Headache is a symptom. In particular, sudden, intense pain can signal a serious, life-threatening illness.
Headaches are divided into:
- primary (pain is one of the manifestations of non-life-threatening, chronic, paroxysmal disease);
- secondary (arises as a symptom of another disease).
The most important task in examining a patient with a headache is to identify severe secondary headache that can be life-threatening.
It is always alarming :
- first headache in a patient over 40 years of age;
- sudden, intense headache;
- gradually developing atypical headache unresponsive to conventional treatment;
- headache in a patient with cancer or HIV infection ;
- the presence of any focal neurological finding or impaired consciousness .
The reason for a visit to the doctor is most often a sudden or severe headache .
Personal history[edit | edit source]
We detect the presence of diseases that are accompanied by headaches. For example
- circulatory system disorders;
- kidney disease ;
- general infections;
- ENT affections;
- eye diseases;
- teeth and jaw infections.
Differential diagnosis[edit | edit source]
In the differential diagnosis of headaches, the most important thing is careful taking of the anamnesis and neurological examination .
We are finding out:
- cancerthe nature of the pain (dull, pulsating, whipping);
- cancerlocalisation of pain (hemicrania, diffuse, behind the eye);
- cancerpain intensity and duration (seconds, hours, days, daily pain);
- cancerfrequency of pain (several times a day, monthly);
- cancerother accompanying symptoms (phonophobia, photophobia, odorophobia, lacrimation, nasal secretion, cerebral nerve palsy, hemiparesis , cerebellar symptoms , impaired consciousness) and inducing factors (physical activity, defecation, head tilt , stress , menstruation , medication, alcohol);
- cancerwe ask about the current treatment and its effect.
Primary headaches[edit | edit source]
Primary headaches have a normal neurological finding. These include:
- migraine ;
- tension headaches ;
- trigeminal autonomic cephalgia
- cluster headache ;
- chronic paroxysmal hemicrania ;
- continuum hemicrania ;
- SUNCT syndrome ;
- headaches during sexual and physical activity .
Complications: chronic daily headache .
Secondary headaches[edit | edit source]
Headaches are often associated with other neurological symptoms. As a secondary symptom, headaches are accompanied by the following serious diseases and conditions:
- subarachnoid hemorrhage ;
- meningitis and meningoencephalitis ;
- intracranial expansion ;
- strokes, especially hemorrhagic strokes ;
- carotid artery dissection ;
- cerebral venous thrombosis ;
- strokescranial neuralgia;
- trigeminal neuralgia ;
- sinusitis ;
- glaucoma attack ;
- hypertension ;
- intracranial hypertension
- temporal artery ;
- head injury ;
- strokesstp. regime error, including alcohol excess;
- sleep apnea syndrome (SAS);
- cervicocranial syndrome .
Odkazy[edit | edit source]
Související články[edit | edit source]
- Bolest hlavy (pediatrie)
- Bolesti hlavy – článek pro postgraduální studium
- Bolesti hlavy/PGS (VPL)
- Chronická každodenní bolest hlavy