinical practice. In other words, the a priori neglect of the importance of neuro-imaging in headache patients could hinder the diagnosis of cerebral lesions that have not yet caused focal signs. The demands for cost containment should be tempered by the needs of good clinical http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Headache: The Journal of Head and Face Pain Wiley

Ophthalmoplegic Migraine or Tolosa‐Hunt Syndrome?

Download PDF
2 pages

Loading next page...
 
/lp/wiley/ophthalmoplegic-migraine-or-tolosa-hunt-syndrome-TMvCFF2hGt

References (0)

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Wiley
Copyright
Copyright © 1994 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0017-8748
eISSN
1526-4610
DOI
10.1111/j.1526-4610.1994.hed3403176_2.x
Publisher site
See Article on Publisher Site

Abstract

Letters to the Editor Computed Tomography in the Routine Evaluation of Headache Mauro Silvestrini, M.D., Giorgio Bernardi, M.D. Clinic of Neurology, "Tor Vergata" University of Rome IRCCS, "S. Lucia", Rome, Italy The value of computed tomography (CT) in the evaluation of patients with headache was discussed by Mitchell et al. in the February 1993 issue of Headache. Based on their results and on data of previous studies, they concluded that in headache patien ts with typical clinical symptoms and with normal physical and neurological examination, routine brain CT has a very low yield for discovering significant intracranial disease. Hence, based solely on cost-effectiveness of CT there should be a dramati c reduction of examination by CT in headache patients. However, as stated in the Editorial by Campbell in the same issue of Headache, the strict adherence to a purely statistical point of view has the potential hazard of overlooking several importan t aspects of clinical practice. In other words, the a priori neglect of the importance of neuro-imaging in headache patients could hinder the diagnosis of cerebral lesions that have not yet caused focal signs. The demands for cost containment should be tempered by the needs of good clinical

Journal

Headache: The Journal of Head and Face Pain – Wiley

Published: Mar 1, 1994

There are no references for this article.