The Practicing Physician's Approach to Headache

George W. Paulson, MD
JAMA. 1983;250(4):532. doi:10.1001/jama.1983.03340040072037.
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It is unusual that on the same day The Practicing Physician's Approach to Headache arrived to be reviewed, a duplicate also arrived from an enthusiastic patient. The patient was right: this book should be known to his physician, but it may also help any intelligent patient.

Authors Diamond and Dalessio perceptively review the major types of headache, including several unusual varieties of vascular headache, effort headache, and cluster headache, and offer extensive discussion on drug abuse, biofeedback, and operant conditioning. Large, clear tables are featured, and each chapter is vigorously presented and broken into major subheadings.

There are a few surprising shifts in style, such as a question-and-answer format in one area, scientific tables in the next, and then a disarming folksiness. Some of the writing is repetitive and unkempt. One paragraph states: "Tomography may be necessary if one wishes to demonstrate a localized bony erosion of the wall of


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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