Chronic daily headaches clinically simulating dyscirculatory encephalopathy
Dyscirculatory encephalopathy (DEP) is one of the most common diagnoses in the Russian neurological practice. Patients with chronic daily headache (CDH) are often followed up for the erroneous diagnosis of DEP and do not receive any effective treatment for CDH. The article presents results of the authors' follow up of 45 patients (6 men and 39 women) with CDH aged from 23 to 78 years (mean age 47,67 ± 12,05); factors contributing to inefficient treatment in the past are evaluated. Differential diagnosis of CDH and DEP is discussed. A clinical example demonstrates effective treatment of a patient suffering from CDH with cognitive-behavioral therapy and standard pharmacotherapy.