On the clinical diagnosis of headache patients.docVIP

 PAGE \* MERGEFORMAT 7 On the clinical diagnosis of headache patients [Keywords:] clinical diagnosis of headache patients Cause of many headaches, and many more causes combine to classify the pathogenesis, diagnosis, clinical features according to the first decision. 1. Primary headache (1) more common in young women with migraine, and more family history, characterized by sudden onset of severe pain in the head, self-or drug relief of symptoms of intermittent, easy to relapse. 1) Migraine with aura is less common, multi-family history, often in the onset of puberty, the cyclical episodes, episodes process comprises four. ① aura of: the headache 10 to 20 minutes before the onset of the visual aura, such as flash , dark spots, black mask, a few there may be irritability, dizziness, vague language, such as numbness of lips or fingers, ② early headache: extracranial arteries caused by pulsating headache, and more at the front side of the head, but also for double side or both sides alternately, ③ most of headache: headache is severe, the range can be spread, with pale, nausea, vomiting, photophobia, symptoms persist for several hours or 1 to 2 days, a few days without remission, known as continuous migraine state, ④ late headache: headache gradually reduced, and more into fatigue, sleepiness, and sometimes see the excitement, euphoria, 1 to 2 days away. 2) Migraine without aura of the most common, threatened obvious symptoms, headaches than the degree of migraine with aura light, last longer, for several days. 3) special type of migraine is rare clinically. ① basilar artery migraine: common in young women with menstrual closely related to the aura symptoms involving the brain stem, cerebellum and occipital lobe, similar to the performance of the basilar artery ischemia, such as vision disorder, vertigo, tinnitus, ataxia, dysarthria, and so on, after a few minutes to half an hour pulsatile occipital headache, with nausea, vomiting