Intracranial headache

Introduction Intracranial headache refers to cerebrospinal fluid or lumbar puncture after trauma, so that the cerebrospinal fluid continues to exude too much from the puncture site to the outside of the meninges, resulting in a decrease in intraspinal pressure, and the posterior fossa pain sensitive tissue is pulled downward. The headache caused. Headaches are common after lumbar puncture. Cranial high-pressure headache refers to a total headache without intracranial space-occupying lesions, but with increased intracranial pressure and acute headache or exacerbation. Limited neurological signs, cerebrospinal fluid test indicators are normal, ventricular system is also normal, and can exclude intracranial tumors, inflammation, obstructive hydrocephalus and other diseases, the prognosis is relatively good.

Cause

In addition to the cerebrospinal fluid that occurs after the injury, the common cause is headache after lumbar puncture. Excessive fluid discharge during lumbar puncture examination, or postoperative cerebrospinal fluid continued to exude from the puncture site to the outside of the meninges, causing the pressure in the spinal canal to drop, and the posterior cranial fossa pain sensitive tissue was pulled down and caused headache. Excessive fluid discharge during lumbar puncture examination, or postoperative cerebrospinal fluid continued to exude from the puncture site to the outside of the meninges, causing the pressure in the spinal canal to drop, and the posterior cranial fossa pain sensitive tissue was pulled down and caused headache. Dull or pulsating pain in the occipital or forehead usually occurs within a few hours after surgery. The headache is aggravated when sitting or standing, and improves after lying down. It usually recovers naturally within 1-3 days, and a few cases can last longer. When the waist is worn, a fine needle should be used. It is helpful to prevent headache after lying for 6 hours.

an examination

Related inspection

Cerebrospinal fluid pathogen examination cerebral angiography brain CT examination brain MRI examination

Dull or pulsating pain in the occipital or forehead usually occurs within a few hours after surgery. The headache is aggravated when sitting or standing, and improves after lying down. It usually recovers naturally within 1-3 days, and a few cases can last longer. There may be dizziness and vomiting, and severe cases may have conscious disturbances. Excessive fluid discharge during lumbar puncture examination, or postoperative cerebrospinal fluid continued to exude from the puncture site to the outside of the meninges, causing the pressure in the spinal canal to drop, and the posterior cranial fossa pain sensitive tissue was pulled down and caused headache. Dull or pulsating pain in the occipital or forehead usually occurs within a few hours after surgery. The headache is aggravated when sitting or standing, and improves after lying down.

Differential diagnosis

The disease is differentiated from other types of headaches, and there is no history of lumbar puncture. The intracranial pressure can be identified.

Total headache: Total headaches include tension headaches, low intracranial headaches, infectious headaches, hypertensive headaches, and headaches caused by brain tumors.

Deep headache: Deep headache is more common in brain abscesses, encephalitis, brain tumors, and radiates to the ipsilateral side. Mainly due to intracranial blood circulation and cerebrospinal fluid circulation disorders and increased intracranial pressure, stimulated by cerebral blood vessels and meninges.

Forehead headache: The proliferation of pituitary adenomas in the forehead area that presses nearby tissues and causes forehead headaches.

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