emotional headache
Introduction
Introduction Emotional headache is a common clinical manifestation, and the part is not fixed. It is generally characterized by tightness of the head, feeling of pressure, numbness, pain, tingling, etc., which are closely related to mood fluctuations, fatigue and insomnia. Usually the course of disease is longer, the condition is more fluctuating, often accompanied by symptoms of autonomic dysfunction such as palpitations, muscle twitching, sweating, flushing, numbness and weakness of the limbs. If the patient is generally in good condition and has a long course of disease, it may be understood from the most common aspects of depression, mental fatigue or rickets.
Cause
Cause
Emotional headache is caused by emotional illness, and its treatment is naturally inseparable from emotional disease treatment.
Many people may have such experiences. Whenever they encounter various kinds of unhappiness in their work and life, or they are angry, angry, excited, and anxious, they will always feel uncomfortable and their heads will be dull. This symptom is particularly prominent in patients with hypertension, cerebral arteriosclerosis, and neuropathy. At the same time, headaches often make people irritated and irritated.
In the human brain, there is a high-level center of the main emotional response activity, called the "marginal system", including the hippocampus, almond comb, compartment, cortical joint area and part of the thalamus. The limbic system is also the main autonomic nervous function integration center, and it is closely related to various regions of the cerebral cortex, thalamus and reticular structure. Experimental studies have shown that the limbic system contains a large number of neurotransmitters, which play a role in the process of pain and analgesia. The study also found that the hippocampus can accept various sensory stimuli of the body and cause corresponding situations to respond. When people are affected by bad emotions, this feeling is transmitted to the cerebral cortex and limbic system through the corresponding receptors and conduction pathways. The limbic system quickly signals the emotional re-energy to the high-level autonomic nervous center located in the hypothalamus. At the same time, the heavy body secretes the corresponding hormones, promotes the stimulation of sympathetic nerves and the release of related chemical substances. Most of the clinical common neurological headaches can be found to have psychological background, emotional instability, sleep disorders, etc., and the application of antidepressants is effective.
Examine
an examination
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When you have a headache, you often feel depressed and upset. Can be diagnosed as an emotional headache.
Blood pressure, body temperature, head and face and heart, lung, abdominal examination and cervical lymph nodes should be checked during the examination. The nervous system should be thoroughly examined, including posture, gait, mental and conscious state, cranial nerve examination, motor system examination, and reflex. Perform autonomic and sensory examinations as necessary.
The examination should focus on the key points, that is, after considering the most likely one or several diseases according to the consultation materials, first check them to confirm or deny certain diagnoses as soon as possible. For example, patients with headache and vomiting should consider intracranial lesions if their medical history does not meet migraine, glaucoma, epilepsy, gastrointestinal lesions, etc., and a series of nervous systems and related laboratory tests should be performed as soon as possible until clarification diagnosis until.
After clearing the cause of the headache, sometimes further examination is required due to:
1 There may be more than one cause of headache. For example, patients with migraine are prone to high blood pressure. In addition to neurasthenia after headache, brain headache can also be combined with other types of headaches with intracranial complications.
2 The cause of a headache can be followed by headaches of another cause. Such as sinusitis can induce supraorbital neuralgia, otitis media can be secondary to intracranial abscess. Be vigilant in the clinical.
Diagnosis
Differential diagnosis
Differential diagnosis of emotional headache:
Migraine
Migraine is a common chronic recurrent disease caused by episodes of intracranial and extracranial vascular movements and neurological dysfunction. The clinical features are sudden onset of severe head pain. The headache can be relieved automatically or after medication. Frequent recurrent attacks, intermittent No headaches and sequelae. The disease is quite common at home and abroad, and the prevalence rate accounts for about 10% of the population.
2. Tension headache
The headache of persistent contraction of the head and neck muscles is called tension headache. There are two general conditions, namely, the contraction of the head and neck muscles causes headaches and reflex muscle contractions caused by neck diseases, such as cervical osteoarthrosis, neck trauma or cervical disc disease. Tension headache is a common disease caused by depression or anxiety in the head, face, neck and shoulder muscles and/or vasoconstriction ischemia. A few are caused by bad posture or other diseases of the head and neck. The onset age is more than 30 years old, more women, non-pulsating, long-term and frequent pain. This disease sometimes coexists with migraine, called mixed headache, and is more common in migraine attacks. No other findings were found except for the occasional discovery of muscle spasms.
3. Cluster headache
Cluster headaches are also called mass headaches, histamine headaches. It is a neuro-vascular dysfunction disease characterized by headache, which is characterized by a weekly headache. The seizures appear to be in groups, characterized by repeated dense hair. More common in boys, the incidence can be related to histamine, prostate and so on.
4. Headache after brain trauma
Headaches caused by traumatic brain injury involve organic factors and psychological factors. Organic factors such as head and neck soft tissue injury, skull fracture, intracranial hematoma, increased or decreased intracranial pressure, recurrent contraction of the head and neck muscles, dysfunction of the head vasomotor dysfunction can cause headaches.
5. Other headaches
1 intracranial aneurysm
Most of the headaches caused by migraine after middle age, the pain is fixed on one side, no periodicity, some patients may have oculomotor nerve paralysis or other cranial nerve symptoms, may have a history of subarachnoid hemorrhage, cerebrovascular Contrast can confirm the diagnosis.
2 cerebral vascular malformations
Most of the headaches begin at a young age, and there may be a history of seizures or subarachnoid hemorrhage or cerebral hemorrhage. Cerebral angiography can confirm the diagnosis.
3 intracranial tumors
Early headache can be biased to one side, mostly persistent, with focal symptoms and increased intracranial pressure such as headache, vomiting, papilledema, and CT or MRI can confirm the diagnosis.
4 epilepsy
Sensory seizures, aphasia episodes, and motor-induced inhibitory seizures in focal seizures are much shorter than migraine auras and continue to develop headaches. For episodes such as migraine that are not typical, it must be considered in combination with medical history. In children with occipital lobe epilepsy, characterized by visual hallucinations, paroxysmal headaches, and disturbances of consciousness, the change in consciousness may be short and not obvious. In addition, EEG recordings of some migraine attacks can present focal slow activity, even sharp waves, spikes, especially hemiplegic and basilar artery type migraine. The difference is that there is no local abnormality or epileptic activity on the EEG when the migraine does not occur.
5 neurosis
Neurosis headaches rarely occur from puberty; the time course of onset varies. Neurosis headaches, often accompanied by other complaints such as insomnia, memory loss, inability to focus, etc., are often present rather than seizures.
6 chronic paroxysmal partial headache
This type of headache is similar to cluster headaches. The difference is: duration is shorter 2-15min; seizures are more frequent; common in women; indomethacin is effective.
7 The symptoms of headache, ear, nasal paranasal sinus, teeth, etc. caused by facial features can spread or reflect the radiation pain caused by the head and face. There are generally positive findings of local examination of the corresponding organs, such as local tenderness and purulent sinusitis in acute paranasal sinusitis.
8 psychogenic headache
When the external environment is not irritating, it can cause anxiety, anxiety and other emotional reactions, such as neurasthenia, rickets or depression, which are often caused by headaches.
When you have a headache, you often feel depressed and upset. Can be diagnosed as an emotional headache.
