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Headache - Epidemiology
1.Primary
2.Secondary
1.Episodic
2.Chronic
Episodic 1.Frequent
2.Infrequent
1.Vasogenic
Intracranial vasoconstiction followed by
rebound vasodilatation
2. Neurogenic
brain is the centre point of headache
3.Others
Stimulation of trigeminovascular fibres
around the pial vessels
Emotional triggers modulate activity of
vessels near meninges…..
Cardiological conditions
Others
1.Nitrate related 1.Anaemia
2.Hypertension 2.Hypoxia
3.Hypercapnia
Nephrology related
4.Sleep apnea
1.Acute glomerulonephritis
2.Pyelonephritis 5.Hypothyroidism
3.Dialysis related
Rheumatological conditions
1.Temporal arteritis
2.SLE
3.Antiphospholipid antibody
syndrome
Headache in women
1.Migraine
2.Tension headache
3.Pregnancy related 1.Pre eclampsia
2. Pituitary
apoplexy
Headache in elderly
1.Temporal arteritis
2.Mass lesions
3.Hypertension, SAH
4.Glaucoma
Acute severe new- onset headache (first
or worst)
Crash migraine
Cluster headache
Systemic lupus erythematosus
Temporal arteritis
Accelerated hypertension
Phaeochromocytoma
Acute intoxications
Acute febrile illness
Acute pyelonephritis
Acute mountain sickness
Gold standard in the management of headache
Demographics:
1. New headache in patient with cancer or HIV
2. New headache age > 50
3. Headache and seizures