neuropathic headache
Introduction
Introduction to neuropathic headache Neuropathic headache mainly refers to tension headache, functional headache and vascular neuropathic headache. It is caused by mental stress and anger. The main symptoms are persistent head pain, pressure and heavy feeling. Some patients complain of their own heads. The department has a sense of "tightening". Most patients have bilateral headaches, mostly two sides, the posterior occipital and the top of the head or the entire head. The nature of headache is dull pain, pain, pressure, numbness and bandage. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: insomnia, neurasthenia
Cause
Neuropathic headache
Environmental factors (30%):
Symptoms Cause headaches can be caused by irritation, pulling or compression of any painful tissue in the skull. There are many reasons for headaches. Only by ascertaining the cause as soon as possible can the treatment be effective.
Disease factors (20%):
In high-pressure headaches, the elderly are often in a state of nervousness and anxiety due to problems such as work and family. As a result, their bodies and minds are paralyzed, their physical strength is declining, and high blood pressure is quietly coming without feeling. The patient is conscious of the unclear mind, the pain in the brain, and sometimes even fainting or numbness in the fingertips. These are high blood pressure.
Life factor (25%):
Neuropathic headaches are caused by tight contraction of the head muscles, tightness or compression of the head, a heavy feeling, often a jump, and an increase in smoking and drinking. This is mostly caused by irregular life, excessive alcohol and tobacco, and insufficient sleep. Menopausal headaches due to endocrine changes, people's physiological functions are affected, often have personality changes, patients are characterized by irritable irritability, fatigue, laziness, nervousness, libido, and less menstruation.
Occupational factors (15%):
Neurasthenic headaches are more common in mental workers. They often sleep and sleep, work day and night, lack of exercise, inadequate nutrition, and excessive fatigue. Patients often have head up, insomnia, memory loss, and a sense of premature aging. Intracranial Occupational Lesions Headaches caused by headaches or other intracranial lesions usually occur only recently, with intermittent headaches that last for several hours each day and may cause or disappear with changes in body position. At the beginning, headache can be limited to the location of the tumor, but it can become diffuse as the intracranial pressure increases.
Prevention
Neuropathic headache prevention
1, you must reasonably arrange the time of work and rest, do not work long hours, this will only aggravate the symptoms of headache. In addition, patients with headaches should maintain a good mood every day and mentally eliminate tension, anxiety and boredom. The diet is mainly light.
2, when the neuralgia headache attack, to self-observe the headache, it is best to use a small book to record the time, extent, nature of each headache, at the same time, pay attention to whether there is vomiting, nausea, vision after neurological headache Reduced, limb twitching, etc. If you have the above symptoms, it is best to go to the hospital for examination.
3, when there is a slight neurological headache, it is best to be able to symptomatic treatment. Some people like to eat allergies such as eggs, meat, seafood, etc., which cause symptoms of migraine, there are also. When the situation is more serious, patients should go to the hospital for an examination and use symptomatic treatment such as drugs.
4, in daily life, we must pay attention to work and rest, to avoid the emergence of unstable emotions, do not let yourself overwork, do not smoke, drink, diet should be moderate.
5. Pay attention to personal hygiene. Some diseases can cause headaches, such as dental diseases.
6, if it is caused by long-term depression caused by neurological headache, can not be ignored. When you have a headache with symptoms of dizziness, it is best to have a CT scan.
Complication
Neuropathic headache Complications, insomnia, neurasthenia
Can be complicated by insomnia, neurasthenia.
Symptom
Neurological headache symptoms Common symptoms Severe pain, dizziness, insomnia, headache, pale, flustered, sweating, headache, night headache
1, the main symptoms of neurological headache is persistent head pain, pressure, heavy feeling, and some patients complained that the head has a "tight" feeling. Most patients have bilateral headaches, mostly two sides, the posterior occipital and the top of the head or the entire head.
2, the nature of headache is dull pain, pain, pressure, numbness and belt-like tightness.
3, the intensity of headache is mild to moderate, rarely bedridden due to headache or affect daily life.
4, some patients may have persistent headaches for many years, and some patients may even go back to 10-20 years. The patient can have a headache all day, and the headache time is longer than the painless time.
5, because of excitement, anger, insomnia, anxiety or depression and other factors often make headaches worse. There are also some patients who not only have the characteristics of muscle tension headache, but also the clinical manifestations of vascular headache, complaining of bilateral pulsating headache.
The clinical manifestations of both tension headaches and vascular headaches are called mixed headaches.
6, the patient is often accompanied by dizziness, irritability, anxiety, anxiety, palpitation, shortness of breath, fear, tinnitus, insomnia, back pain, neck stiffness and other symptoms, some patients on the sides of the neck pillow or on both sides of the neck are obvious The tenderness.
Examine
Neurological headache check
Need to be diagnosed according to medical history and corresponding physical examination like cerebral blood flow map, EEG or brain CT or even endocrine examination.
Specific examination of the pain in the head has the following items:
1. The main symptoms are persistent head pain, pressure, and heavy feeling. Some patients complained that the head has a "tight" feeling. Most patients have bilateral headaches, mostly two sides, the posterior occipital and the top of the head or the entire head.
2. The nature of headache is dull pain, pain, pressure, numbness and bandage.
3. The intensity of headache is mild to moderate, rarely bedridden due to headache or affecting daily life.
4. Some patients may have persistent headaches for many years, and some patients may even go back to 10-20 years. The patient can have a headache all day, and the headache time is longer than the painless time.
5. Headaches are often exacerbated by factors such as agitation, anger, insomnia, anxiety or depression. There are also some patients who not only have the characteristics of muscle tension headache, but also the clinical manifestations of vascular headache, complaining of bilateral pulsating headache.
The clinical manifestations of both tension headaches and vascular headaches are called mixed headaches.
Diagnosis
Diagnosis of neurological headache
(1) Severe unilateral hernia and ankle pain, which lasts for 15 to 180 minutes without treatment.
(2) At least one of the following signs with headache must be on the same side as the headache: conjunctival congestion, runny nose, nasal congestion, sweating of the forehead and face, narrowing of the pupil, ptosis or edema of the eyelids.
(3) The frequency of seizures is from once every other day to eight times a day.
(4) At least 5 episodes that meet the above 1 to 3 items, and exclude other intracranial and other organic diseases that cause headaches.
(5) Do a histamine test can induce typical pain to diagnose. Those who persist for more than one year are called chronic cluster headaches; for example, two headache attacks last for more than one year, and those with a 14-day remission period in the middle are called episodic cluster headaches.
