Headache is the most common pain that people experience during their lifetime.
It is interesting to know that, the brain tissue itself has no nerves or receptors for pain, and what we perceive as headaches is actually damage or stimulation to pain-sensitive tissues such as the meninges (which surround the brain) and the inner wall of cerebrovascular.
what you will read next :
Causes of headache
- Primary headaches:
Migraine
Tension headache
Cluster headache
- Different neuralgia:
Trigeminal neuralgia
Occipital neuralgia
Glossopharyngeal neuralgia
- Postherpetic neuralgia
- Secondary headache
These are headaches that have an underlying cause .
Headache following temporal arthritis (inflammation of the temporal artery)
- Headache due to increased intracranial pressure:
Increased intracranial pressure can be without obvious reason which is called Pseudotumor cerebri
- Increased intracranial pressure can be due to a space-occupying lesion:
Tumor
- Intracranial hemorrhage:
Bleeding inside the brain parenchyma
Bleeding subarachnoid
Epidural bleeding
Subdural hemorrhage
- Drug headaches:
Overuse of painkiller drugs
Overuse of sedation drugs
Overuse of Compounds containing caffeine
Nitroglycerin
Nitrocontin (isosorbides)
Dipyridamole
Bupropion
And ….
The above category is the most valid classification of types of headaches; secondary headaches require more vital and faster diagnostic and therapeutic interventions than primary headaches.
The type of headache with a careful history, physical and neurological examination is done by skilled doctors.
Secondary headaches sometimes require urgent imaging procedures and therapeutic interventions such as surgery and shunting
In the history of headaches you will encounter the following questions :
How long has it been since your headache started?
Based on your answer to this question, your doctor will place your head in one of the following groups:
- Acute headache:
It is a headache that has just started
Or less than four weeks after its onset.
- Chronic headache:
It is a headache that has been present for a month or more.
How did the headache start?
Sudden onset and onset of headache attacks or onset of headaches within a few seconds can indicate the following: Urgent and urgent action is required.
Cerebral hemorrhage
Rupture of cerebrovascular aneurysm
Slow onset of headache and its gradual progression
How long does each period of your headache last?
Headache attack duration
The duration of each migraine attack is four hours to seventy-two hours .
Neuralgia duration will be in about some seconds or minutes .
How do you feel cold?
- Stabbing
- Explosive
- Beating
- Burning
- Pressure
What are the frequencies of recurrence of your headache attack?
( For example, how many times in twenty-four hours or during a week or a month do you have a headache attack? )
What are the symptoms associated with your headache?
- Nausea
- Vomit
- Photophobia
- Phonophobia
- Red eyes
- Shed tears
- Runny nose
- Blurred vision
What causes a headache attack?
- Being Hungry
- Fatigue
- Stress
- Menstruation
- Some foods
- Some smells
- Insomnia
- Bad sleep
- Cold weather
What causes your headache to get worse?
- Physical activity and physical activity
- Pushing and coughing
- Change in patient status
- Headtrauma of the fall
- History of current and former disease
- Family history of diseases and headaches
- Medications that the patient has been taking and is taking
- Nitrocantin) isosorbide(
- Compounds containing Nitroglycerin-
- Dipyridamole
- Bupropion
- They can cause headaches.
What headaches should we take seriously
Headaches that start suddenly and explosively.
Headaches which are reported by patients are the worst of the headaches of that they have been experience in their life.
Any decrease in level of consciousness and confusion
Headaches that are fever and stiffness of the neck.
Headaches with high blood pressure.
Headache that just starts in a person over fifty years old.
Headache with visual impairment and bilateral or bilateral vision loss.
Pain on both sides of the temporal lobe, especially in the elderly.
History of head trauma.
It can be said that most headaches are benign, but if you have any of the above conditions, it is necessary to see a well-equipped medical center immediately.