Primary headache and its contemporary management

: The majority of headache complaints are caused by primary headaches (migraine, tension headache, cluster headache and rare headache types). The diagnosis of headache syndromes is based on the anamnesis, therefore it is only made possible by a thorough knowledge of the clinical symptoms. Although the exclusion of any intracranial pathology is a diagnostic criterion, performing a neuroimaging examination is only necessitated by an atypical clinical picture which rarely occurs. A common characteristic of this headache group is that the etiology and pathomechanism are still not clear, nevertheless we have a plenty of therapeutical possibilities which can improve the patients' quality of life. Beside the pharmacotherapy one must stress the long-term follow-up of the patients.