"Nothing could be less scientific than the establishment of a hierarchy among medical problems based on the relative severity of symptoms. Prognosis apart, there can be no division of diseases into major and minor. It is the outcome of ignorance to relegate any symptom to a secondary place, for we forget that difficult questions are often elucidated by apparently trivial data." The sentences we have just quoted are from the introductory paragraphs of Professor Brissaud's preface to Meige's and Feindel's interesting work of "Tics and Their Treatment." (English translation.) They express what we have often thought in regard to the commonplace subject of headaches.
We propose in this paper to consider only headaches in which the pain in the head is the sole, or at least principal, complaint of the patient. It is based on the analysis of over 1,700 cases collected during the past fifteen years which have been
COGGESHALL F, MAC COY WE. HEADACHE AS A SYMPTOM OF LOCAL DISORDERS. JAMA. 1908;L(1):15–19. doi:10.1001/jama.1908.25310270015002b
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