Functional headache

Introduction Functional headaches are also known as psychogenic headaches. It mainly includes neurasthenia, rickets, concussion sequelae, depression, and menopausal syndrome. Headaches often recurrent, mainly pain, irregular parts, ambiguous nature, no regularity, often have a cap-like contraction at the top of the head, or pull pain from the forehead to the neck, and there are many bugs on the top of the head. The feeling of going. In addition, often accompanied by dizziness, fatigue, multiple dreams, insomnia, memory loss, lack of concentration and other symptoms, long course, when the time is good.

Cause

Functional headaches often fail to find a clear cause, which is caused by disorders of brain function regulation and vasomotor dysfunction.

The cause of headaches is very complicated, but it is nothing more than functional headaches and organic headaches. Organic headache refers to headache caused by a variety of intracranial and extracranial lesions. For this type of headache, once the cause is clear, it should be treated mainly for the cause.

an examination

The main reasons for the diagnosis of functional headache are as follows:

(1) headache is long-term, recurrent, light and heavy, often accompanied by symptoms of brain dysfunction such as insomnia, forgetfulness.

(2) No evidence of organic changes was found in the skull, facial features, and nervous system examinations.

(3) Exclude headaches caused by intracranial organic diseases, such as intracranial tumors, infections, parasites, and cerebrovascular diseases. To this end, necessary examinations should be carried out, such as fundus examination, EEG examination, and if necessary, a special examination such as cerebrospinal fluid, cranial CT or cerebral angiography.

(4) According to the actual situation, carry out necessary inspections and adjust the diagnosis at any time.

In short, the diagnosis of headache should be cautious, you must first rule out organic headache, and then diagnosed as functional headache.

Differential diagnosis

Identification of functional headaches:

Organic headache refers to headache caused by a variety of intracranial and extracranial lesions. For this type of headache, once the cause is clear, it should be treated mainly for the cause. Functional headaches often fail to find a clear cause, which is caused by disturbances in brain function and vasomotor dysfunction. These types of headaches are often recurrent, light and heavy, but the prognosis is good. Comparing the two, whether it is the cause, treatment and prognosis of headache, there is a fundamental difference. From this point of view, it is very important to distinguish between organic headache and functional headache.

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