Recognising and Responding to Life Threatening Emergencies

Acute Headache

Latest Course update : January 2019

Headache is a common presenting problem. Severe disabling headache is reported to occur annually in at least 40% of people worldwide. Although often due to benign causes, headache may signal serious or life threatening disease such as meningitis or subarachnoid haemorrhage.

Assessment and management of the patient with acute headache aims to differentiate benign from serious causes, identify referred causes of headache and provide symptom relief.

Rule Out Serious Causes First !

The first priority in assessing the patient with an acute headache is to search for factors indicating a serious underlying cause. These include a history of sudden onset of severe headache maximal at onset (consider subarachnoid haemorrhage SAH), fever and meningism (consider meningitis), loss of consciousness and / or acute neurological deficit (consider intracerebral bleed or SAH) and signs of raised intracranial pressure (consider intracranial space occupying lesion).

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