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Beware the patient with a headache in the accident and emergency department.
  1. D I Fodden,
  2. R C Peatfield,
  3. P L Milsom
  1. Department of Accident and Emergency Medicine, St James's University Hospital, Leeds, England.


    We have reviewed the 130 patients presenting to an accident and emergency (A & E) department with a headache, followed up for 2 years. These are infrequent attenders but we have found that there is a high incidence of serious neurological pathology (16%) in this group of patients. We suggest that patients presenting to the A & E department with headache should be thoroughly examined and investigated and in the absence of a definite benign diagnosis should at least be admitted for a period of observation.

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