scalp tenderness
Introduction
Introduction Touching the scalp: refers to the various pains in the upper part of the skull. It is one of the common symptoms of many diseases, and most of them are not specific. In clinical practice, approximately two-thirds of migraine patients developed scalp pain and tenderness during or after a headache, forcing the patient to lie on the affected side. The tenderness can affect any part of the head, the head and the top, and the degree is generally not very serious. However, some headaches and their associated symptoms may be signs of worsening or severe illness. They should be highly vigilant for further examination, definite diagnosis, and timely treatment. It is best not to drag.
Cause
Cause
The mechanism of scalp pain in migraine patients is still unknown, and may be related to extracranial vasodilation, intracranial vascular factors, and changes in perivascular tissue. At the same time, muscle pain and tenderness may be prodromal symptoms of migraine attacks, suggesting that changes in early muscle blood flow can be explained. However, no significant changes were found in the measurement of diaphragmatic blood flow in patients with migraine attacks. Therefore, muscle contraction and tenderness may be neurological with secondary muscle pressure increase and muscle aseptic inflammatory exudation. The expansion of the arterial wall may also be the cause of tenderness. Because of the tenderness of the superficial temporal artery, it can be quite significant, and it is often necessary to distinguish it from temporal arteritis.
Migraine is the most important and common vascular headache, showing pulsating pain or pain consistent with the pulse. Headache, heat, exertion, coughing, etc. can all aggravate headaches. Examination can be seen that the radial artery bulges, the pulsation is enhanced, and the headache can be alleviated after compression. Often in the onset of puberty, some patients have a family history, mostly due to fatigue, emotional factors, menstruation and so on.
Examine
an examination
Related inspection
Blood test EEG examination
Migraine patients develop scalp pain and tenderness during or after a headache, forcing the patient to lie on the affected side. The tenderness can affect any part of the head, the head and the top, and the degree is generally not very serious. Routine physical examination: blood routine; urine routine; routine; biochemical full; electrocardiogram; chest radiograph.
Sudden acute severe headache is different from the original chronic recurrent headache; 2 sub-acute headache with progressive deterioration, the course of disease is aggravated within half a year, and the progress is worse; 3 headache occurs or aggravates the hernia, exertion, cough After the labor-intensive activities; 4 middle-aged people with a headache of more than 50 years old; 5 positive signs can be detected during headache or intermittent period.
Diagnosis
Differential diagnosis
Because of the tenderness of the superficial temporal artery, it can be quite significant, and it is often necessary to distinguish it from temporal arteritis. The radial artery is a chronic disease of large blood vessels, especially in the arteries with thick elastic layer, which is common in the elderly. Arteritis (TA), etiology and pathogenesis are unknown. The prevalence of people over 50 years old is about 1/ 1000. Women have a slight advantage.
Migraine patients develop scalp pain and tenderness during or after a headache, forcing the patient to lie on the affected side. The tenderness can affect any part of the head, the head and the top, and the degree is generally not very serious. Diagnosis can be based on the above clinical manifestations.
