J. D. Kabler, M.D., F.A.C.P.
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The majority of chronically recurrent severe headaches have their origin outside, rather than inside, the skull.
The branches of the external carotid arteries are implicated in vascular headaches of the migraine type; the erector colli muscles and the muscles of mastication are major sources of muscle contraction headaches. Referred pain in the head can arise from the temporomandibular joints and from articulations in the neck.
Despite the accessibility of these extracranial structures to examination, these common pain sources often escape identification. Appropriate diagnostic methods quickly yield pertinent information and do not require special skills or elaborate equipment.
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J. D. Kabler. Problem Headaches: Physical Identification of Extracranial Pain Sources.. Ann Intern Med. 1964;60:334. doi: 10.7326/0003-4819-60-2-334_2
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Published: Ann Intern Med. 1964;60(2_Part_1):334.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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