Are investigations anxiolytic or anxiogenic? A randomised controlled trial of neuroimaging to provide reassurance in chronic daily headache
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  • Published on:
    Are headache therapists anxiolytic or anxiogenic?

    Dear Editor,

    The most critical influence on the psychiatric morbidity of patients with chronic daily headache (CDH) is the underlying pathophysiological and therapeutic belief of the therapist / general practitioner. While a diagnosis of migraine appears less sinister to lay persons, CDH might seem more formidable. CDH certainly appears more formidable than its more benign but unfashionable older hyphenated version,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Brain imaging in patients with chronic daily headache

    Dear Editor,

    I read with interest the recent article regarding the role of neuroimaging in patients with chronic daily headache (CDH). Though Howard et al. conclude that patients with CDH could be managed without a brain imaging;[1] I would be hesitant to avoid a brain scan in several such patients.

    Firstly, there are no randomized controlled trials on the usefulness or otherwise of neuroimaging in patien...

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    Conflict of Interest:
    None declared.