HEADACHES: 
 
Dr. A. Vincent Thamburaj.  
Neurosurgeon, Apollo Hospitals,  Chennai , India.

TENSION HEADACHE:

Tension headaches are the most common. They are from no apparent disease and are triggered by emotional stress. Women are more commonly affected. Persisting tension headaches must be investigated to rule out eye strain, dental problems, sinusitis, jaw-occlusion problems or cervical arthritis which are normally not symptomatic but present as headache precipitated by stress and should not be dismissed as psychological. Your local doctor can help.

VASCULAR HEADACHE:

Vascular headache is produced by a variety of blood vessel problems. Extraordinary swings in blood pressure may cause transient headache. Acute severe headache with or without disturbance in consciousness is usually due to bleeding in the brain precipitated by
           acute profound rise in blood pressure; or

           aneurysms (abnormal ballooning of blood vessel); or

           arteriovenous malformations (abnormal bunch of blood vessels) and

requires immediate hospitalization. Inflammation of scalp blood vessels cause headache with tender spots, usually on the sides and require further investigations.

MIGRAINE:

Migraine usually occurs on the one side of the head. The classic type starts with a premonitory sign such as blind spots, localized weakness or numbness which clears as the headache disappears. Nausea or vomiting may be associated. Women are more susceptible. The problem may run in families. Various medications are available for effective control. Only your doctor can select the one that suits you.

BRAIN TUMORS:

Headache is the late symptom of brain tumor. Typically the patient wakes up with headache which gets worse day by day and is associated with nausea, vomiting, visual problems and/or progressive weakness of limbs. It requires urgent investigations.

FACIAL PAIN:

Facial pain may be sharp, short-lived and confined to one side of the face and is usually due to involvement of the nerve supplying that part of the face. They are often mistaken for tooth-ache. It is easily controlled with medication. If medication fails surgery may help.

More diffuse and chronic pain, usually called atypical facial pain, must be evaluated for more malignant causes such as throat cancer or tooth abscess. 

 
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