Throbbing headache

Migraine is a recurrent throbbing headache, and it belongs to the "big family" of many headache types. Before the onset, there are often auras of flashes, blurred vision, numbness of the limbs, etc., and the pain of the head jumping on one side occurs about several minutes to about an hour, and gradually worsens, until the nausea and vomiting appear. Improved headache relief in quiet, dark environment or after sleep. It can be accompanied by neurological and mental dysfunction before or during the onset of headaches. At the same time, it is a progressively worsening disease, and the frequency of its onset is usually increasing. According to research, patients with migraine are more likely to suffer local brain damage than ordinary people, which can lead to stroke. The more migraines it has, the larger the area of ​​brain damage. A long history of recurrent headaches, everything is normal during the interstitial period, a normal physical examination and a family history of migraine are not difficult to diagnose. Ophthalmoplegia can be caused by an aneurysm, and arteriovenous malformations can be associated with migraine. A CT scan of the brain or a cerebral angiogram should be used for a clear diagnosis. Complex migraine is often caused by organic disease and should be examined by neuroimaging. Occipital lobe or temporal lobe tumors may also appear visual field defects or other visual symptoms in the early stage, but eventually the symptoms of increased intracranial pressure may occur as the disease progresses. Elderly patients with temporal occipital headache need to exclude temporal arteritis. The superficial temporal artery or occipital artery is thickened like a rope, and the pulsation is obviously weakened or disappeared. The characteristic multinucleated giant cell infiltration is found in the arterial biopsy.

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