Headache classification: Difference between revisions

Jump to navigation Jump to search
Line 20: Line 20:
Traction and inflammatory headaches are symptoms of other disorders, ranging from stroke to sinus infection.
Traction and inflammatory headaches are symptoms of other disorders, ranging from stroke to sinus infection.
===Classification Based on Origin===
===Classification Based on Origin===
There are two kinds of headache: primary headaches and second headaches.<ref name="pmid23939446">{{cite journal| author=Hainer BL, Matheson EM| title=Approach to acute headache in adults. | journal=Am Fam Physician | year= 2013 | volume= 87 | issue= 10 | pages= 682-7 | pmid=23939446 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23939446  }} </ref>
There are two kinds of headache: primary headaches and second headaches.<ref name="pmid23939446">{{cite journal| author=Hainer BL, Matheson EM| title=Approach to acute headache in adults. | journal=Am Fam Physician | year= 2013 | volume= 87 | issue= 10 | pages= 682-7 | pmid=23939446 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23939446 }} </ref><ref name="pmid29789115">{{cite journal| author=May A| title=Hints on Diagnosing and Treating Headache. | journal=Dtsch Arztebl Int | year= 2018 | volume= 115 | issue= 17 | pages= 299-308 | pmid=29789115 | doi=10.3238/arztebl.2018.0299 | pmc=5974268 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29789115 }} </ref>
====Primary Headaches====
====Primary Headaches====
Primary headaches refer to headaches not associating with any stuctural problem in the head or neck, including [[migraine]], [[tension]], and [[cluster headache]]s, and a variety of other less common types of headache.<ref name="pmid23939446">{{cite journal| author=Hainer BL, Matheson EM| title=Approach to acute headache in adults. | journal=Am Fam Physician | year= 2013 | volume= 87 | issue= 10 | pages= 682-7 | pmid=23939446 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23939446  }} </ref>
Primary headaches refer to headaches not associating with any stuctural problem in the head or neck, including [[migraine]], [[tension]], and [[cluster headache]]s, and a variety of other less common types of headache.<ref name="pmid23939446">{{cite journal| author=Hainer BL, Matheson EM| title=Approach to acute headache in adults. | journal=Am Fam Physician | year= 2013 | volume= 87 | issue= 10 | pages= 682-7 | pmid=23939446 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23939446  }} </ref>

Revision as of 17:10, 23 March 2021

Headache Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Headache from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Headache classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Headache classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Headache classification

CDC on Headache classification

Headache classification in the news

Blogs on Headache classification

Directions to Hospitals Treating Headache

Risk calculators and risk factors for Headache classification

Editor-In-Chief: Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Headache may be classified according to international headache society(IHS) into two groups: primary and secondary.Based on the duration of symptoms, headache may be classified as either acute or chronic.There are five types of headache: vascular, myogenic (muscle tension), cervicogenic, traction, and inflammatory.

Classification

There are five types of headache: vascular, myogenic (muscle tension), cervicogenic, traction, and inflammatory.

Classification Based on Pathophysiology

Vascular

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, for some people, disturbed vision. It is more common in women. While vascular changes are evident during a migraine, the cause of the headache is neurologic, not vascular. Barre-Lieou is an excellent example [3]. 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 (rare).

Muscular/Myogenic

Muscular (or myogenic) headaches appear to involve the tightening or tensing of facial and neck muscles; they may radiate to the forehead. Tension headache is the most common form of myogenic headache. Myofascial pain [4] is a common cause of muscular headache.

Cervicogenic

Cervicogenic headaches originate from disorders of the neck Neck pain including the anatomical structures innervated by the cervical roots C1–C3. Cervical headache is often precipitated by neck movement and/or sustained awkward head positioning. It is often accompanied by restricted cervical range of motion, ipsilateral neck, shoulder, or arm pain of a rather vague non-radicular nature or, occasionally, arm pain of a radicular nature.

Traction/Inflammatory

Traction and inflammatory headaches are symptoms of other disorders, ranging from stroke to sinus infection.

Classification Based on Origin

There are two kinds of headache: primary headaches and second headaches.[1][2]

Primary Headaches

Primary headaches refer to headaches not associating with any stuctural problem in the head or neck, including migraine, tension, and cluster headaches, and a variety of other less common types of headache.[1]

Secondary Headaches

Secondary headaches are those that are due to an underlying stuctural problem in the head or neck, such as brain tumor, stroke, or brain infection.[1]

Specific Types of Headaches

A headache may also be a symptom of sinusitis.

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.

References

  1. 1.0 1.1 1.2 Hainer BL, Matheson EM (2013). "Approach to acute headache in adults". Am Fam Physician. 87 (10): 682–7. PMID 23939446.
  2. May A (2018). "Hints on Diagnosing and Treating Headache". Dtsch Arztebl Int. 115 (17): 299–308. doi:10.3238/arztebl.2018.0299. PMC 5974268. PMID 29789115.

Template:WikiDoc Sources