Strong Headache: Causes and Consequences
- 26 Sep 15:45
- What headache is considered strong?
- Headache of vertebrogenic nature
- Trigeminal neuralgia
- Severe migraine headache
- Headache under fluctuations in blood pressure
- Vascular and tumor diseases of the brain
- Liquidodynamic headache
- Infectious causes of headache
- Severe headache in pregnant
- What to do with strong headachethe pain?
Apparently, headache is the most common complaint of a patient at a doctor's appointment. It is hardly possible to find at least one lucky person who is not familiar with this symptom. Virtually no disease that could not manifest itself as a headache, so it acts as a sign of the disease, rather than a separate nosological form, although there are also such, for example, migraines.
We are accustomed to suffering from headache or taking an anti-acne pill that relieves symptoms quickly. But sometimes there is a severe headache that does not pay attention to what, and it is simply impossible to endure it. According to statistics, roughly 25% of the population of our planet is experiencing severe headache at least once a year. What leads to this and how to deal with such a headache is discussed in detail in this article.
What is a headache considered strong?
It is immediately necessary to say that the intensity of headache is purely subjective. Diagnostic methods that exist today do not allow it to be measured. Also, the feeling of intensity of pain depends on the pain threshold of a person - the same intensity of headache two different patients can be evaluated completely differently.
But, in order to somehow objectify this pathological sensation, the visual-analog scale( VAS) was proposed for pain.
This scale is especially useful for long-term use and for assessing the effectiveness of therapy. Apparently, a severe headache exists when the patient estimates its intensity from 7 to 9 points for YES and when the pain interferes with the basic needs of the body.
Headache of Vertebrogenic Type
This type of secondary headache is one of the most common headache stresses that it is inappropriate to mention in this article, since it almost never becomes strong. The intensity of pain may vary from slightly tangent to intolerable. To understand where this pain comes from, you need to consider some anatomical and physiological features of the cervical spine.
Almost all cervical vertebrae have an aperture in their transverse sprouts, which form a distinct bone channel, where a very important anatomical structure - the vertebral artery - passes. This arterial vessel through the indicated canal penetrates into the skull and provides the blood with the back of the third third of the brain and the cerebellum.
If the direct channel movement is disturbed, which occurs in osteochondrosis, deforming spondylosis, spondylarthrosis, intervertebral hernia and other vertebrogenic diseases, the vertebral artery is squeezed, which leads to hypoxia in the posterior part of the brain and the development of vertebrobasilar insufficiency, the main symptom of which is headache. In this case, certain other signs are also characteristic, for example, dizziness, neck pain, vegetative disorders, fluctuations in blood pressure.
A frequent symptom that makes it possible to suspect vertebral headaches is the appearance of severe headache and dizziness with sharp head movements, sometimes even with the development of drop-attacks.
Another cause of severe headache, which is localized in the neck with diseases of the cervical spine, is ophthalmic neuralgia. In this case, the vessels are not compressed, but the nerve fibers that come out of the vertebral column at the level 2, 3 and 4 of the cervical vertebrae and are involved in the formation of large and small occipital nerves. The pain at the same time has a greater intensity and firing character, is localized in the back of the neck and occipital area of the head.
Neuralgia of the trigeminal nerve
This disease manifests itself as a very strong headache, the localization of which depends on which branch of the nerve is damaged. The trigeminal nerve innervates the front of the head and face.
Several neuralgia causes: nerve inflammation or its mechanical damage, infectious agents, nerve trunk squeezing, vascular aneurysms, but in most cases the exact cause can not be established.
Neuralgia of the trigeminal nerve is also called a prolapse cranialgia given that the headache has a kind of shock or shock with electric current, its intensity is very high, attacks can be provoked even by opening the mouth or washing. It often leads in fear of future assault of patients to remain silent, starve, abandon the washing and brushing of teeth, do not show emotions and do not touch the face with his hands.
Severe headache with migraine
Migraine is a primary headache and is a separate nosological disease. Signs of migraine are so typical that a diagnosis can be put only on the basis of a description of the nature of the headache.
The causes of the development of migraines by today are not exactly established. Scientists believe that the main role belongs to the genetic predisposition of man( isolated about 30 mutations of genes that are associated with migraine).
But the attack itself can provoke a large number of factors:
- stressful situation;
- eating some foods with high levels of tyramine;
- physical and emotional strain;
- dyshormonal diseases;
- drinking alcohol;
- oral contraceptives.
Migraine is never a small intensity, migraine headache is assessed by the patients as average and, in most cases, strong. Localized pain on one side of the head, has a pulsating character, accompanied by increased sensitivity to light, sounds, any physical effort, odors. Migraine attack lasts from 4 hours to 3 days, headache is accompanied by nausea.
At the heart of the development of migraines is a violation of the tone of the vessels of the brain with their pathological expansion and hyperperfusion of the brain, therefore, conventional medicine for headache does not help. Spell the migraine attack with special anti-migraine tablets.
Headache with fluctuations in blood pressure
As a rule, severe headache is accompanied by a sharp increase in blood pressure( hypertensive crisis).In the case of a sharp increase in the pressure of the blood vessels of the brain narrowed to protect the neurons from hyperperfusion blood. As a result, the opposite state develops - a sharp hypoxia of the brain substance. This condition is accompanied by a strong, diffuse headache of disruptive nature, dizziness, nausea, visual impairment, noise and sadness in the ears.
If you do not take measures for immediate reduction of blood pressure, then the next stage of progression of hypertensive crisis - acute hypertensive encephalopathy develops. Now the autoregulation of the tone of the cerebral arteries is disturbed and they are passively expanding under the action of high pressure, which leads to hyperperfusion, which is even more dangerous than hypoxia. As a result, swelling of the brain tissue with all consequences, up to the fatal outcome, may develop.
One should not forget that with a sharp increase in blood pressure, the risk of ischemic and hemorrhagic stroke is significantly increased. Therefore, in such a situation, it is necessary to call an ambulance and take that antihypertensive remedy, which the doctor advised in this situation, for example, a captopril tablet under the tongue.
Vascular and tumor diseases of the brain
Virtually all vascular diseases of the brain may be accompanied by a stroke( vascular aneurysms, malformations, vasculitis, atherosclerosis, hypertonic disease, etc.).
Anxiety signs indicating stroke:
- is a severe headache that arose suddenly;
- speech, vision, sensitivity violation;
- has a sharp weakness in one or more limbs;
- lowering the corner of the mouth, inability to smile;
- severe dizziness, imbalance;
If you have witnessed the picture described above, firstly call an ambulance then provide the with the first pre-natal care as presented in the next video instruction:
First aid for
stroke Watch this video on YouTube
SometimesThe cause of severe headache is a brain tumor. Typically, for this disease is characterized by an increase in intensity of headache over time. Approximately 0.1-0.5% of patients who seek a doctor with a headache diagnose a tumor of the brain.
Of course, headache is not the only and main symptom of a tumor. As a rule, various neurological disorders, such as speech impairment, sensitivity, coordination, motility, personality, dizziness, nausea, epileptic seizures, mental and mental disorder, are commonly found in the clinical picture..
It's important to remember! Every case of severe headache should not be left without medical attention. After all, diagnosed in the early stages, the disease, in particular tumor brain damage, can be completely cured, which can not be achieved at later stages.
Liver Dynamical Headache
Frequently the cause of severe headache is the disturbance of cerebrospilar fluid dynamics. The pain may be accompanied by conditions that are manifested by intracranial hypertension and hypotension( the first variant occurs much more often).
Causes of intracranial hypertension may be several - from increased production of liquor by vascular plexuses of the brain ventricles to residual effects after postmenopausal meningitis and encephalitis. Often there is a given type of headache in young children.
Signs that can be suspected of intracranial hypertension:
- is a severe headache pulsating;
- pain is permanent;
- intensifies after a night's sleep and in a horizontal position;
- pain is accompanied by nausea and vomiting, which does not bring relief;
- may be accompanied by visual impairment, pain in the neck-eye area.
Treatment of this type of headache presents great difficulty. As a rule, conservative methods are not effective and have to resort to various types of surgical interventions( cerebral bypass grafting).
Infectious causes of headache
Any infectious disease is accompanied by headache. For example, no case of acute respiratory infections or flu does not occur without headache. But, as a rule, patients rarely rate it as strong, so it is not relevant to this article.
Among the infectious diseases that are really accompanied by an intolerable headache, typhoid fever and central nervous system( meningitis and encephalitis) are common.
Typhoid fever is a bacterial intestinal infection caused by typhoidal salmonella. This is a very severe disease that can be complicated by both intestinal bleeding and peritonitis. But before the onset of intestinal complications, the main symptom of the disease is a strong and stubborn headache, which is due to severe intoxication of the body with bacterial products of life.
All without CNS infection are accompanied by headache. They are viral, fungal, rickettsia, tick-borne, bacterial encephalitis and meningitis. Most often you have to deal with meningococcal disease. Particularly this disease is prone to children of early age.
Suspect the problem on the following grounds:
- is a strong and stubborn headache of diffuse nature;
- nausea and vomiting, which does not bring relief;
- hemorrhagic rash on the lower limbs and buttocks;
- muscle tension in the nape;
- febrile temperature, which does not pass under the influence of usual antipyretics;
- various disturbances of consciousness.
In the event of the detection of such symptoms in your child, call an ambulance immediately. Meningococcal infection in children tends to lightning fast with the rapid development of infectious-toxic shock and fatal outcome for several hours.
Severe headache in pregnant
If a severe headache is observed in a pregnant woman, this is always an alarming sign. First, in the course of pregnancy, the appearance of headache associated with the above-described causes is not excluded. Mostly in pregnant women there is a migraine. Although, if a woman suffers from migraine, then with the onset of pregnancy, the condition is significantly improved, but there are exceptions. Migraine treatment in pregnant women is a serious problem, since most of the medicines are contraindicated in pregnant women.
A migraine headache should only be prescribed by a physician after weighing all the benefits to the mother and harming the baby.
Secondly, the cause of a severe headache in a pregnant woman may be the pathology of pregnancy, in particular pre-eclampsia. This pathological condition is accompanied, in addition to headache, increased pressure, peripheral edema and the appearance of protein in the urine. The risk of this condition is that pre-eclampsia can become eclampsia - the appearance of convulsive seizures, which can lead to death of women from acute respiratory failure and fetal death( detachment of the placenta, bleeding, acute hypoxia of the fetus, preterm delivery).
What to do with severe headache?
Any headache that lasts for some time and does not have objective causes, such as fatigue, viral infection, etc., and especially strong( even if it occurs once), requires a detailed medical examination to find out the cause. Since treatment will be successful only in case of elimination of the root cause of the pathological symptom.
Diagnostic program with severe headache:
- consultation of therapist, neurologist, ophthalmologist and ENT doctor;
- Complete Neurological Review;
- round-the-clock monitoring of blood pressure;
- complete laboratory examination of blood, urine, and, if necessary, spinal cord fluid( for suspected CNS infection);
- computer and magnetic resonance tomography of the brain and the cervical spine, if necessary - application of selective angiography of the vessels of the brain;
- measurement of intracranial pressure;
- radiography of the cervical spine;
- ultrasound doppler of the vessels of the neck and head.
An important diagnostic point is the management of a diary of headache. It allows to reveal regularities of appearance of a headache, its connection with different states, the effectiveness of one or another treatment.
Anxiety symptoms with headache:
- , severe headache suddenly, especially by type of head injury( symptom of subarachnoid hemorrhage, stroke);
- initiation of headache for the first time in the adolescent and the elderly( symptom of brain tumor);
- pain is accompanied by a disturbance in consciousness, drowsiness, weakness, speech impairment, vision( a stroke symptom);
- pain is accompanied by a fever or hemorrhagic rash( a symptom of meningitis);
- severe headache in pregnant women.
Video transmission that can hide under the guise of headaches:
Live cool!: What hides the headache 04.10.12
Watch this video on YouTube
In all of the cases described, urgent medical attention is needed, because perhaps it's a life-threatening condition.