Norsk radiologisk forening

Unngå bildediagnostikk ved ukomplisert hodepine uten varselsymptomer

14. AUGUST 2018

Varselsymptomer omfatter: akutt debut, raskt økende frekvens og alvorlighet av hodepine, hodepine som vekker pasienten, svimmelhet, tap av koordinasjon, parestesier eller nummenhet, nye nevrologiske utfall, sykehistorie med cancer eller immunsvikt

Referanser:

  • Beithon J, et al. Institute for clinical systems improvement. Diagnosis and treatment of headache [Internet]. 2013 Jan [cited 2017 May 5].
  • Choosing Wisely. American College of Radiology: Five things physicians and patients should question [Internet]. 2012 Apr 4 [cited 2017 May 5].
  • Edlow JA, et al. Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008 Oct;52(4):407-36. PMID:18809105.
  • Hayes LL, et al. ACR appropriateness criteria®: Headache – child [Internet]. 2012 [cited 2014 Feb 23].
  • Health Quality Ontario. Neuroimaging for the evaluation of chronic headaches: An evidence-based analysis. Ont Health Technol Assess Ser. 2010;10(26):1-57. PMID: 23074404.
  • Jordan YJ, et al. Computed tomography imaging in the management of headache in the emergency department: Cost efficacy and policy implications. J Natl Med Assoc. 2009 Apr;101(4):331-5. PMID:19397223.
  • National Institute for Health and Clinical Excellence (NICE). Headaches: Diagnosis and management of headaches in young people and adults[Internet]. 2012 Sep [2017 May 5].
  • Sandrini G, et al. Neurophysiological tests and neuroimaging procedures in non-acute headache (2nd edition). Eur J Neurol. 2011 Mar;18(3):373-81. PMID: 20868464.
  • Scottish Intercollegiate Guidelines Network (SIGN). Diagnosis and management of headache in adults: A national clinical guideline [Internet]. 2008 Nov [2017 May 5].
  • Toward Optimized Practice. Guideline for primary care management of headache in adults [Internet]. 2016 Sep [2017 May 5].