PRIMARY DISORDER HEADACHES
- Tension headaches
migraines
- cluster headaches
- Headaches induced by cold
- The headaches associated with sexual activity
- Headaches by coughs and sneezes
- Headaches effort
SECONDARY DISORDER HEADACHES
- Brain tumor or abscess
- Cerebral hemorrhage
- Brain Inflammation
- Intracranial Pressure
- Aneurysm
- Arteriovenous malformation
- Head trauma and bruising
- Meningitis or encephalitis
- Cerebrovascular disease
- Neuralgia
- Sinusitis
It is important to differentiate the type of headache that question, either primary or secondary. This is done with a complete neurological examination and complete history of the patient. The answers to the following questions will guide the diagnosis.
- How long you have suffered from headaches?
- Is there anything that causes your headaches?
- Do you experience an aura, flashing lights, numbness or other symptoms?
- Do you have a history of headaches in your family?
- The current and previous treatment
- Location, severity and description of pain
FEATURES OF COMFORT FOR DIAGNOSIS OF MIGRAINE
- Family history of migraine
Changes in locations headache
- menstrual Association
- auras or prodrome
- reliable pattern head pain
- Good general health
- Resolution sleep
- Meets the criteria of IHS
Secondary headaches often include signaling elements in the patient’s history and test results that will alert the doctor for further evaluation. The following lists describe these features.
WARNINGS
suggesting further evaluation
· Change in the pattern of headache· The onset of headache after serving fifty· A stroke event· Consider the worst headache experienced· A sub acute progressively worsening headache· The headaches caused by sneezing, coughing, sex or some effort
REVIEW NEUROLOGICO
- Numbness, loss of coordination or paralysis
- Drowsiness or weakness
- Memory loss and confusion
- Loss of sensitivity
- Neurological changes
- Meningeal irritation
PHYSICAL EXAM
- Weight loss
- Torricelli’s
- Chronic cough or runny nose
- Fever·
Most headaches can be diagnosed without the use of neuroimaging often used to rule out disorders pain secondary headaches. For patients with acute headaches, where possible head trauma or hemorrhage, a CT scan may be necessary. Following are guidelines for using MRI and CT for diagnosing headaches occur.
- An abnormal neurological exam
- The onset after the age of fifty
- The worst headache experienced
- The increased frequency and / or severity of headache.
- Change in the pattern of head
- Home abrupt after sneezing, coughing, sex or effort·
In most cases, episodic headaches will go away within 48 hours. If you have a headache that lasts more than two or three days or that increases in intensity, you should go for Full Body Checkup once without wasting any time to know about disease and consult your doctor.
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