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Classification of headaches - Neurology
This is a mind map about headache, mainly including: low cranial pressure headache, overuse of medication, tension headache, cluster headache, and migraine.
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Classification of headaches - Neurology
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This template shows the structure and function of the reproductive system in the form of a mind map. It introduces the various components of the internal and external genitals, and sorts out the knowledge clearly to help you become familiar with the key points of knowledge.
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- Outline
Headache
Migraine
definition
A recurring headache disorder. Epiphany, mostly lateral, moderate to severe, pulsating headaches, usually lasting 4 to 72 hours, may be accompanied by nausea and vomiting. Voice, light stimulation or daily activities can aggravate the headache. Being in a quiet environment and resting can relieve the headache
Classification
80% migraine without warning
Migraine with a precursor
Typical aura migraine
Brainstem aura migraine
Hemiplegic migraine
Retinal migraine
Chronic migraine
Monthly > 15 days for 3 consecutive months or more
Complications of migraine
Migraine persistent state
Continuous signs of infarction
Migraine cerebral infarction
Epileptic attacks caused by precursors of migraine
Periodic syndrome in children who are often pre-driving migraine
treat
Treatment during the onset
Mild-moderate headache
NSAIDs alone, such as aspirin, naproxen, ibuprofen, diclofenac, etc. are effective
Moderate-severe headache
Triptan is a 5-HT1B/1D receptor selective agonist. Compound preparations such as ergotamine caffeine mixture can treat some moderate to severe migraine attacks
Preventive treatment
Suitable for frequent attacks or acute phase drug contraindications.
Preventive medicine
B Adrenergic receptor blockers
Calcium ion antagonists
Anti-epileptic drugs
Antidepressants
5-HT receptor antagonist
Cluster headache
definition
A rare type of headache is severe pain around the orbit of one side, with repeated and dense attacks, accompanied by autonomic neurological symptoms such as conjunctiva, tears, shrinking pupils, drooping eyes and sweating on the head and face. It often occurs within a fixed time of one day and can last for several weeks to several months.
Symptoms and clinical manifestations
More common men with periophthalmic pain
Symptoms of autonomic nervous system on the ipsilateral face, manifested as parasympathetic hypersynia such as conjunctival congestion, tears, runny nose, or sympathetic nerve paralysis such as pupil shrinkage and sagging eyes and face, less accompanied by nausea and vomiting
Headache attacks can last for several weeks to several months (often 6 to 12 weeks), during which the patient's headaches appear in series
treat
Acute attack treatment
Inhaling pure oxygen at a flow rate of 10~l2L/mi, for 10~20 minutes, can effectively block headache attacks, and about 70% of patients are effective
Sumatriptan subcutaneous injection or nasal inhalation, zomitriptan nasal inhalation
Preventive treatment
Verapamil, glucocorticoids and lithium preparations
Overuse of medication headache
definition
Headache due to excessive pain medication
symptom
Persistent headache, headache >15 days
Headache pattern changes
treat
Stop using related drugs
Alternative Therapy
Preventive drugs: topiramate and topical injection of botulinum toxin type A
Treatment of withdrawal symptoms, behavioral therapy, primary headache treatment
Low cranial pressure headache
definition
Headache due to reduced cerebrospinal fluid pressure
symptom
Aggravated headaches while standing
Relieve headache after lying flat
reason
Cerebrospinal fluid leakage
Dehydration
Cerebrospinal fluid suction
treat
Conservative treatment
rest
Increase liquid intake
Surgical treatment
Cerebrospinal fluid leakage repair
Tension-type headache
definition
Muscle contraction headache) is a compression or compression headache on both sides of the occipital or whole head. It accounts for about 40% of patients with headaches and is the most common type of primary headache.
symptom
Bilateral head compression
Mild to moderate pain
Muscle tension
treat
Lifestyle changes
Physical therapy
Drug treatment
Symptomatic treatment aspirin acetaminophen
Preventive treatment: Depressant doxepinamide. Epiperisombaclofen