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Risa B. Burns, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2002;288:1011.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In a Clinical Crossroads article published in August 2001, K. M. A. Welch, MD, discussed a 47-year-old divorced librarian with a long history of headaches.¹ Ms T had her first headache at age 4 and has had regular headaches since age 15. She tried numerous medications and was continuing to have headaches almost daily. Her medication regimen included fluoxetine, rizatriptan, diazepam, aspirin/butalbital/caffeine, hydrocodone, and prochlorperazine and she had begun botulinum toxin injections.

Dr Welch discussed the diagnostic criteria for chronic tension-type headaches and described how to distinguish them from migraine. Because the cause of tension-type headaches remains unclear, no medications have been found to prevent them. Mentioning that chronic tension-type headaches may be worsened by the use of aspirin/butalbital/caffeine and narcotic analgesics, Dr Welch advised that Ms T's headaches might diminish if she discontinued use of these medications. He suggested that Ms . . . [Full Text of this Article]

MS T, THE PATIENT



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