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. 2015 Aug;61(8):670–679.
Explore the following important elements of the headache history:
  • Headache onset (thunderclap, head or neck trauma), previous attacks (progression of symptoms), duration of attacks (< 3 hours, > 4 hours, continuous), days per month with headache

  • Pain location (unilateral, bilateral, associated neck pain, etc)

  • Headache-associated symptoms (nausea, vomiting, photophobia, conjunctival injection, rhinorrhea, etc)

  • Relationship of headache attacks to precipitating factors (stress, posture, cough, exertion, straining, neck movement, jaw pain, etc)

  • Headache severity and effect on work and family activities

  • Acute and preventive medications tried, response, and side effects

  • Presence of coexistent conditions that might influence treatment choice (insomnia, depression, anxiety, hypertension, asthma, and history of heart disease or stroke)

Based on expert opinion of the Guideline Development Group.