New daily persistent headache
| New daily persistent headache | |
|---|---|
| Synonyms | NDPH | 
| Pronounce | N/A | 
| Specialty | N/A | 
| Symptoms | Headache that starts suddenly and persists daily | 
| Complications | N/A | 
| Onset | Sudden | 
| Duration | Persistent | 
| Types | N/A | 
| Causes | Unknown, possibly related to viral infection or stress | 
| Risks | Stress, infection | 
| Diagnosis | Based on clinical history and exclusion of other causes | 
| Differential diagnosis | Chronic migraine, chronic tension-type headache, medication overuse headache | 
| Prevention | N/A | 
| Treatment | Pain management, preventive medication | 
| Medication | N/A | 
| Prognosis | Variable, can be chronic | 
| Frequency | Rare | 
| Deaths | N/A | 
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
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Contributors: Prab R. Tumpati, MD