Headache is the most common complaint in society and should never be taken lightly. Headache is a reflex reflected by the body, and it should be read correctly and treated with an appropriate approach. Headache is a complaint that causes serious disability and death due to medical approaches without a careful neurological examination, especially without investigating the cause of the pain.
- Headache
Headache is a symptom that can occur with a wide variety of diseases. It is usually a symptom of simple ailments, but sometimes serious diseases, and therefore should not be underestimated. Migraine, tension-type headaches may occur, as well as headaches due to tumors, inflammation, vascular occlusion, bleeding, and metabolic disorders. Various symptoms can be added to headache; such as nausea, vomiting, double vision, speech disorder. If there are very severe and sudden onset headaches, if there is a headache that gradually gets worse and does not go away, if there is a headache that occurs with sneezing, straining, sexual activity or exertion, if the headache always occurs in the same area, and if there are headaches that do not improve despite treatment, they should definitely be evaluated by a Neurologist.
Headaches are examined under two groups;
- Primary headaches (Migraine, Tension and Cluster headaches etc.)
- Secondary headaches; This group of headaches is more dangerous and is an important cause of headaches.
- Secondary headaches;if not diagnosed and treated early, they cause death or serious permanent disabilities.
- Migraine
In migraine-type headaches, the pain usually lasts for more than 4 hours without medication. The pain is moderate or severe; it lasts, is unilateral, is throbbing, is often disturbed by light and sound during the attack, increases in pain with physical actions such as climbing stairs, is often accompanied by nausea or vomiting. Generally, stress, insomnia, hunger, and consuming caffeinated food and beverages are among the reasons that increase migraine attacks.
Diagnosis: First diagnosis h It is diagnosed after the patient explains his/her pain. In the next stage, the diagnosis is confirmed by requesting analysis (blood tests, etc.) and examination (brain, neck MRI).
Treatment: Prophylactic to prevent headache attacks. or preventive/protective drug treatments.
Prophylactic treatment aims to reduce the frequency and severity of pain by using regular medication for a certain period of time. This treatment is a form of treatment in which the same template is not applied to every patient and a decision must be made individually for each patient.
- Dizziness
Almost everyone complains of dizziness at some point in their life. Dizziness, also called vertigo, can be a sign of serious diseases. Dizziness is explained differently by each patient. Everything is spinning, I can't hold my head, the ground is slipping under my feet, I feel like I'm sliding to one side. Dizziness may be due to a disease in the inner ear, or it may be associated with diseases such as cerebrovascular disease, MS, brain tumor, and calcification of the neck bones. Considering that dizziness often affects many organs, many technological developments are available from centers dealing with this subject. using the device,
•Audiometric tests
•Routine biochemistry
•MR (cervical, brain)
•Neck doppler
• Ultrasonography
•Vhit etc. tests will be helpful in making the diagnosis.
Special treatments are applied for these diseases.
Treatment: Treatment of dizziness is determined according to the severity of the attack. . If the patient is so severe that he cannot stand, medical treatment is applied first. Afterwards, drug treatment is continued. The patient's complaints will be relieved for up to 4-5 days.
- What should be taken into consideration for headache?
1. First of all, if a very severe headache occurs that the person has never experienced before in his life, and if the pain starts from the nape of the neck and spreads to the front of the head, a neurological physician should be consulted without delay.
2. Headache, especially nausea, If it is accompanied by complaints such as nausea, vomiting and double vision, a neurological physician should be consulted.
3. Those who have a headache after a fall or injury, a mild head trauma, and those who experience confusion from time to time should consult a neurological physician.
4.Anyone who knows that they have sinusitis. The individual should consult a neurological sciences physician when the type and spread of headaches change.
5.A person known to have high blood pressure should regularly use the prescribed antihypertensive medications and blood pressure should be normalized
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