We call headache any headache, and we distinguish two types:
- Secondary: they are due to other causes, such as hangover, a blow to the head or an injury inside the skull
- Primary school; the disease is the pain itself, such as migraine or headache in clusters, among others.
Types of headaches
There are many types of headaches, and a correct diagnosis is essential.. The neurologist must make a history and assess whether the headache is primary or secondary, and if the patient has one or more types of associated pain. A good medical history and detailed examination is essential.
Symptoms of a headache
Each headache has its own symptoms. Migraine is one of the most frequent, and is characterized by presenting on one side and change from one crisis of pain to another, (although it may be bilateral or initiated unilaterally to later become generalized), pulsatile as a heart in most patients .
The episodes may be of moderate or severe intensity, and increase with physical activity or simple head movement. It can occur at any time of the day, but it occurs more often at dawn.
The onset of the picture is usually gradual, reaching its peak and then decreasing in intensity, generally disappearing between 4-72 hours. The pain of migraine is invariably accompanied by vegetative manifestations.
Some examples are tension-type headache (of the whole oppressive head), or headache in clusters (around the eye). The latter affects young adults being the debut at about 30 years; is usually accompanied by nervousness, closed eye, red and crises last for about 1-2 hours and usually coincide at the same time and wake the patient. It is essential to start the treatment soon, and there are those who can shorten the outbreak.
There are more than 100 causes of headache.
Diagnosis and treatment of a headache
The diagnosis is mainly clinical, with detailed evaluation by a neurologist. Each headache responds to a specific treatment and we must carry out an appropriate treatment to each patient, like a custom suit of him, to avoid, as much as possible, the adverse effects.