Newly onset: sudden & severe headache in a patient who overused analgesic

Authors

  • Khairi Che Mat Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu
  • Rohayah Husain Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu
  • Nasir Mohamad Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu

DOI:

https://doi.org/10.3329/bjms.v14i4.25806

Keywords:

newly onset, progressive headache, severe headache, analgesic overused

Abstract

This case report presented a rare cause of severe headache in a patient who developed episodes of acute severe headache for the first time. The earliest accurate provisional diagnosis is crucial for a new onset severe headache in adult. A good history taking and high index of suspicious are remained the most important clinical component in managing severe first time headache in adult. The differential diagnosis of subarachnoid hemorrhage, space-occupying lesion with increased intracranial pressure, acute intoxication, meningo-encephalitis and others must be ruled out as these conditions are benefited in early management. In this patient, progressive development of headache is masked by severe intense headache, which later will be described as acute headache. The causes of newly onset severe intense headache will be discussed in the discussion.

Bangladesh Journal of Medical Science Vol.14(4) 2015 p.399-401

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Author Biographies

Khairi Che Mat, Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu

Consultant Psychiatrist, Department of Psychological Medicine

Rohayah Husain, Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu

Associate Professor & Consultant Psychiatrist, Department of Psychological Medicine

Nasir Mohamad, Faculty of Medicine and Health Sciences, City Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu

Professor & Consultant Emergency Medicine, Department of Psychological Medicine

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Published

2015-12-11

How to Cite

Mat, K. C., Husain, R., & Mohamad, N. (2015). Newly onset: sudden & severe headache in a patient who overused analgesic. Bangladesh Journal of Medical Science, 14(4), 399–401. https://doi.org/10.3329/bjms.v14i4.25806

Issue

Vol. 14 No. 4 (2015)

Section

Case Reports

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