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by Lawrence C. Newman, MD, and Morris Levin, MD, 172 pp, with illus, $24.95, ISBN 13: 978-0-19-537387-5, Oxford, England: Oxford University Press, 2009.

Ulrike Bingel, MD, Reviewer

Arch Neurol. 2009;66(10):1297.

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

The majority of patients who present with headaches are successfully managed. At times, however, even experienced clinicians find themselves confounded by complicated patient histories or presentations and wonder "what do I do in this setting?"

In this book, Newman and Levin have tried to predict and help with the management of such difficult cases and explain what they would do in particularly challenging clinical situations. They have described a series of difficult presentations as 33 representative "mini-consultation" scenarios about headache and facial pain.

For instance:

• How aggressively do you escalate the workup to rule out symptomatic causes of exertional headache in someone with a positive family history of cerebral aneurysm?
  
• Do I really need to hold back the therapeutic option of triptans from patients taking selective serotonin reuptake inhibitors? And how compelling is the evidence to avoid triptans in elderly individuals?
  
• What do I do for . . . [Full Text of this Article]

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