Tired stressed male worker taking off glasses, person massaging nose bridge suffering from headache and trying to relieve pain. Despaired man frustrated after reading company collapse or failure news

What Kind Of Headaches Are There?

Most headaches seen in clinical practice are not recurring and are a sign of underlying illness. Recurrent headaches are a common problem that can be diagnosed. It is important to distinguish between conditions such as tension headache and migraine from more serious ones like intra-cranial structural lesion.

Let’s understand it

The presence of neurological defects or other symptoms can simplify the problem. However, history is often the best clinical guide for diagnosis and management. These general points can help you determine the severity of the disorder. A headache that is throbbing or burning, rather than tension headaches, is more serious.

Diffuse pain is more indicative of a serious underlying condition than diffuse headaches. The importance of headaches located over the frontal or occipital region is greater than those that are located over the vertex. Organic lesions are often the cause of insomnia-causing headaches. Recent onset headaches are more serious than those that have been present for a long time.

Good to know

An intra-cranial lesion is a condition where there are symptoms such as epilepsy or double vision. Post-lumbar puncture headaches. If there is an excess leakage of CSF through a puncture site, the CSF tension falls. This can lead to traction on intracranial structures. This causes post-lumbar puncture headache.

Psychogenic headache and other cranial symptoms in psychiatric conditions: Headache is a common symptom of psychiatric disorders. This type of headache can affect the entire head or be restricted to the vertex or front. Although the sensation is often described as pain, closer examination reveals that it is actually a feeling of pressure or tightness.

Emotional factor

Tension headaches are often caused by emotional stress or other stressors. This type of headache can last for days or even weeks. Common analgesics such as paracetamol and salicylates are ineffective. Numerous studies on patients suffering from tension headaches have shown that they are often afflicted by anxiety, depression, and hypochondriasis. This type of headache is common in patients with anxiety neurosis and hysteria, obsessive-compulsive neuroses, schizophrenia with prominent anxiety, and hysteria. The clinical setting, cause, and even the etiology will all play a role in the investigation and treatment.

Final note

In most cases, a detailed history is necessary to determine the cause. Before proceeding to more invasive procedures, such as angiography and ventriculography, non-invasive investigative procedures like x-rays of the skull and chest, EEG, and computerized axialtomography are used. Reassurance and regular follow-up are sufficient for those patients with no serious underlying lesion. To avoid further complications, it is important to avoid unnecessary medication or lifelong invalidism.