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Headaches

30 June 2009 11 Comments

A headache (synonym: Cephalgie, Kephalgie, Kephalalgie, Zephalgie, Cephalaea) means pain sensations in the area of the head. They are based on the irritation of schmerzempfindlichen head organs (skull, meninges, blood vessels in the brain, cranial nerves, upper spinal nerves) and for some people already wearing a horse tail cause. The actual substance of the brain (a part of the CNS) is not schmerzempfindlich.

General

Headaches include back pain to the most common health impairments: Approximately 4-5% of the German population suffers daily and approximately 70% suffer from seizure or have chronic (recurring) headaches.

It accounts for about 90% of headache disorders on the two primary forms of migraine headache and tension headache, which may occur in combination. Among the primary headaches including cluster headache (or Horton’s syndrome) and the medikamentenassoziierte headache. Together, they have that when diagnostic imaging is not visible correlative can be found.

The primary headache is the pain disease itself. Its cause is still not precisely known and therefore can not always be eliminated. Prevention seeks out and well-known trigger factors for the development should be avoided. The treatment consists in a rapid and sustained pain relief.

Secondary, i.e. as a side effect of another disease occurring headaches are much rarer. You must be well observed and their causes need to be quickly eliminated. A secondary cause of headache can be a so-called craniomandibuläre dysfunction, when by misalignments of the teeth and jaw tension, which cause headaches and also lead to back pain can result.

The four most common drugs against headaches are aspirin, paracetamol, ibuprofen and Propyphenazon.

The present-day over 220 different types of medicine is known for headache. This leads to an aggravation of therapy.

Subdivision of the headache

There is a breakdown of the headaches on the one hand according to the cause, on the other hand, according to the type; the clinical division is not strictly separated.

1. According to the Cause

* Primary (migraine, cluster headache, tension headache)
* Secondary (headache after trauma in intracranial tumors, bleeding, etc.)

2. According to the nature

* Migraine (with sub-types)
* Tension headache
* Cluster headache (Bing-Horton syndrome)
* Medikamenteninduzierter Headache
* Headache after cervical spine trauma
* Glaucoma attack (which can also (localized) cause headaches!)
* Facial pain (trigeminal neuralgia, zoster Ophthalmicus, atypical facial pain, etc.)

When a doctor visit is necessary?

* If the pain does not subside or recur.
* If the pains are very strong or are increasingly, in some cases, life threatening diseases behind. One such example is an emergency the so-called subarachnoid haemorrhage, in which a deformed vessel burst.
* If other complaints are added, such as Visual disturbances, dizziness, and disturbance of short-term memory and others. You can also life-like illness a stroke, the cause.
* If headache after a blow or kick to the head.
* For neuralgias.
* When the first headache after taking a new drug may occur.
* If one side of the 40th First year of life gets headaches, which you did not know it yet.
* If the headache with mental health care changes go hand in hand. It may be a mass in the skull as by hydrocephalus, or a fast-growing brain tumor hide.

Rare forms of headache

* Benign cough headache: lasts less than 60 seconds, both sides usually present with an emphasis on the mind.
* Benign exertion headache: In connection with (strong) physical exertion occurring, two-sided throbbing headache, which is optional of vegetative symptoms is accompanied (nausea, vomiting), may take up to 24 hours.
* (Post) coital headache: A dull, pulsating, two-sided, mostly localized occipital headache during or after sexual intercourse, can be used for minutes to days. The most important differential diagnosis, which must necessarily be excluded (imaging and clinical examination), the subarachnoid.
* Dialysis Headache: Occurs during or after a dialysis treatment and is good with paracetamol to reeducate.
* Hemicrania Continua describes a permanent, half headache, which is well on aspirin and Indometazin respond.
* Cooling Headache / “Ice Cream Headache” is powered by a cold stimulus on the palate and is triggered mostly localized temporal headache from 20 to 30 seconds. Dealing Linguistically “brain freeze” mentioned.
* Extra dissection and intracranial vessels: headache, the one for the characteristic localization dissezierte vessels have internal carotid artery (A. carotis interna) and temporal side of the neck, vertebral artery (vertebral artery): the back, back of neck, brain stem artery ( A. basilaris) circumferentially around the entire skull sinking. Dissection, especially the vertebral artery, frequently occurs after chiropractic treatment on the neck (“Einrenken”) – and requires the immediate neurological examination.

Home remedy for headache

* The cool forehead.
* To lie down.
* Coffee with Lemon.
* Minzöl on the forehead and temples spotted, as well as increased an additional drop on the tongue.

And also:

* Get a flicker-free digital monitor instead of a tube monitor growth.
* Get a silent computer (PC or Silentium Silent PC) growth.
* Appliances are not active in the vicinity of the head next to the bed. Clock radio, mobile phone etc.

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