A headache (medically known
as cephalalgia) is a condition of mild to severe pain in the
head; sometimes upper back or neck pain may also be interpreted as a
headache.
Headaches have a wide variety of
causes, ranging from eyestrain to inflammation of the sinus cavities to
life-threatening conditions such as encephalitis, brain cancer,
meningitis, and cerebral aneurysms. When the headache occurs in
conjunction with a head injury the cause is usually quite evident;
however, many causes of headaches are more elusive. The most common type
of headache is a tension headache.
There are four types of headache:
vascular, muscle contraction (tension), traction, and inflammatory. The
most common type of vascular headache is migraine. Migraine headaches
are usually characterized by severe pain on one or both sides of the
head, an upset stomach, and, at times, disturbed vision. Women are
more likely than men to have migraine headaches. After migraine, the
most common type of vascular headache is the toxic headache produced by
fever. Other kinds of vascular headaches include "cluster” headaches,
which cause repeated episodes of intense pain, and headaches resulting
from high blood pressure. Muscle contraction headaches appear to
involve the tightening or tensing of facial and neck muscles. Traction
and inflammatory headaches are symptoms of other disorders, ranging from
stroke to sinus infection. Like other types of pain, headaches can
serve as warning signals of more serious disorders. This is particularly
true for headaches caused by inflammation, including those related to
meningitis as well as those resulting from diseases of the sinuses,
spine, neck, ears, and teeth.
Types of headache
- Tension headache: are
the most common type of headaches. The pain can radiate from the neck,
back, eyes, or other muscle groups in the body. Nearly everyone will
have at least one tension headache in their lifetime.
- Migraine: Migraine
headaches are vascular in origin, severe, occur on one or both sides
of the head, and are often associated with various symptoms such as
nausea, vomiting, sensitivity to light, or disturbed vision. Certain
types of migraines are preceded by neurological symptoms, known as an
aura.
- Cluster headache:
are rare headaches that occur in
groups or clusters. Cluster headache sufferers typically experience
very severe headaches of a piercing quality near one eye or temple
that last for between 15 minutes and three hours. Cluster headaches
are frequently associated with drooping eyelids, red, watery eyes, and
nasal congestion on the affected side of the face. The headaches are
unilateral and occasionally change sides. The neck is often stiff or
tender in association with cluster headaches, and jaw and teeth pain
is sometimes reported.
- Rebound headaches: occur
when medication is taken too frequently to relieve headache pain.
Rebound headaches frequently occur daily and can be very painful. A
diagnosis of rebound headaches can be easy or difficult, as the cause
is very easy to identify but very difficult to diagnose. Overuse of
painkillers can be confirmed simply by asking the patient if his or
her headaches assumed a new pattern or became more severe after taking
painkillers excessively (generally classified as more than 3 times per
week). However, the only way to make a certain diagnosis of rebound
headache is to withdraw the patient from medication for anywhere up to
6 months. It should be noted that withdrawal from medication will
actually intensify the headaches for the first few weeks. After
this period, the headaches will gradually recede. Following
treatment, many patients revert to their prior headache pattern. A
physician should be consulted before re-use of medications.
-
Ictal headache:
are headaches
associated with seizure activity. They may occur either before (pre-ictal),
after (post-ictal), or most rarely during a seizure. Many cases of
ictal headache may be misdiagnosed as migraine with aura, or even
cluster headache. However, whereas these conditions usually involve
just one side of the head (are unilateral), an ictal headache may be
centrally situated or cover the entirety of the head.
- Ice cream headache:
Brain Freeze or ice cream headache are term used to describe a form of
cranial pain or headache which human beings are known to sometimes
experience after consuming cold beverages or foods such as ice cream,
often as a result of consuming at a high rate of speed. In rare
instances, neuro-cranial blood vessels can constrict so completely
that a temporary blackout can occur.
- Thunderclap headache:
is a sudden and severe
headache, diagnosed via a process of exclusion with accompanying
negative CT and lumbar puncture results. Thunderclap headaches
can be indicative of life threatening medical problems.