Patients present with headaches frequently, but they do not all need imaging. However, the question becomes who does need the imaging? The American College of Radiology updated their guidelines from the ones previously made in 2014 and we provide a rapid review in this post.
You can read the entire ACR Appropriateness Criteria® Headache guidelines here at the Journal of the American College of Radiology.
While headaches are common, most cases are benign and idiopathic. They will resolve spontaneously or with minor therapeutic measures. There are certain exceptions though which will be covered in this post such as those with headaches that are severe and sudden onset, optic disc edema, “red flags,” migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features.
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