Headaches constitute the bulk of what neurologists see in their general clinics. Most people with headaches fall neatly into one of two categories, migraine or tension type headache (TTH). The neurology clinic may have a sprinkling of people with cluster headache or paroxysmal hemicrania, two of the more common trigeminal autonomic cephalalgias (TACs). All these headaches are easy to recognise (most of the time), and easy to treat (until things get complicated).
There are other common and readily recognisable headaches in the neurology clinic. Such headaches include idiopathic intracranial hypertension (IIH), medication overuse headache (MOH), chronic daily headache (CDH), post lumbar puncture headache (PLPH), and spontaneous intracranial hypotension (SIH).
Several headaches are however rare and peculiar, many unheard of by many neurologists. These are the headaches which prompt the neurologist to delve into the textbooks, or phone an expert headache specialist. What are these distinctive and curious entities? Here are neurochecklists’ most unusual headaches.
(headache and neurological deficits with CSF lymphocytosis)
(long-lasting autonomic symptoms with associated hemicrania)
(short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing)