early morning or morning headache
Introduction
Introduction Some headaches can occur at specific times. Such as intracranial lesions often worsen in the morning. Headaches of sinusitis often occur in the morning or morning. According to a recent survey by US scientists, one out of every 13 people was afflicted with morning headaches. The study found that early morning headaches are very related to people's depression. Although high blood pressure patients and those with muscle or skeletal function problems are prone to morning headaches, the highest incidence is those with depression or anxiety. Among the subjects surveyed, 7.6% of the respondents had chronic morning headaches, 1.3% of them had headaches every morning, 4.4% always headaches in the morning, and 1.9% of them Sometimes a headache in the morning." In addition, the number of women with long-term morning headaches (8.4%) was higher than that of men (6.7%). In the female population aged 45 to 65, one out of every 11 people suffers from morning headaches.
Cause
Cause
Sinusitis is the main cause of headaches in the morning or morning.
Examine
an examination
Related inspection
Brain CT examination
Laboratory inspection
1. Blood biochemistry, electrolytes and cytology
Learn about changes in blood cells and biochemistry and their relationship to headaches.
2. Cerebrospinal fluid examination
It is important for the diagnosis of diseases such as subarachnoid hemorrhage and intracranial inflammation.
Film degree exam
According to the specific situation, EEG, brain ultrasound, radionuclide brain scan, cerebral blood angiography and other examinations. The rapid development of imaging diagnostic technology provides an important basis for the diagnosis of brain diseases. For example, CT scan and MRI have strong resolution on brain tissue, so vascular lesions (such as vascular malformations, cerebral aneurysms) and The diagnosis of space-occupying lesions (brain and malignant tumors) is of great help. It can show the location of the lesion, the size, the structural changes of the affected part and the degree of cerebral edema around it, and the pressure on the ventricles. Magnetic resonance imaging is better than CT in the diagnosis of cerebrovascular disease. Transcranial Doppler ultrasonography (TCD) can penetrate the skull and directly obtain intracranial blood flow information, which is of great significance for the diagnosis of cerebrovascular diseases and blood circulation in the brain. CT, MRI and TCD are non-invasive methods and are easy for patients to accept. They are an important means for diagnosing brain lesions.
Diagnosis
Differential diagnosis
Differential diagnosis of headaches in the morning or morning:
1. A headache accompanied by severe vomiting suggests an increase in intracranial pressure. Headaches can be seen in migraine after vomiting.
2. Headache with vertigo is seen in cerebellar tumors and vertebrobasilar insufficiency.
3. Headache with fever is common in systemic infectious diseases or intracranial infections.
4. Chronic progressive headache with psychiatric symptoms should pay attention to intracranial tumors.
5. Sudden increase in chronic headache and conscious disturbance suggest that cerebral palsy may occur.
6. Headaches with visual impairment can be seen in glaucoma or brain tumors.
7. Headache with meningeal irritation suggests meningitis or subarachnoid hemorrhage.
8. Headache with epilepsy can be found in cerebral vascular malformations, intracerebral parasitic diseases or brain tumors.
9. A headache with a neurological disorder may be a neurological headache.
10. Cluster headaches are more common in middle-aged men. There are no aura symptoms before the attack. When they are suddenly at night or during sleep, the pain is intense and intense and peaks quickly. It starts from the side of one eye or the side of the eye and expands rapidly. Even spread to the shoulder and neck of the same side, it is a pain or burning pain, standing can be relieved, accompanied by flushing, tearing, stuffy nose, runny nose, etc., the pain lasts for 10 minutes to 2 hours, no obvious nervous system Positive signs, if necessary, a histamine test can assist in diagnosis.
