Deep headache

Introduction Most of the deep headaches are in the head, and the departments are internal medicine and neurology. The diseases associated with them are brain abscess, headache, meningitis, hydrocephalus, meningioma, cranial fossa meningioma, and ventricle. Meningioma. Deep headache is more common in brain abscesses, encephalitis, brain tumors, and radiates to the ipsilateral side. Symptoms associated with the disease include pulsatile headache, convulsions, epileptic headaches, dull pain, multiple dreams, nausea, fatigue, and recurrent headaches.

Cause

Deep headache: mainly caused by intracranial blood circulation and cerebrospinal fluid circulation disorders and increased intracranial pressure, stimulating cerebral blood vessels and meninges.

an examination

Related inspection

EEG examination of cranial CT examination of cerebrospinal fluid neurotensin urinary fistula

Headache caused by intracranial lesions: more severe pain, mostly deep pain, bursting pain, often accompanied by vomiting, signs of nervous system damage, convulsions, disturbance of consciousness, mental disorders and changes in vital signs.

Intracranial tumors, mostly deep headaches, are intermittent and gradually aggravated, can be aggravated when stool and cough, and fundus examination can find papilledema.

Brain abscesses often spread directly from infections in the middle ear, mastoids, paranasal sinuses, etc., with severe headaches, nausea and vomiting, and even conscious disturbances and symptoms of systemic infection.

Meningeal inflammatory headache, generally acute onset, with persistent deep headache, accompanied by fever and vomiting.

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

Shallow headache: often caused by diseases of various organs of the head. Most of the nasal or paranasal sinuses are dull or dull and often confined to the sinus; ear diseases such as otitis media and external auditory canal can cause ear pain; headaches caused by eye diseases are more common in the vicinity of the eyeball and after The pain in the occipital region; the ametropia headache is often a dull and painful feeling in the frontal forehead; glaucoma can cause severe headaches, limited to the vicinity of the eyeball at the initial onset, accompanied by nausea and vomiting, decreased vision, pupil dilation, intraocular pressure Increased, etc.; the pain caused by dental diseases is mostly limited to the teeth, which is continuous and pulsating new pain.

Superficial headache has a good prognosis, often self-healing after the cause disappears; deep headache has a poor prognosis, but after the primary disease is controlled, the headache can also disappear.

Recurrent headache: Headache epilepsy refers to the only manifestation of recurrent episodes of epilepsy, which accounts for 3.8% of epilepsy. It is more common in children and adolescents, and there is no significant difference in gender. From a sudden onset headache, some have aura before the attack, such as emotional anger, dizziness, nausea, gold flowers in front of the eyes. The frontal part of the headache area is more common, followed by the temporal area, the top area, and the eyelid area. The nature of pulsating pain is the most common, also manifested as pain, tingling.

Moderate or mild headache: intracranial tumors, also known as brain tumors, whose etiology is still unknown. Tumors occur from the brain, meninges, pituitary gland, cranial nerves, cerebrovascular and embryonic residual tissues, and are called primary intracranial tumors. A malignant tumor organized by other organs of the body is transferred to the intracranial, called a secondary intracranial tumor. Brain tumors are diseases that cause moderate or mild headaches.

Epileptic headache: epileptic headache, more severe pain, mostly deep pain, bursting pain, often accompanied by varying degrees of vomiting, signs of nervous system damage, convulsions, disturbance of consciousness, mental disorders and even changes in vital signs.

Intracranial headache: 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 decreased pressure in the spinal canal. Pull down and cause headaches. Headaches are common after lumbar puncture.

Functional headache: Functional headache is also called psychogenic headache. 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.

Migraine: Migraine is a kind of pulsating headache that is repeated and is a big family among many types of headaches. Before the onset, there are often signs of flashing, blurred vision, numbness of the limbs, and the pain of one side of the head jumps from about a few minutes to an hour or so, and gradually increases until there is nausea and vomiting. Better to relieve headaches in a quiet, dark environment or after sleep. It can be accompanied by neurological and mental dysfunction before or during a headache. At the same time, it is a disease that can gradually deteriorate, and the frequency of onset is usually higher and higher. According to research, patients with migraine are more likely to have local brain damage than normal people, which may lead to stroke. The more times you have a migraine, the larger your brain will be damaged.

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