The headache is considered the most common symptom for which medical advice is sought the emergency department of neurological events of hospitals worldwide.
Pain in the head can occur either within an acute pathology of the brain, so called symptomatic or secondary, either within a chronioy noxious syndrome, and so called functional or primary.The distinction between these two statements is the responsibility of the neurologist and is of major importance for further examinations decision to undertake or starting specific treatment.
What are the most frequent triggers of headaches?
One of the most frequent triggers elicitors primary headaches is the modern way of life, which is often characterized by situations of severe mental stress, physical stress, and mood disorder and / or sleep quality.
These conditions often lead to disruption of normal brain function in neurotransmitter levels and trigger different types of primary headaches.
What are the most frequent headaches in times of stress?
In periods of intense mental stress often see two forms of primary headache, the tension headache and migraine.
What is a tension headache?
A condition affecting about 75% of patients suffering from chronic pain. About 90% of women and 70% of men will show tension headache at some point in his life. The incidence is increasing in women in the fifth decade of life.
The headache is usually include pain localized bilaterally in the head, creating a sense of “band or helmet”, which includes the front and / or the temples and / or the back of the head. The intensity of pain is usually mild to moderate, and often nausea, photophobia and ichofovia absent.
What is the tension headache treatment?
The treatment of tension headache involves the combination medication with relaxation techniques. The tension headache can be treated with pharmaceutically common painkillers (eg paracetamol and aspirin) or NSAIDs (ibuprofen, naproxen, indomethacin). If the tension headache becomes chronic nature (appearance of headache for more than 15 days per month for at least 3 months) then the attending neurologist may prescribe to reduce the incidence of tricyclics (amitriptyline, nortriptyline) or SSRI antidepressants (paroxetine , fluoxetine, venlafaxine).
The muscle relaxation techniques include hot or cold compresses to painful points or massage (massage) to relax the muscles of the head.
What is migraine?
Migraine is the most common neurological disorder, as often occurs in asthma, diabetes and epilepsy together. Worldwide, over 15% of people suffer from migraines, while about two million of our fellow citizens in Greece suffer from this disease.
The common migraine (85% of cases) shows no associated neurologic symptoms (without aura).
The most common symptoms include intense, recurrent headaches, which usually occur on one side of the head (but can change sides during the crisis) and gradually spread to the whole head. so that the patient is usually left lying in a dark room until symptoms disappear.
More rarely (15% of cases), migraine is accompanied by neurological symptoms in the form of aura.
The initial phase of the crisis is characterized by a range of complaints such as visual impairment or speech or numbness / weakness of a limb, which takes about 30-60 minutes and then followed by the onset of headache with all the above features.
What is the treatment of migraine?
H treating a migraine crisis involves taking common painkillers drugs, often on the advice of a neurologist, may be used drugs at the start of headache interrupting its evolution (triptans). The aim of these drugs is the complete remission of pain within two hours from the start of.
On the other hand the administration of prophylactic therapy aimed at reducing the frequency of migraine attacks (around 50%), the intensity and the duration. This treatment is recommended in patients with frequent and severe seizures (usually> 4 / month) that reduce quality of life. With proper selection of medication they are migraine patients nowadays to achieve a significant improvement of their seizures with striking impact on quality of life.