A Summary Of Headache

Patient is a 34-year-old left-handed white male who states that in January he was in a parking lot and was hit by a plow truck that was backing up. His back was turned and he did not know what was happening. He fell on his back and hit the back of his head on the tailgate. He denied any loss of consciousness. He did have a significant headache and neck pain, but no neurological symptoms. He did have some pain in his right hand and right ankle after this. He did present to the emergency room, where an unenhanced CAT scan was negative. Since then however, he has been having daily headaches. He has an almost constant, dull, mild bitemporal pressure sensation, but he also has significant

HEAD: Headaches as described in CC and HPI. No history of head trauma. No syncope.

1. Based on the case scenario, provide a diagnosis for Bob include the pathophysiology for this type of headache.

If it is genetic then there is no prevention of migraine. It is passed on genetically just like eye colors, hair colors, skin colors, etc.

Epidemiological research has determined that headache disorders are the most prevalent of all neurological conditions; and have demonstrated that the psychosocial impact of headaches is significant (Shapiro & Goadsby, 2007; Smitherman, McDermott, & Buchanan, 2011). Additionally, migraine is the most prevalent disabling neurological condition which disproportionately affects approximately 17-18% of women (nearly three times more common than in men) during their prime productivity years (Graves, 2006; Shapiro & Goadsby, 2007). Chronic headaches, especially those severe in intensity, result in loss of productivity (i.e. missed days of school or work and/or related activities) and account for an estimated 10 million primary care provider office visits per year (Curry & Green, 2007).

If I can only make it to my bed, I'll be fine. My head hurts terribly. I would do anything to stop the pain. I've taken three extra strength Tylenols and the pain hasn't diminished at all. My head is spinning. Ever so often, the world around me turns dim and then bright. I close my eyes. I need to lie down, but I am driving. I feel nauseous. The pain that started on one side of my head is spreading as it pulsates. I squeeze my head and rub my temples, but the pain remains. I wish for a lobotomy. I wish somebody could stop the pain. I'm home. I run to my room. I tie a rag tightly around my head. It doesn't help. I press my head against a wall. I feel like vomiting again. I know relief is coming soon. I

A migraine is a common, chronic, and debilitating neurovascular disorder. It is characterized by attacks of serve headache along with autonomic nervous system dysfunction and some patients an aura neurological symptom (Goadsby, Lipton, & Ferrari, 2002). There are two types of migraines classical migraine and common migraine. Classical migraine is one that either preceded or accompanied by focal neurological symptoms which are generally visual, this occurs in 15% of patients and is referred to migraine with aura (Goadsby, Lipton, & Ferrari, 2002). Common Migraine is one that has episodes of head pain that are severe and throbbing and can last 4 to 72 hours. These are migraines without aura and are usually associated with nausea, vomiting and sensitivity to light, sound or movement (Sorge et al., 1988). When diagnosed with frequent migraine attacks, doctors try to understand what the cause of a subject’s migraines are which can be due to many variables such as stress, sleep deprivation or menstruation.

There was a point where my little brother had reoccurring migraines almost every day. When he went to the doctor’s office, the doctor stated that he needed to get more rest, reduce the lighting, and minimize stress factors. With this in mind, I wanted to extend my knowledge of this type of headache disorder. Migraine is the most common headache disorder and has a cumulative lifetime migraine incidence of 43% in women and 18% in men (Ekman, 2013). A migraine headache is usually a throbbing, unilateral pain and can worsen with exertion ("Migraine: Headache: Merck Manual Professional", n.d.).

“I can’t believe she asked me that.” Taylor leaned over the sink splashing her face with cold water. Looking in the mirror she sees Sam. “Hello, Taylor.” She takes a step back. “You’re not real.” She gripped the sides of her head. "I'm very real." She turns and slams her fist into the mirror smashing it into shards. Taylor was biting her lip to keep from letting string of curses fly out of her mouth. "I can't keep doing this. This has to stop." She mutters trying to convince herself.

Tense muscles in the back of the neck and even in the scalp can cause the “vice-like” compression many people use to describe stress-related headaches. Also, when under stress, many people clench their jaws and/or grind their teeth, both of which can trigger headaches all on their own. Lastly, anxiety is a common culprit of restless nights, and insomnia is a risk factor for headaches and migraines

A sinus headache occurs when the paranasal sinuses become clogged or swollen. Paranasal sinuses are air pockets within the bones of the face. Sinus headaches can range from mild to severe.

Accompanying nausea is an additional common side effect: headaches, arising most often after spinal or epidural anesthetic. A headache from an injection of medication into the subarachnoid space can be credited to a loss in spinal fluid during the procedure (“Anesthesia Complications”). When the anesthetic is injected into the spinal canal, spinal fluid may leak through the penetrated area. The result of the leakage is known as a spinal headache. If the patient is receiving a general or local anesthetic rather than an epidural anesthetic, the headache may be associated with dehydration or anxiety. Since the patient will not be able to breath on his or her own, the oxygen flow to the brain will significantly decrease causing the brain to grow

For numerous types of headaches including tension headaches, medications that contain butalbital are the most prescribed ones for the pain relief. The medicine is generally combined with aspirin or acetaminophen and some coffee. Acetaminophen eases discomfort and reduces fever. The caffeine used within the medicine assists to de-constrict the blood vessels. The tension headaches are usually triggered by the constricted blood vessels. The drug is itself classified as barbiturate. A sense of relaxation is caused by slowing the central nervous method and the nerve impulses. When combined together, Butalbital, caffeine and acetaminophen; they help ease the pain and discomfort caused by the tension headaches.

The individuals who don't have a sound BMI increment the danger of misery from the migraine headache pain, new research recommends. Being overweight or underweight ups the danger of migraine headache pain. Being overweight or underweight can build the danger of misery migraine headache pain, as indicated by new research.

Migraine headaches are the result of a disturbance in the neurochemistry of the central nervous system. They are relatively common, affecting three times as many women as men. Migraine sufferers typically report a definite pattern to their headaches, and they can report what stimuli bring them on. Most migraine sufferers experience their first attack before the age of 20. There is no single cause of migraines, but the tendency to get migraines does tend to run in families. When a migraine occurs, it means that something has altered several of the neurotransmitter-sensitive receptors located on the outside surface of the nerve cells (neurons) so that the nervous system is no longer able to constantly maintain the natural balance that the