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Clinical Crossroads Update
August 28, 2002

A 47-Year-Old Woman With Tension-Type Headaches, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2002;288(8):1011. doi:10.1001/jama.288.8.1011

In a Clinical Crossroads article published in August 2001, K. M. A. Welch, MD, discussed a 47-year-old divorced librarian with a long history of headaches.1 Ms T had her first headache at age 4 and has had regular headaches since age 15. She tried numerous medications and was continuing to have headaches almost daily. Her medication regimen included fluoxetine, rizatriptan, diazepam, aspirin/butalbital/caffeine, hydrocodone, and prochlorperazine and she had begun botulinum toxin injections.

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