Description

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Of all the painful states that afflict humans, headache is undoubtedly the most frequent. Headaches are a nearly universal experience, with a 1-year period prevalence of 90% and a lifetime prevalence of 99%. Worldwide, an estimated 240 million persons suffer 1.4 billion migraine headaches yearly. Five per cent of women and 2.8% of men have headaches 180 days or more per year (Randolph W. Evans) 1. Headache and associated syndromes (or) symptom complex extracts a tremendous toll from the society that most of the neurophysicians prefer to treat more commonly occurring headaches and the related problems. It is the investigator's opinion that the neurophysicians are the best persons to evaluate the headache patients, recommend treatment and to perform the necessary research to determine the pathophysiology namely neurological, neuro-surgical and neuropsychological aspects of headaches. Headache is one of the complaints most frequently faced by internists and Neurologists. Most people accept an occasional headache as part of their lives. Patients come to physicians because of chronic (or) recurrent headache that have persisted unabated (or) occurred repeatedly over months (or) years (or) because of acute severe headache unrelated to previous headaches and characterized by a violent onset (or) relentless progression. Most chronic (or) recurrent headaches are of vascular (or) psychogenic origin while acute severe headaches carry a more ominous prognosis and may reflect serious underlying disease.