headache after trauma
Introduction
Introduction to post-traumatic headache Post-traumatic headache refers to the headache that occurs after various types of head trauma. It can be an independent symptom or it can coexist with other symptoms, such as short-term memory loss. The clinical manifestations of post-traumatic headache can be similar to any type of headache, but the most common form of migraine, tension-type headache or both, both aura and no aura headache can be seen. basic knowledge The proportion of illness: 30% (the above is the proportion of people with trauma to the brain) Susceptible people: no special people Mode of infection: non-infectious Complications: neurosis headache, dizziness, insomnia
Cause
Cause of headache after trauma
Cause:
Due to trauma, such as concussion, brain contusion, subdural hematoma, intracranial hematoma, sequelae of brain trauma, damage to the brain and other manifestations, leading to headache, the mechanism is: the pain receptors in the intracranial and external pain sensitive structures are stimulated Caused by the transmission of pain signaling pathways to the cerebral cortex. Intracranial pain-sensitive structures include sinus (such as the sagittal sinus), anterior and middle cerebral arteries, cranial base dura mater, trigeminal nerve (V), glossopharyngeal nerve (IX) and vagus nerve (X), proximal part of internal carotid artery And adjacent to the Willis ring branch, the brain stem and the midbrain aqueduct around the gray matter and the thalamus sensory relay nucleus.
Prevention
Post-traumatic headache prevention
1. Briefly introduce the patient's condition, do psychological care, stabilize the patient's mood, and send it to the nearest hospital when the headache is severe.
2. Patients should generally be in hospital for observation, pay close attention to the patient's consciousness, pupil, blood pressure, respiration, pulse and body temperature changes, if necessary, can do intracranial pressure monitoring, according to the pressure information obtained during the monitoring to guide treatment.
3. Rest in bed, keep the environment clean and quiet, reduce unnecessary visits, so as not to cause bad stimulation, pay attention to protection, so as to avoid falling or accidental injury due to headache.
4. Observe the nature and extent of headache, severe headache, frequent vomiting is often the performance of acute intracranial hypertension, should be alert to the occurrence of cerebral palsy, if necessary, the application of sedatives.
Complication
Post-traumatic headache complications Complications, neurosis, headache, dizziness, insomnia
Patients may have obvious neurotic quality tendencies, manifested as headache, dizziness and emotional instability, as well as dizziness, fatigue, inattention, irritability, excessive stimulation of sound and light, and more insomnia.
Symptom
Headache symptoms after trauma Common symptoms Headache Insomnia Dizziness Emotional headache Tension Headache Susceptible occipital pain Eyelid drooping Tinnitus Attention deficit
The clinical manifestations of post-traumatic headache can be similar to any type of headache, but the most common form of migraine, tension-type headache or both, both aura and no aura headache can be seen, most patients have headaches Limited to the entire head, neck, can affect the face, the vast majority of headaches are persistent, but the pain intensity can change at any time, because the head shakes, leans over, lifts weight, falls, and is stimulated by sound and light, headache Aggravated trends. In addition, sometimes concentration can aggravate headaches. Sometimes the head is injured and the neck is also damaged, causing pain in the neck and occiput. The neck area can be enlarged or aggravated with the neck activity.
There are several types of common post-traumatic headaches:
1. Scar formation after scalp laceration or brain contusion, stimulates the intracranial and external pain-sensitive structure and causes headache, the pain is more limited, often accompanied by local skin hyperalgesia.
2. Post-traumatic autonomic dysfunction headache, which may involve the cervical sympathetic chain due to trauma, leading to the loss of sympathetic nerve and causing headache. The patient describes a paroxysmal headache in the frontal frontal region, accompanied by ipsilateral pupillary changes (first enlarged and then reduced). Eyelids drooping and sweating on the face, taking Xindean 20mg, 3 times a day is effective for headache.
3. After trauma, headaches occur due to the continuous contraction of the cervical muscles. Similar to tension headaches, mental factors are often involved.
4. Post-traumatic neurological instability headache is common in concussion sequelae, in addition to headache, there are dizziness, tinnitus, insomnia, inattention, memory loss, lack of energy or emotional excitability.
Examine
Examination of headache after trauma
Skull imaging, pathological examination can be found without positive, and some patients can see extensive non-specific changes in electrophysiological examination.
Diagnosis
Diagnostic diagnosis of headache after trauma
The disease has a history of trauma, should be noted with the headache caused by other causes. Headache is a common clinical symptom that is usually limited to the upper part of the skull, including the eyebrow arch, the upper edge of the ear wheel, and the pain above the occipital bulge connection.
