vascular headache
Introduction
Introduction to vascular headache Vascular headache is the most common type of headache in outpatients, because the cause of such headaches comes from blood vessels, so it is collectively called vasogenic headache. Angiogenic headaches are divided into two major categories: primary and secondary. Headache caused by vasomotor dysfunction of the head, called primary vascular headache, headache caused by clear cerebrovascular diseases (such as stroke, intracranial hematoma, cerebrovascular disease, etc.), called secondary Vascular headache. basic knowledge Sickness ratio: 0.05% Susceptible people: no specific population Mode of infection: non-infectious Complications: dizziness
Cause
Cause of vascular headache
Because of blood deficiency, blood is not enough, and you can't get a headache that comes out of your brain.
Prevention
Vascular headache prevention
First, it is advisable to do neck stretching
The full set of movements for neck movement is:
Turn your head to the right, just like looking back from the right, put your right index finger on your left cheek, your thumb on your chin, and gently push your head to the right. At the same time, use your left hand to reach over the top of the head, touch the middle finger to the top of the right ear, and then gently pull the head down the chest (if this action will hurt the ribs, or feel dizzy, stop pulling).
Second, it is advisable to use "smile therapy"
A headache is not necessarily a disease in your head. There are only blood vessels, meninges and a few nerves (trigeminal, pharyngeal and vagus nerves, 1-3 cervical nerves) in the skull, and most of the pain-sensitive parts of the head are outside the skull, the scalp. Tissues such as muscles and blood vessels. More than 90% of headache patients get a "tension headache." People encounter unpleasant things, "brows tight", the muscles of the forehead, head and neck are tightly stretched, in a state of contraction, and for a long time, a "tension headache" is formed.
Third, should reduce salt intake
Salt can cause hormones in the body to react, causing periodic migraine or causing vascular headaches (sudden contraction or over-expansion of blood vessels). Therefore, in a headache, such as eating a low-salt diet, you can increase the resistance of the blood camp to several causes of periodic migraine. On the other hand, if you eat a high-salt diet, it will aggravate the condition, and even the pain will be unbearable. Therefore, eating low-salt foods can alleviate headaches.
Fourth, should be distracted
Choose the patient's favorite music or drama, let the patient listen, and while listening, beat the beat with the rhythm by hand, nod. While listening, your eyes focus on one place or close your eyes. The hand can be placed on the volume switch of the tape recorder. When the pain is aggravated, the volume is turned on. When the pain is relieved, the volume is turned off, so that the attention is not placed on the pain. This will achieve the effect of pain relief.
Fifth, should do abdominal breathing
Let the patient close his eyes or look at a certain fixation, slowly inhale with the nose, exhale with the mouth, raise the abdomen when inhaling, and swell the abdomen when exhaling, breathing as slowly and deeply as possible. At the same time, gently rub the painful part with your hand. This type of abdominal breathing analgesia can keep the patient relaxed and often relieves persistent pain. Sometimes it helps the patient fall asleep.
Six, should wipe the cool oil
Rub the cool oil on your forehead or temple. Because the cool oil contains menthol, it blocks the signal of pain, and it causes local irritation, which causes new excitatory lesions in the brain, which masks the painful stimulus. It has also been explained that endorphins in the human body can fully exert its analgesic effect under the stimulation of menthol.
Seven, headache patients three bogey
1. Avoid getting nervous. Even a healthy person, when you are nervous, can cause headaches over time. The headache should be more open-minded, no matter what happens, it should be taken care of, so that the headache will gradually heal.
2, avoid poor sleep. Poor sleep often causes headaches. Therefore, patients with chronic headaches must first ensure adequate sleep. Measures such as washing feet before going to bed often help relieve headaches.
3, avoid excessive use of the brain when you have a cold. Once people have a cold, they have symptoms such as headaches and soreness. If you use your brain too much (such as writing materials, statistics, etc.), it will inevitably increase headaches. Therefore, in addition to actively treating colds, the brain should be rested.
Complication
Vascular headache complications Complications
Headaches are often accompanied by dizziness, palpitations, palpitation, etc. At the same time, patients with bloody headaches often have pale complexion and pale lips, which is often called "no blood color." Its tongue is pale and the pulse is weak.
Symptom
Vascular headache symptoms common symptoms headache fatigue hemianopia numbness numbness and vomiting tarnish pale
There are always certain incentives before the onset, such as menstrual cramps, emotional irritations, fatigue, etc., there may be aura before the attack, such as visual flash, dark spots, hemianopia, temporary aphasia, numbness or dyskinesia, etc., common symptoms are irritated, Nausea, vomiting, photophobia, paleness, etc.
Examine
Vascular headache examination
1, EEG check
It is generally believed that the abnormal incidence of EEG in patients with migraine is higher than that in the normal control group, whether in the attack or intermittent period. However, the EEG changes in migraine patients are not specific because it can have normal waveforms. . Common slow waves, spike discharges, focal spikes, waves, and various waveforms that respond abnormally to hyperventilation and flash stimulation. The abnormal rate of electroencephalogram in children with migraine is high, ranging from 9% to 70%. There may be spikes, paroxysmal slow waves, fast wave activity and diffuse slow waves.
2, cerebral blood flow chart check
The main changes in the cerebral blood flow map of the patient during the onset and intermittent periods are asymmetry on both sides, with one side being high or one side being low.
3, cerebral angiography
In principle, patients with migraine do not need cerebral angiography. Only in patients with severe headache episodes, patients with high degree of suspected subarachnoid hemorrhage undergo cerebral angiography, in addition to diseases such as intracranial aneurysms and arteriovenous malformations. Undoubtedly, the majority of cerebral angiograms in migraine patients are normal.
4, cerebrospinal fluid examination
Routine examination of cerebrospinal fluid in migraine patients is usually normal, and lymphocytes in cerebrospinal fluid can generally be increased.
5, platelet function check
Platelet aggregation can be elevated in migraine patients.
6, immunological examination
The formation of immunoglobulin IgG, IgA, C3 and E rosettes in migraine patients is generally considered to be higher than normal.
Diagnosis
Diagnosis of vascular headache
Differential diagnosis
1 acute ischemic cerebrovascular disease: transient ischemic attack; thromboembolic cerebrovascular disease.
2 intracranial hematoma: subdural hematoma; epidural hematoma.
3 subarachnoid hemorrhage.
4 unruptured vascular malformations: arteriovenous malformations; intracapsular aneurysms.
5 arteritis: giant cell arteritis; other systemic vasculitis; primary intracranial arteritis.
6 carotid or vertebral artery pain: carotid or vertebral artery block; (primary) carotid pain; headache after arterial incision.
7 venous thrombosis.
8 arterial hypertension: acute reaction to exogenous substances; pheochromocytoma; malignant hypertension; pre-eclampsia and eclampsia.
9 headaches associated with other vascular disorders.
