Approach to diagnosis
A good history is fundamental to success. One possible framework would be:
- site:
- primary location
- radiation to
- character:
- continuous
- episodic
- throbbing
- stabbing
- aggravating factors:
- mastication
- changes in head posture
- trigger zones
- relieving factors:
- changes in head posture
- avoidance of light
- analgesia
- associated sympotms:
- nausea and vomiting
- visual disturbances
- sensory alterations
A thorough ENT examination and special investigations should follow.
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