Reference programme: Diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 2nd Edition, 2012

Headache and facial pain are among the most common, disabling and costly disorders in Europe. Correct diagnosis and treatment is important for achieving a high quality of care. As a national organisation whose role is to educate and advocate for the needs of patients with primary headaches, the Danish Headache Society has set up a task force to develop a set of guidelines for the diagnosis, organisation and treatment of the most common types of headaches and for trigeminal neuralgia in Denmark. The guideline was published in Danish in 2010 and has been a great success. The Danish Headache Society decided to translate and publish our guideline in English to stimulate the discussion on optimal organisation and treatment of headache disorders and to encourage other national headache authorities to produce their own guidelines. The recommendations regarding the most common primary headaches and trigeminal neuralgia are largely in accordance with the European guidelines produced by the European Federation of Neurological Societies. The guideline provides a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organised in Denmark. This description is followed by individual sections on the characteristics, diagnosis, differential diagnosis and treatment of each of the major headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular problems regarding headache in children and headache in relation to female hormones and pregnancy are described

Pseudomastoiditis in Lateral Sinus Thrombosis: A Rare Presentation with Review of Literature

Lateral sinus thrombosis due to mastoiditis, is now a relic of the past. Gone are the days when septic lateral sinus thrombosis was a common complication of unsafe suppurative otitis media. In the present era, the neurologists more commonly see cortical venous thrombosis with lateral sinus thrombosis. This entity has been termed as non-septic lateral sinus thrombosis in literature. The incidence is found to be more in females due to the use of oral contraceptives (Rosen and Scher in Laryngoscope 107(5):680–683, 1). In this manuscript, we report a series of three cases of non-septic lateral sinus thrombosis with mastoiditis, seen in a span of 1 month, which is uncommon. All the patients presented to the neurologist with intractable headache and lateral sinus thrombosis with mastoiditis, was detected by magnetic resonance imaging and magnetic resonance venogram. All the three patients were males and had involvement of the right mastoid in magnetic resonance imaging pictures. We have reviewed the literature and discussed about the etiopathogenesis, diagnostic criteria and management