New daily persistent headache

New Daily Persistent Headache (NDPH) is a type of chronic headache characterized by the sudden onset of headache pain that persists daily for more than three months. The condition is often resistant to treatment and can significantly impact the quality of life of those affected.

Symptoms

The primary symptom of NDPH is a constant, daily headache that begins suddenly and persists for more than three months. The headache is typically described as a dull, pressure-like sensation that is present on both sides of the head. Other symptoms may include nausea, photophobia (sensitivity to light), and phonophobia (sensitivity to sound).

Causes

The exact cause of NDPH is unknown. However, it is thought to be related to changes in the brain and central nervous system. Some researchers believe that NDPH may be triggered by an infection, surgery, or stressful event, although this has not been definitively proven.

Diagnosis

Diagnosis of NDPH is based on the patient's symptoms and medical history. There are no specific tests to confirm the diagnosis, but doctors may use imaging tests such as MRI or CT scan to rule out other causes of headache.

Treatment

Treatment for NDPH is often challenging and may involve a combination of medications, physical therapy, and cognitive behavioral therapy. Medications used to treat NDPH include antidepressants, antiepileptic drugs, and nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, nerve block injections or botulinum toxin injections may be used.

Prognosis

The prognosis for NDPH varies. Some people may experience a gradual improvement in their symptoms over time, while others may have persistent headaches for many years. NDPH can significantly impact a person's quality of life, and ongoing support and management are often necessary.

See also

• Chronic daily headache
• Migraine
• Tension-type headache

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