Headache is one of the most common complaints in society. The rate of people suffering from headache reaches 90 percent in society. 90 percent of all headaches are migraine and tension-type headaches. Secondary headaches occur less in the case. In this article, we discuss how to suspect vascular headaches and in which cases we should apply to a doctor.
How Many Types of Headaches Are There?
The International Headache Society classified headaches as 14 main groups and hundreds of subgroups. Headaches which are directly associated with headache and are not associated with any other disease are primary headaches (primary). These include migraine, tension-type, and cluster headaches. Secondary headaches (secondary) are the headaches that occur during the course of diseases such as cerebrovascular diseases, nervous system diseases, brain tumors, eye diseases, sinusitis, meningitis due to a certain disease, which is seen at a rate of 10 percent.
The issue we will deal with here will be vascular (vascular) headaches, which are less common in the community but should be kept in mind if there are certain symptoms in case of headache.
What are headache diseases secondary to vascular diseases?
- Diseases where vascular contraction is impaired (vasoconstriction disorders)
- Brain Bleeding
- Headaches due to abnormal structures of brain vessels (aneurysm, AVM, cavernous angioma, etc.)
- Headache secondary to cerebral vessel ruptures or interventions (after dissexions, endarterectomy, angio or angioplasty)
- Brain vein occlusions (venous thrombosis)
- Headaches due to high blood pressure
- Headaches due to vascular inflammation (temporal arteritis, primary sss angiitis, etc.)
- Some rare diseases (Cadasil, molasses, pituitary apoplexy, etc.)
During the onset or course of the vascular diseases listed above, the headache is accompanied by a change in frequency and usually regresses rapidly after the flaming phase of the disease (less than 3 months).
It is usually accompanied by a neurological finding (loss of vision, consciousness changes, mental confusion, weakness or numbness in the arms or legs, imbalance, desire for constant sleep, speech impairment, nausea, and vomiting).
Sometimes it can be the first warning sign of the disease. Therefore, the diagnosis of the underlying disease should be made correctly and appropriate treatment should be started as early as possible, thus preventing possible extremely bad physical and mental consequences.
All of these conditions can also occur in a patient who has previously had any type of primary headache. One clue to the underlying vascular condition is the sudden onset of a new headache that the patient has not known to date. In such a case, the person must apply to a health unit/hospital in the early period.
In what circumstances should these headaches be suspected?
Features suggestive of secondary headache in the story:
- Headache starts before the age of 10, after the age of 50,
- Have started in the last 6 months or change in characteristics such as character, frequency, and violence,
- Progressive within days and no response to treatment
- Sudden and severe nature of the headache,
- Headaches defined as sudden, severe, settled in a short time, the most severe pain in a person’s life, and also associated with physical activity:
- Occurrence during pregnancy or after birth,
- Increased physical activity by straining or coughing,
- Relate to body and head position,
The presence of progressive and incurable vomiting or waking up from sleep at night with pain, nausea, vomiting.
- Fainting, unconsciousness, weakness of the sides, loss of vision or the onset of vision disorders,
- Diagnosis of fatigue, weight loss, sleep disorders, and other concomitant diseases,
- Headaches associated with head and neck trauma,
- Headache with increasing frequency and severity
- Visual disturbances with pain in the temple after 50 years of age,
- Surgical and/or angiographic procedures for recent neck vessels,
All these symptoms can be a herald of a serious brain disease or a temporary headache. However, if these findings are observed, a neurology physician or health institution should be visited for research purposes.