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May 18, 1970

Malar Bone Pressure Test for Evaluation of Headache

Author Affiliations

Temple University Philadelphia

JAMA. 1970;212(7):1214. doi:10.1001/jama.1970.03170200078021

To the Editor.—  Headache is a common complaint and is often caused by definite cranial or systemic disease. Occasionally the patient is suspected of exaggerating this complaint or has conversion symptoms due to anxiety, and the physician desires an objective method of evaluating the head pain.Some years ago I described a test which I had found useful for such an evaluation. However, it was published in a specialty journal, and I believe escaped the attention of many physicians who are frequently confronted with this diagnostic problem.1 Time has proven the usefulness of this test and I believe that it merits another publication.I found this simple procedure helpful in differentiating true headache from that of the "functional type." It has been tried in many patients in whom the headaches have been caused by such conditions as brain tumor, cerebral hemorrhage, migraine, trauma, hypertension, atypical vascular neuralgia, and anxiety