ACR Appropriateness Criteria® Headache.
| Autor: | Whitehead MT; Children's National Health System, Washington, District of Columbia. Electronic address: MWhitehe@childrensnational.org., Cardenas AM; Research Author, Children's of Alabama, Birmingham, Alabama., Corey AS; Panel Chair, Atlanta VA Health Care System and Emory University, Atlanta, Georgia., Policeni B; Panel Vice-Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa., Burns J; Montefiore Medical Center, Bronx, New York., Chakraborty S; Ottawa Hospital Research Institute and the Department of Radiology, The University of Ottawa, Ottawa, Ontario, Canada, Canadian Association of Radiologists., Crowley RW; Rush University Medical Center, Chicago, Illinois, Neurosurgery expert., Jabbour P; Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Neurosurgery expert., Ledbetter LN; University of Kansas Medical Center, Kansas City, Kansas., Lee RK; Einstein Healthcare Network, Philadelphia, Pennsylvania., Pannell JS; University of California San Diego Medical Center, San Diego, California., Pollock JM; Oregon Health & Science University, Portland, Oregon., Powers WJ; University of North Carolina School of Medicine, Chapel Hill, North Carolina, American Academy of Neurology., Setzen G; Albany ENT & Allergy Services, PC, Albany, New York, American Academy of Otolaryngology-Head and Neck Surgery., Shih RY; Walter Reed National Military Medical Center, Bethesda, Maryland., Subramaniam RM; UT Southwestern Medical Center, Dallas, Texas., Utukuri PS; Columbia University Medical Center, New York, New York., Bykowski J; Specialty Chair, University of California San Diego Health Center, San Diego, California. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2019 Nov; Vol. 16 (11S), pp. S364-S377. |
| DOI: | 10.1016/j.jacr.2019.05.030 |
| Abstrakt: | Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of headaches. However, patients presenting with headaches in the setting of "red flags" such as head trauma, cancer, immunocompromised state, pregnancy, patients 50 years or older, related to activity or position, or with a corresponding neurological deficit, may benefit from CT, MRI, or noninvasive vascular imaging to identify a treatable cause. This publication addresses the initial imaging strategies for headaches associated with the following features: severe and sudden onset, optic disc edema, "red flags," migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. (Copyright © 2019 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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