New Daily Persistent Headache: A Syndrome Not a Discrete Disorder

@article{Goadsby2011NewDP,
  title={New Daily Persistent Headache: A Syndrome Not a Discrete Disorder},
  author={Peter J. Goadsby},
  journal={Headache: The Journal of Head and Face Pain},
  year={2011},
  volume={51}
}
  • P. Goadsby
  • Published 1 April 2011
  • Medicine
  • Headache: The Journal of Head and Face Pain
The term New Daily Persistent Headache (NDPH) has been used for nearly 25 years and yet the entity remains enigmatic. It can be argued the simplest, indeed most appropriate, approach is to use the term to mean simply what it says‐ i.e. as an umbrella description, rather like chronic daily headache. NDPH should be used as a diagnostic umbrella inviting better characterization, not be an achievement in itself. This would mean the term required no further elaboration‐ there would be no mimics… 
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References

SHOWING 1-10 OF 23 REFERENCES
New daily persistent headache.
  • T. Rozen
  • Medicine
    Handbook of clinical neurology
  • 2010
TLDR
Clinically, NDPH is characterized by continuous head pain of mild to severe intensity, and appears to affect women in their teens and 20s, while males develop NDPH later in life in their 50s or 60s.
The Clinical Characteristics of New Daily Persistent Headache
  • D. Li, T. Rozen
  • Medicine
    Cephalalgia : an international journal of headache
  • 2002
TLDR
New daily persistent headache appears to be a female-predominant disorder, marked by a continuous daily headache with associated migrainous symptoms, and over 80% of patients could state the exact date their headache began.
Chronic daily headache: nosology and pathophysiology
TLDR
It is taken that chronic daily headache is what it says ‐ frequent headache, and hematologists make a diagnosis of anemia, which invites further investigation and sub‐classification, neurologists might diagnose chronic daily headaches not to imply that all its causes are the same but simply to begin the clinical process.
New Daily Persistent Headache in the Paediatric Population
TLDR
NDPH was more common than chronic tension-type headache in both adolescents overusing and not overusing medication and from the 56 adolescents with NDPH, most did not overuse medications.
Clinical and prognostic subforms of new daily-persistent headache
TLDR
The proposed criteria for revised new daily-persistent headache definition not excluding migraine features (NDPH-R) classify these patients into a relatively homogeneous group based on demographics, clinical features, and prognosis.
Clinical Features, Effectiveness Of Drug-Based Treatment, and Prognosis of New Daily Persistent Headache (NDPH): 30 Cases in Japan
TLDR
The results suggest that NDPH is highly recalcitrant to the treatments with poor prognosis and better treatments are needed.
Post-infectious new daily persistent headache may respond to intravenous methylprednisolone
TLDR
It is concluded that NDPH-like headache may occur as a post infectious process following a recent infection.
New daily persistent headache: clinical and serological characteristics in a retrospective study
TLDR
The data suggest that viruses other than EBV can play a role in NDPH, and a recent herpes simplex virus infection in 42% and cytomegalovirus infection in 11% of cases is shown.
Sinus headache or migraine?: Considerations in making a differential diagnosis
TLDR
Clinical, epidemiologic, and pathophysiologic relationships between sinus headache and migraine are considered and it is shown that the occurrence of nasal symptoms associated with a headache should neither trigger a diagnosis of sinus disease nor exclude adiagnosis of migraine.
Headache and painful lymphadenopathy in extracranial or systemic infection: etiology of new daily persistent headaches.
TLDR
From 108 cases of new daily persistent headaches, clinical or laboratory evidence was found suggesting extracranial or systemic infections in 28 cases of gastrointestinal mainly Salmonella and urinary Coli, and four cases of Epstein Barr virus or Toxoplasma.
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