headache

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headache

pain in the head, caused by dilation of cerebral arteries, muscle contraction, insufficient oxygen in the cerebral blood, reaction to drugs, etc.

Headache

 

one of the most frequent symptoms of various diseases.

Headache arises chiefly in response to irritation of the nerve endings (receptors) of the meninges, venous sinuses, and tunicary and cerebral vessels. Leading factors in the development of a headache include inflammatory affection of the meninges (resulting in irritation of the meningovascular receptors by toxins of the pathogenic agent), compression of the receptors by edema in brain tumors and other accumulative processes (for example, abscess, tuberculoma, and cys-ticercosis), impairment of the circulation of the cerebrospinal fluid accompanied by an elevation in intracranial pressure, vascular diseases (hypertension, hypotension, migraine) that cause a change in extracranial and intracranial vascular tone, chronic cardiovascular insufficiency (for example, congestion of the cerebral veins), and infectious diseases and intoxication accompanied by toxic irritation of the nerve endings. Headache also arises through affection of the cervical nerve roots of the spinal cord and affection of the perivascular neuroplexuses of the major blood vessels of the head (for example, in cervical migraine).

Localization of the headache and determination of its character, time of appearance, and other features are important in discovering its causes. Its course and accompanying signs should also be taken into account. Neurological examination and examination of the internal organs, eyes (vision, fundus oculi, intraocular pressure), ears, paranasal sinuses, endocrine glands, and cerebrospinal fluid are also necessary. In a number of cases physicians also make use of cranial roentgenography, electroencephalography, angioenceph-alography or pneumoencephalography, and rheoenceph-alography.

Treatment includes elimination of the cause of the headache and the prescription of preparations (vasodilative or vasoconstrictive, decreasing intracranial pressure [dehydrating], and analgetic) that counteract the cause of the headache.

REFERENCES

Platonova, E. P. Golovnye boli. Moscow, 1960.
Botez, M., and R. Şerbánescu. Algille craniene şi craniofaciale: Fiziopatologie, Diagnosti, Tratament. Bucharest, 1965.
Heyck, H. Bóle gtowy. Warsaw, 1960.

V. A. KARLOV

headache

[′hed‚āk]
(medicine)
A deep form of pain, with a characteristic aching quality, localized in the head.
References in periodicals archive ?
(15.) Radat F Creac'h C, Swendsen JD, Lafittau M, Irachabal S, Dousset V, Henry P Psychiatric comorbidity in the evolution from migraine to medication overuse headache. Cephalalgia 2005; 25:519-522.
Data source: This was a population-based, cross-sectional study of 68,518 Danish adults, 1.8% of whom had medication overuse headache.
Dr Abu-Arafeh said: "We are seeing quite a lot of conditions that in the past used to be exclusive to adults, like medication overuse headaches. We see quite a lot of headaches in children because they are getting too many paracetamol.
* Medication overuse headache. Prophylactic medications are not effective in patients who are overusing acute headache medications, and patients with MOH should be instructed to stop the offending drugs.
But when the two questions regarding attack treatment frequency and regular use of medications were combined, they had the best sensitivity (95%) and specificity (80%) for identification of medication overuse headache. "This self-questionnaire is simple, rapid, and easily administered in headache clinics to screen medication overuse headache patients," Dr.
AONE in 50 adults suffer from Medication Overuse Headache and it is more common for women than men.
The patient may be suffering, in part, from medication overuse headache. The frequent use (>10 days/month) of medication may cause this condition.
GammaCore has already received regulatory approval for the acute and/or preventative treatment of cluster headache, migraine and medication overuse headache in the EU, South Africa, India, New Zealand, Australia, Colombia, Brazil and Malaysia, and in Canada for the prevention and the acute treatment of cluster headache and treatment of migraine.
Final diagnoses were: migraine with or without aura, 52%; probable migraine, 23%; chronic migraine with medication overuse headache, 11%; nonclassifiable headache, 9%.
"In this context, it would be useful to have a tool to screen for medication overuse headache sufferers for clinical studies and for general practitioners," Dr.
Seng cautioned that the results are preliminar, and the trial exncluded patients with medication overuse headache.
Stovner presented separately at the congress focused on the distinction between medication overuse headache and chronic daily headache without medication overuse.

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