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June 27, 1977

Pathogenesis and Treatment of Headache

JAMA. 1977;237(26):2855. doi:10.1001/jama.1977.03270530063030

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This volume represents the record of a postgraduate course that brought together a number of individuals with considerable expertise in the difficult area of diagnosis and management. Unfortunately, while the course itself must have been stimulating, perhaps even exciting, the transcript is less than successful. It cannot possibly give the reader the important discussions that must have taken place regarding controversial theoretical and practical points.

Since the approach to the patient with headache is highly individualized, it is to be expected that the several authors will express their own beliefs and idiosyncratic methods of diagnosis, treatment, and diagnostic classifications. However, this should not have been carried to the extreme that too many sections are repetitious, even boringly so. This leaves the inexperienced practitioner somewhat in a quandary and unable to choose from the many suggestions offered by the different authors. Many of these statements are speculative; many myths are perpetuated: