severe headache
Introduction
Introduction Severe headaches are seen in real headaches, headaches, and severe headaches. Even the brains are painful, and the hands and feet are cold to the elbow and knee joints. The causes of headache can be roughly divided into five diseases: eye, nose, ear, mouth, etc. When these areas have inflammation, tumor, trauma and other diseases, they can directly cause severe headache. The second is intracranial lesions, including inflammation of the brain parenchyma, cerebrovascular and meninges, tumors, hemorrhage, ischemia, infection, etc. The headache may be either initial or recurrent.
Cause
Cause
Systemic diseases such as hypertension, infectious diseases, infections, and tumors. Or neurological or functional diseases such as migraine, overuse of the brain, lack of sleep, etc.
Examine
an examination
Related inspection
Exo-Fiji reaction atropine inhibition GH test brain MRI examination cranial plain film cerebrospinal fluid substance P
Understand the cause, such as the possibility of poisoning caused by the history of exposure to toxic substances, history of trauma caused by intracranial hematoma, head and face infection caused by brain abscess. Comprehensive, detailed general examination and neurological examination, including fundus examination. For example, blood pressure to check for high blood pressure, eye pressure to check glaucoma, fundus edema of the papillary edema may have cerebral edema, head trauma, scars, meningeal irritation may be meningitis, subarachnoid hemorrhage, there are local Localized signs may have focal lesions in the brain. According to the condition, according to the diagnosis and differential diagnosis, different items should be selected for inspection.
. Flat film: check for skull trauma, increased intracranial pressure, etc.
EEG and brain topography: examination of space-occupying lesions.
Computerized tomography (CT) and magnetic resonance imaging: examination of brain edema caused by acute chemical poisoning, demyelination of subcortical white matter and softening of globus pallidus, occupying lesions.
Lumbar wear: check meningitis, intracranial hemorrhage, etc. Those with increased intracranial pressure are cautious.
Diagnosis
Differential diagnosis
The diagnosis should be differentiated from the following:
1. Acute headache is seen in fever, cerebral edema, intracranial hemorrhage, hypertensive encephalopathy, meningitis, encephalitis, craniocerebral trauma, acute glaucoma, poisoning (such as acute triethyltin poisoning), brain abscess, heat stroke, local inflammation of the head, etc. .
2. Chronic headache has intracranial space-occupying lesions, chronic subdural hematoma, tuberculous meningitis, poisoning (such as lead toxic encephalopathy), glaucoma, post-traumatic headache, neurosis and so on.
3. Forehead pain is more common in the lesions on the sky, increased intracranial pressure.
4. One side of the ankle pain is seen in migraine, glaucoma, etc.
5. Pillow pain is seen in posterior fossa lesions, increased intracranial pressure, cervical spondylosis and so on.
6. Top pain is common in neurosis; diffuse pain is often increased intracranial pressure, hypertension, cerebral arteriosclerosis, and neurosis.
7. Pulsating headaches are mostly vascular, such as hypertension.
8. Tight-fitting headaches are mostly neurotic.
9. Strong dull pain is mostly brain tumor and meningitis.
