Headache is one of the most frequent reasons for medical consultation. It is estimated that the prevalence of headache worldwide could be as high as 50% of adults. It therefore represents a major health problem. In recent years, many scientific advances have been made in the treatment and prevention of headaches. So how should we treat it? And, above all, what can we do to prevent it? These are two fundamental questions to ask ourselves when we are faced with a headache patient. However, despite the progress that has been made, there is still much to be done. Headache continues to be a pending subject, in this article we will review migraine.
WHY DO WE HAVE A HEADACHE?
A headache can be caused by an emotional problem, stress or a medical disorder, such as a migraine, hypertension, anxiety, depression, although it can also be caused by other types of problems. Headache is usually a benign symptom. Only occasionally is it a manifestation of a more serious pathology, such as neoplasms, meningitis or subarachnoid haemorrhage. Therefore, the first objective when dealing with a patient with headache is to rule out these pathologies.
WHAT SHOULD BE TAKEN INTO ACCOUNT WHEN MAKING THE DIAGNOSIS?
- Age, sex and occupation of the patient.
- Age of onset of symptoms.
- Frequency of episodes, intensity and duration.
- Location of pain, mode of onset.
- General and neurological symptoms associated with the pain.
- Toxic habits and consumption of certain drugs.
- Personal history and family history.
Once we have ruled out serious pathology, we will try to identify and classify it in order to be able to adapt the treatment to it.
CLASSIFICATION AND TYPES OF HEADACHE
- Primary headaches:
- Tension headache
- Cluster headache and other trigemino-autonomic headaches
- Other primary headaches
- Headaches secondary to:
- cervical or cranial trauma, cranial or cervical vascular disorder, non-vascular intracranial disorder, substance or substance suppression, infection and/or psychiatric disorder.
- Cranial neuralgia, central and primary facial pain and other headaches.
did you like it?
I would be very grateful if you could rate this article and share it on your social networks. In this way you encourage me to continue working so that I can continue writing and helping.
If you found it useful, share…
You can also follow us …