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Abstract：
BACKGROUND: When secondary headache is suspected and the patient is referred to the emergency department or to the outpatient neurology clinic, it is important to know which are the appropriate complementary examinations to perform and the suitable referral pathway for patients to follow. In order to establish recommendations on this matter, the Spanish Society of Neurology\'s Headache Study Group (GECSEN) has decided to issue a series of agreed recommendations constituting a referral protocol for patients with headache and/or craniofacial neuralgias.
METHODS: Young neurologists with an interest and experience in headache were invited to draft a series of practical guidelines in collaboration with GECSEN\'s Executive Committee. For practical reasons, the document was divided into 2 articles: the first focuses on primary headaches and craniofacial neuralgias and this second article on secondary headaches and other craniofacial pain. In order for the recommendations to be helpful for daily practice, they follow a practical approach, with tables summarising referral criteria, examinations to be performed, and referral to other specialists.
CONCLUSIONS: We hope to offer a guide and tools to improve decision-making regarding patients with headache, identifying complementary tests to prioritise and referral pathways to be followed, in order to avoid duplicated consultations and delayed diagnosis and treatment.
METHODS: Young neurologists with an interest and experience in headache were invited to draft a series of practical guidelines in collaboration with GECSEN\'s Executive Committee. For practical reasons, the document was divided into 2 articles: the first focuses on primary headaches and craniofacial neuralgias and this second article on secondary headaches and other craniofacial pain. In order for the recommendations to be helpful for daily practice, they follow a practical approach, with tables summarising referral criteria, examinations to be performed, and referral to other specialists.
CONCLUSIONS: We hope to offer a guide and tools to improve decision-making regarding patients with headache, identifying complementary tests to prioritise and referral pathways to be followed, in order to avoid duplicated consultations and delayed diagnosis and treatment.
摘要：
背景：当怀疑继发性头痛并将患者转诊至急诊科或门诊神经科诊所时，重要的是要知道哪些是合适的补充检查，以及患者遵循的合适转诊途径。为了就此事提出建议，西班牙神经病学会头痛研究小组(GECSEN)已决定发布一系列一致建议,构成头痛和/或颅面部神经痛患者的转诊方案.
方法：邀请对头痛有兴趣和经验的年轻神经科医师与GECSEN执行委员会合作起草一系列实用指南。出于实际原因,该文件分为两篇:第一篇侧重于原发性头痛和颅面神经痛，第二篇侧重于继发性头痛和其他颅面疼痛。为了使建议对日常练习有所帮助，他们遵循实用的方法，带有总结推荐标准的表格，要进行的考试，并推荐给其他专家。
结论：我们希望提供一个指南和工具来改善头痛患者的决策，确定互补测试的优先级和转诊途径要遵循，以避免重复咨询和延误诊断和治疗。
方法：邀请对头痛有兴趣和经验的年轻神经科医师与GECSEN执行委员会合作起草一系列实用指南。出于实际原因,该文件分为两篇:第一篇侧重于原发性头痛和颅面神经痛，第二篇侧重于继发性头痛和其他颅面疼痛。为了使建议对日常练习有所帮助，他们遵循实用的方法，带有总结推荐标准的表格，要进行的考试，并推荐给其他专家。
结论：我们希望提供一个指南和工具来改善头痛患者的决策，确定互补测试的优先级和转诊途径要遵循，以避免重复咨询和延误诊断和治疗。
