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Menstral Headache
Migraine type headache that usually occurs shortly before, during or after
menstruation. Can occur at mid cycle due to changes in levels of estrogen due to
ovulation.
Allergy Headache
Nasal congestion and watery eyes are symptoms of this headache. This headache is
differentiated from cluster headaches in that its symptoms are related to seasonal
allergies, i.e., pollens, molds. Relief by taking antihistamines and injections. Careful
history is a must to eliminate the offending cause. Allergies to foods are usually not a
factor.
Food and Vitamin Induced Headache
Headaches due to consumption of the following foods: chocolate, aged cheese, vinegars,
relishes, dressings, sauces, alcohol products, sour cream, yogurt, liver, yeast, fatty
foods, hot dogs, sandwich meats, MSG, caffeine, sea food, and or vitamins B6, A, Niacin,
minerals selenium and iodine.
Hangover Headache
Typical is migraine like symptoms of throbbing pain and nausea. Reaction
to alcohol induced dilation and irritation of the blood vessels of the brain and
surrounding tissue.
Hunger Headache
Pain that strikes just before meal times, caused by muscle tension, low blood sugar and
reactive dilation of blood vessels. Relieved by regular nourishing meals containing
protein and complex carbohydrates.
Hypertension Headache
Headache is generalized or "hat band" type pain. The headaches
is most severe in the morning and diminishes as the day goes on. Blood pressure is usually
over 200 systolic and 110 diastolic.
"Classic" Migraine Headache
Similar to common migraine. Many authorities like to classify this headache into three
phases. Phase 1 or prodromal which involves mood behavior changes, wakefulness, appetite
and bowel activity changes as well in fluid balance several hours to days earlier. Phase 2
or warning symptoms (pre-headache phenomena or "aura") visual disturbance. The
most common focal neurological disturbances in migraine involve the visual system, poorly
formed scintillating phenomena, visual hallucinations, and other objects. Fortification
spectra represent glittering zigzag patterns. This has even been noted in people with no
eyes. Unilateral vision impairment may have an "Alice in Wonderland" phenomena
of bizarre alterations of shape, color, size, and body images. One fourth of the patients
report flashes of color or non-color images. The third phase or headache phase is
approximately 30 minutes later. At this point usually it must run its course as nothing
will change it.
"Common" Migraine Headache
Virtually no part of the brain is sparred involvement. Severe one sided throbbing pain,
often accompanied by nausea, vomiting, tremor, dizziness, cold hands, or sensitivity to
light or sound. Triggered by certain foods, the use of the "pill", menopausal
hormones, excessive hunger, drastic changes of altitude or weather, bright or flashing
lights, excessive smoking, emotional stress. Mostly females biological predisposition,
probably hereditary. Emotional factors are most important precipitating factor, i.e.,
prolonged stress, skipping meals, strenuous exercise, too much or too little sleep,
intermobilized anger and repressed hostilities, depression and a wide variety of other
emotional and personality issues.
Occipital Headache
This is a paroxysmal, painful disorder involving the greater occipital. (The lesser
occipital nerve commonly varies in size reciprocally with the greater occipital nerve.)
Occipital neuralgia frequently results from inflammation and or compression, often from
previous trauma, chronic muscle contraction and neuroma formation. Herpes Zoster may also
be causative. The pain and "trigger zones" are along the course of the occipital
nerve, usually as it emerges from between the trapezius and sternocleidomastoid
musculature. Radiation of the pain or numbness to the vertex up to the anterior aspect of
the ear. Stimulating will incite and reproduce the symptom to areas innervated by the
lesser and greater occipital nerve. The can radiate to the frontal and ocular regions. All
of this is generally unilateral.
Post Traumatic Headache
This headache is difficult to be clinically distinguished from muscle contraction
headache unassociated with trauma. Pain can be localized or general in nature. It can
mimic migraine with some slight differences such as seen in phase 3 of the migraine. Light
pressure such as a pillow or hat can precipitate a paroxysm of pain. May be related to
vascular and or nerve injury indistinguishable at times from occipital neuralgia. The
headache pattern is mixed. The symptoms include unilateral vascular pain localized to
frontal temporal region, blurred vision and transient ipsilateral pupillary dysfunction
and excessive facial swearing. Decreased libido and alcohol intolerance is common.
Tenderness around the ligamentous nucha and muscle attachment with myositis. Myofascitis
and suboccipital neuralgia may be present. Most important clues are light headedness, true
vertigo, impaired memory, reduced attention span, insomnia, irritability, anger outbursts,
mood swings, anxiety, depression, frustration and occasional syncope.
Sinus Headache
A gnawing pain, pressure-like over the nasal frontal or maxillary area. It often
increases in severity as the day goes on or may become relieved after heavy drainage.
Causative factors are infection usually, may be allergy. Blocked nasal passages by results
of fever, swelling, congestion, lack of or decreased drainage. Secondary factors are nasal
polyps or deformation such as a deviated nasal system that block the sinus ducts. The
headache is often misdiagnosed as a migraine or cluster headache.
Aneurysm Associated Headache
Early on may mimic frequent migraine, cluster headaches and made worse on tension or
exertion during increased physical activities. Blood vessels may be leaking slowly.
Ruptured aneurysm results in unbearable headache, double vision.
Temporal Arteritis Headache
The patient experiences a boring, burning or jabbing pain in the temple area caused by
inflammation in the temporal arteries. The pain is often around the ear on chewing. Weight
loss problem as well as eye sight problem. Usually affects people after fifty years of
age. It is often associated with polymyalgia rheumatica. Initial presentation may include
non-specific like symptoms. Severe headaches develop later. Laboratory findings often
confirm the diagnosis. Mean age is seventy years.
"TMJ" Headache
Infrequent cause of a headache, it is a muscle contraction type of pain,
sometimes accompanied by clicking, popping or snapping sound on opening the jaw.
Iatrogenic in nature (generally) malocclusion (poor bite) following dental work. High
filling, uneven bridge, false teeth changes, or early use, or tooth extraction, biting
down too hard on one side, or biting on something to hard on one side. Bruxism, chronic
anger and severe tension, however this usually affects the buccinator more. This headache
can also occur due to the mechanism of trauma in Hyperextension injuries.
Tension Headache
This comes under the group psychalgia and muscle contraction headache. Tension or
irritating non-controllable situations can bring it on or aggravate it. Hatband effect,
i.e., tightness band like restrictions about the head and neck and unassociated with
gastrointestinal or visual distress but often accompanied by adverse psychological states
such as depression, anger and anxiety. Secondary muscle contraction headache can be acute
or chronic, the consequence of structural pathology about the head and neck, i.e.,
cervical spine arthritis, myositis, TMJ syndromes, ocular disease, and abnormalities of
posture.
Tic Douloureux Headache
Short, jab like pain in the facial area, often around the mouth and jaw. This can occur
many times and any time during the day. Pain last several seconds to several minutes at a
time. It is a rare disease of neural impulses. Chewing, cold air or even toughing the face
can bring it on. Usually occurs in women after age 55.
Tumor Associated Headache
Frontal pain 60% of the time. Location of pain does not change. General pain that
becomes progressively worse, vomiting, visual disturbances, speech or personality changes,
as well as seizures. Usual remedies that give relief have little to no effect on relieving
the headache. Pain may wake the patient up at night, associated with changing positions.
Arthritis Headache
Pain at the back of the head or neck, has gravely feeling on movement as well as
intensification. Causes: inflammation of joints as well as muscles.
Caffeine Withdrawal Headache
Throbbing headache, may have translucent waving pattern in front of the
eyes caused by dilation of the blood vessels several hours after consumption of large
quantities of caffeine. Changes in pattern of consumption of caffeine containing
substances.
Cluster Headache
Rather severe excruciating pain around one's eye. Tearing of one or both eyes.
Congestion of one nostril or both. May have flushing of the face. Generally occurs during
sleep and becomes better after 1 to 2 hours on arising. However, it can occur for hours
and can occur every day for weeks or months. The attacks can disappear for up to a year.
Occurs mostly in males ages 20 to 30, in excessive smokers and consumption of alcoholic
beverages. Many times it is characterized by assertiveness and is controlled by a spouse.
Hypochrondial and hysterical features may be present. The pain can be one of the most
severe known to mankind as reported by Dr. Karl Ekbom of the Karolinski Institute of
Stockholm, Sweden.
Drug Induced Headache
A headache brought on by consumption of any of the following: oral
contraceptives, propanolol, caffeine, thiazide derivatives, vasodilators,
vasoconstrictors, non-steroidal anti-inflammatory agents, antihistamine agents,
dextro-amphetimines, nitroglycerine, reserpine, hydrazine, MAO, ephedrine, or from drug
withdrawal.
Exertion Headache
Generalized head pain following or during physical activities.
Involvement mat be due to tumors, aneurysms, blood vessel malformation, but is usually
related to migraine or cluster headaches in progress.
Eye Strain Headache
Generally pain on both sides of the front of the head directly related to using the
eyes. General consensus is that it is a rare cause of headache. May be eye muscle
unbalance, uncorrected vision, and astigmatism.
Fever Headache
General head pain that develops with fever, caused by inflammation of blood vessels of
the head. In children it is usually due to childhood diseases. Ocular abnormalities,
sinusitis, dental disorders, systemic infection, trauma, brain tumors and abscesses,
pseudotumor cerebra, subdural hematomas, acute/chronic ear infections and hydrocephalic
syndromes. |