Chronic daily headache

David W. Dodick

Research output: Contribution to journalArticlepeer-review

156 Scopus citations


A 36-year-old woman with a long history of catamenial migraines had had a headache almost every day during the previous year. The background headache was mild but became severe and incapacitating at least twice a week, interfering with work and sleep. She took six to eight tablets containing a combination of aspirin, acetaminophen, and caffeine per day, with minimal relief. She had no fever, weight loss, diplopia, or tinnitus. Her headaches were not exacerbated by a Valsalva maneuver or positional change. Her physical examination was normal. How should she be evaluated and treated?

Original languageEnglish (US)
Pages (from-to)158-165
Number of pages8
JournalNew England Journal of Medicine
Issue number2
StatePublished - Jan 12 2006

ASJC Scopus subject areas

  • General Medicine


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