Throbbing headache

Introduction Pulsating headache is a kind of pulsating headache that is repeated. It is a "big family" among many types of headaches. It often has flashes, blurred vision, numbness and other harbingers before the attack, and there are side heads in about several minutes to one hour. The pain of the hop and hop is gradually intensified until after nausea and vomiting, the feeling will be improved in a quiet, dark environment or headache after headache. 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 the disease is usually higher and higher. According to research, patients with migraine are more likely to have local brain damage than ordinary people, which may cause a stroke. The more times you have a migraine, the larger your brain will be damaged.

Cause

(1) Genetic factors: Since about 60% of patients can ask for family history, some patients have epilepsy in their families. Therefore, experts believe that the disease is related to heredity, but there is no consistent genetic form.

(2) Endocrine factors: Vascular migraine is more common in adolescent women, with frequent seizures during menstruation, seizures during pregnancy, recurrence after childbirth, and gradually reduce or disappear after menopause.

(3) Dietary factors: People who regularly eat cheese, chocolate, irritating food, or smoke or drink are prone to vascular migraine.

(4) Other factors: emotional stress, trauma, anxiety, anxiety, hunger, insomnia, poor external environment and climate change can also induce migraine.

an examination

Related inspection

Neurological examination of brain CT examination

There is a pulsating headache. There are signs of flashing, blurred vision, numbness of the limbs, and the occipital headache of the elderly should be excluded from the iliac arteritis. The superficial temporal artery or occipital artery is thickened like a rope, and the pulsation is obviously weakened or disappeared. Check the EEG, brain. Ct, EEG, look at blood sugar, intracranial pressure and other issues, look at the urine, with or without liver and kidney dysfunction, pay attention to check the blood.

Differential diagnosis

Pulsating headaches need to be differentiated from cluster headaches:

Cluster headache, more common in middle-aged men, no aura symptoms before the attack, sudden at night or sleep, the pain is intensely intensive, and quickly reaches the peak, starting from one side of the eye or a single side, and quickly The extension even spreads to the ipsilateral shoulder and neck, which is a pain or burning pain. The standing can be relieved, accompanied by pains such as flushing, tearing, and stuffy nose in the ipsilateral eye. It lasts for 10 minutes to 2 hours without obvious neurological positive signs. If necessary, a histamine test can assist in diagnosis.

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