Headache history and symptoms: Difference between revisions
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===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of [ | Common symptoms of cluster include: | ||
*[ | *Piercing eye pain.<ref>{{cite web | author=Charlotte E. Grayson and The Cleveland Clinic Neuroscience Center | title=Cluster Headaches |url=http://www.webmd.com/content/article/46/1826_50688.htm | date=October 2004 | publisher=WebMD | accessdate=2006-09-22}}</ref><ref>{{cite web |author=Brian D. Loftus | title=Cluster Headache and Chronic Paroxysmal Hemicrania Overview | url=http://www.loftusmd.com/Articles/Cluster/clusteroverview.html | date=2005 |accessdate=2006-09-22}}</ref><ref>Goldstein, Michael. "Cluster Headache". New Atlantean Press. 1999.</ref><ref>{{cite web | author=Arne May, Anish Bahra, Christian Büchel, Richard S J Frackowiak, Peter J Goadsby; University Department of Clinical Neurology (May, Bahra, Goadsby), and Wellcome Department of Cognitive Neurology (Büchel, Frackowiak), Institute of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London UK | title=Hypothalamic activation in cluster headache attacks |url=http://www.ouch-us.org/chgeneral/hypothalamus/hypothalamus2.htm | date=1998 July 25;352(9124):275-8 | publisher=The Lancet }}</ref><ref name="pmid7888747">{{cite journal |vauthors=Drummond PD |title=Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome |journal=Clin. Auton. Res. |volume=4 |issue=5 |pages=273–85 |date=October 1994 |pmid=7888747 |doi=10.1007/BF01827433 |url=}}</ref><ref name="pmid16686902">{{cite journal |vauthors=Drummond PD |title=Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache |journal=Cephalalgia |volume=26 |issue=6 |pages=633–41 |date=June 2006 |pmid=16686902 |doi=10.1111/j.1468-2982.2006.01106.x |url=}}</ref><ref name="pmid2245469">{{cite journal |vauthors=Ekbom K |title=Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society |journal=Cephalalgia |volume=10 |issue=4 |pages=195–7 |date=August 1990 |pmid=2245469 |doi=10.1046/j.1468-2982.1990.1004195.x |url=}}</ref> | ||
*[ | |||
*[ | *[[Horner's syndrome]]:<ref>{{cite web | author=Graff JM, Lee AG | title=Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis. | url=http://webeye.ophth.uiowa.edu/eyeforum/cases/case22.htm | work=Ophthalmology Grand Rounds | date=February 21, 2005 |publisher=The University of Iowa | accessdate=2006-09-22}}</ref> | ||
**[[Ptosis (eyelid)|Ptosis]] | |||
**Conjunctival injection | |||
**[[Lacrimation]] | |||
**[[Miosis]] | |||
**Eyelid [[edema]] | |||
Common symptoms of migraine include: | |||
*Aura phase: The[[Aura|auras]] are most often [[visual]], but can also be [[sensory]], [[Developmental dyspraxia|verbal]] or [[Motor skills disorder|motor disturbances]].<ref> name="pmid17495755">{{cite journal| author=Cutrer FM, Huerter K| title=Migraine aura. | journal=Neurologist | year= 2007 | volume= 13 | issue= 3 | pages= 118-25 | pmid=17495755 | doi=10.1097/01.nrl.0000252943.82792.38 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17495755 }} </ref> | |||
*Pain phase: The [[headache]] of migraine is often but not always unilateral and tends to have a throbbing or pulsatile quality, especially as the [[intensity]] increases. Not all of these features are necessary. The [[pain]] may be bilateral at the onset or may start on one side then becomes generalized. The [[headache]] usually alternates sides from one attack to the next. The onset is usually gradual. The [[pain]] peaks and then subsides, and usually lasts between 4 and 72 hours in adults and 1 and 48 hours in children. The frequency of attacks is extremely variable, from a few in a lifetime to several times a week, and the average migraineur experiences from one to three [[headache]]s a month. The head pain varies greatly in intensity. The pain of migraine is invariably accompanied by other features. [[Nausea and Vomiting|Nausea]] occurs in almost 90 percent of patients, while [[Nausea and vomiting|vomiting]] occurs in about one third of patients. Many patients experience sensory hyperexcitability manifested by [[photophobia]], [[phonophobia]], [[osmophobia]] and seek a dark and quiet room. [[Blurred vision]], nasal stuffiness, [[diarrhea]], [[polyuria]], [[pallor]] or [[Perspiration|sweating]] may be noted during the headache phase. There may be localized [[edema]] of the [[scalp]] or [[face]], scalp [[tenderness]], prominence of a [[vein]] or [[artery]] in the [[temple]], or stiffness and [[tenderness]] of the [[neck]]. Impairment of [[concentration]] and [[mood]] are common. [[Lightheadedness]], rather than true [[vertigo]] and a feeling of [[Presyncope|faintness]] may occur. The [[extremities]] tend to be cold and moist. | |||
*Postdrome phase: The effects of migraine may persist for some days after the main headache has ended; this is called the migraine [[postdrome]]. Many report a sore feeling in the area where the migraine was, and some report impaired thinking for a few days after the headache has passed. The patient may feel tired or "hung over" and have head pain, cognitive difficulties, gastrointestinal symptoms, mood changes, and weakness.<ref name="pmid16426278">{{Cite journal|author=Kelman L |title=The postdrome of the acute migraine attack |journal=Cephalalgia |volume=26 |issue=2 |pages=214–20 |date=February 2006 |pmid=16426278 |doi=10.1111/j.1468-2982.2005.01026.x}}</ref> According to one summary, "Some people feel unusually refreshed or euphoric after an attack, whereas others note depression and [[malaise]]."<ref>{{cite book |author=Halpern, Audrey L.; Silberstein, Stephen D. |chapter=Ch. 9: The Migraine Attack—A Clinical Description |chapterurl=http://www.ncbi.nlm.nih.gov/books/NBK7326/ |editor=Kaplan PW, Fisher RS |title=Imitators of Epilepsy |publisher=Demos Medical |location=New York |year=2005 |isbn=1-888799-83-8 |pages= |url=http://www.ncbi.nlm.nih.gov/books/NBK7321/ |edition=2 |id=NBK7326}}</ref> | |||
**[[Nasal congestion]] | |||
**[[Rhinorrhea]] | |||
**[[Sweating]] on the affected side of the face. | |||
*[[Neck pain]] or stiffness | |||
*[[Jaw pain|Jaw]] and teeth pain (occassionally) | |||
*[[Photophobia]] (rare) | |||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Revision as of 13:56, 4 May 2021
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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
History and Symptoms
Symptoms in primary headaches include:
- Some headaches onset without aura. Certain food, emotion changes or environmental chages may be the auras for other headaches.
- A pain that begins in the back of the head and upper neck, as a tightness or pressure.
- The pain is usually mild and bilateral
- Not accompanied with nausea or vomiting
- Usually occur sporadically
- No function damage
Symptoms in secondary headaches depend on the underlying cause. Except for headache, there may be other symptoms such as the following.
- Headache may be continuing.
- Fever
- Hemiplegia
- Nausea and vomiting
- Diplopia
- Anepia
Clinical prediction rules have been developed to distinguish headache types[1].
History
Patients with [disease name]] may have a positive history of:
- [History finding 1]
- [History finding 2]
- [History finding 3]
Common Symptoms
Common symptoms of cluster include:
- Horner's syndrome:[9]
- Ptosis
- Conjunctival injection
- Lacrimation
- Miosis
- Eyelid edema
Common symptoms of migraine include:
- Aura phase: Theauras are most often visual, but can also be sensory, verbal or motor disturbances.[10]
- Pain phase: The headache of migraine is often but not always unilateral and tends to have a throbbing or pulsatile quality, especially as the intensity increases. Not all of these features are necessary. The pain may be bilateral at the onset or may start on one side then becomes generalized. The headache usually alternates sides from one attack to the next. The onset is usually gradual. The pain peaks and then subsides, and usually lasts between 4 and 72 hours in adults and 1 and 48 hours in children. The frequency of attacks is extremely variable, from a few in a lifetime to several times a week, and the average migraineur experiences from one to three headaches a month. The head pain varies greatly in intensity. The pain of migraine is invariably accompanied by other features. Nausea occurs in almost 90 percent of patients, while vomiting occurs in about one third of patients. Many patients experience sensory hyperexcitability manifested by photophobia, phonophobia, osmophobia and seek a dark and quiet room. Blurred vision, nasal stuffiness, diarrhea, polyuria, pallor or sweating may be noted during the headache phase. There may be localized edema of the scalp or face, scalp tenderness, prominence of a vein or artery in the temple, or stiffness and tenderness of the neck. Impairment of concentration and mood are common. Lightheadedness, rather than true vertigo and a feeling of faintness may occur. The extremities tend to be cold and moist.
- Postdrome phase: The effects of migraine may persist for some days after the main headache has ended; this is called the migraine postdrome. Many report a sore feeling in the area where the migraine was, and some report impaired thinking for a few days after the headache has passed. The patient may feel tired or "hung over" and have head pain, cognitive difficulties, gastrointestinal symptoms, mood changes, and weakness.[11] According to one summary, "Some people feel unusually refreshed or euphoric after an attack, whereas others note depression and malaise."[12]
- Nasal congestion
- Rhinorrhea
- Sweating on the affected side of the face.
- Neck pain or stiffness
- Jaw and teeth pain (occassionally)
- Photophobia (rare)
Less Common Symptoms
Less common symptoms of [disease name] include
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]
References
- ↑ van der Meer HA, Visscher CM, Vredeveld T, Nijhuis van der Sanden MW, Hh Engelbert R, Speksnijder CM (2019). "The diagnostic accuracy of headache measurement instruments: A systematic review and meta-analysis focusing on headaches associated with musculoskeletal symptoms". Cephalalgia. 39 (10): 1313–1332. doi:10.1177/0333102419840777. PMC 6710620 Check
|pmc=value (help). PMID 30997838. - ↑ Charlotte E. Grayson and The Cleveland Clinic Neuroscience Center (October 2004). "Cluster Headaches". WebMD. Retrieved 2006-09-22.
- ↑ Brian D. Loftus (2005). "Cluster Headache and Chronic Paroxysmal Hemicrania Overview". Retrieved 2006-09-22.
- ↑ Goldstein, Michael. "Cluster Headache". New Atlantean Press. 1999.
- ↑ Arne May, Anish Bahra, Christian Büchel, Richard S J Frackowiak, Peter J Goadsby; University Department of Clinical Neurology (May, Bahra, Goadsby), and Wellcome Department of Cognitive Neurology (Büchel, Frackowiak), Institute of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London UK (1998 July 25;352(9124):275-8). "Hypothalamic activation in cluster headache attacks". The Lancet. Check date values in:
|date=(help) - ↑ Drummond PD (October 1994). "Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome". Clin. Auton. Res. 4 (5): 273–85. doi:10.1007/BF01827433. PMID 7888747.
- ↑ Drummond PD (June 2006). "Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache". Cephalalgia. 26 (6): 633–41. doi:10.1111/j.1468-2982.2006.01106.x. PMID 16686902.
- ↑ Ekbom K (August 1990). "Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society". Cephalalgia. 10 (4): 195–7. doi:10.1046/j.1468-2982.1990.1004195.x. PMID 2245469.
- ↑ Graff JM, Lee AG (February 21, 2005). "Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis". Ophthalmology Grand Rounds. The University of Iowa. Retrieved 2006-09-22.
- ↑ name="pmid17495755">Cutrer FM, Huerter K (2007). dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17495755 "Migraine aura" Check
|url=value (help). Neurologist. 13 (3): 118–25. doi:10.1097/01.nrl.0000252943.82792.38. PMID 17495755. - ↑ Kelman L (February 2006). "The postdrome of the acute migraine attack". Cephalalgia. 26 (2): 214–20. doi:10.1111/j.1468-2982.2005.01026.x. PMID 16426278.
- ↑ Halpern, Audrey L.; Silberstein, Stephen D. (2005). "Ch. 9: The Migraine Attack—A Clinical Description". In Kaplan PW, Fisher RS. Imitators of Epilepsy (2 ed.). New York: Demos Medical. ISBN 1-888799-83-8. NBK7326.