Throbbing headache

Introduction Head pain is also called vascular nerve headache. The feeling of jumping pain is actually a pain caused by the pulse of the blood vessels! In all patients with migraine headache, two-thirds of them are headaches on one side. Another third of the patients have bilateral headaches, that is, pain on both sides, strong mental stress, fast pace of life, leading to vascular headache when autonomic dysfunction occurs. In addition, the condition of hypoxia in the plateau, intracranial vascular disease (arteriovenous malformation, aneurysm, etc.) can cause vascular headache.

Cause

A headache caused by a vascular factor in a vascular headache, often caused by a pulse caused by contraction of the heart. The causes of vascular headache include a variety of, first of all, mental stress, fast pace of life, leading to vascular headache when autonomic dysfunction. In addition, the condition of hypoxia in the plateau, intracranial vascular disease (arteriovenous malformation, aneurysm, etc.) can cause vascular headache.

an examination

Related inspection

Electroencephalogram examination of brain Doppler ultrasound (TCD)

During the headache of migraine, many patients are accompanied by nausea, vomiting, unclear vision, photophobia, and phobia. Nausea is the most common accompanying symptom, more than half, and often moderate to severe nausea. Nausea can occur before a headache, or during or after a headache. Nearly half of the patients developed vomiting, and some patients experienced an obvious relief from vomiting. Other autonomic dysfunctions can also occur, such as frequent urination, dysuria, nasal congestion, palpitation, high blood pressure, hypotension, and even arrhythmias. Episodes involving the brainstem or cerebellum may cause dizziness, ataxia, diplopia, hearing loss, tinnitus, and disturbance of consciousness.

Differential diagnosis

Differential diagnosis of head jump pain:

(1) neurological headache: headaches mainly caused by mental, emotional factors or various stresses, such as common neurosis headache, rickets headache, depression headache, tension headache (also called muscle contraction headache) Headaches caused by anxiety disorders, etc. These headaches are often accompanied by various neuropsychiatric symptoms such as palpitation, shortness of breath, anxiety, insomnia and forgetfulness. This kind of headache has a long course of illness, adulthood, and headache time is not painful, but the degree of headache is mild and moderate pain.

(2) Headache after traumatic brain injury: Headache is the main symptom, but there are dizziness, fatigue, insomnia, nervousness, excitement, inability to concentrate, and memory loss. Most of the headaches are on the injured side and can be accompanied by tenderness. The nature of the headache can be pulsating, or it can be a feeling of stress, mostly persistent pain, and is often reinforced by mental factors, physical labor, sound, loudness and light. The patient behaves much like an excited depression patient. The severity and duration of headaches are not parallel to the extent of head injury. The neurological examination was normal, and no abnormal findings were found on EEG, CT, and MRI scans. It may be related to fright, fear, and ideological concerns.

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