1 About what diseases may indicate the presence of cephalgia
Not always people rush to diagnose the disease for various reasons. So why is the headache worse when the person is lying down?
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Before deciding on the disease and making a non-existent diagnosis, headaches should be learned to distinguish. Headache of pulsating type is typical for vascular diseases. Most often it is experienced by patients with vegetative dystonia in whom it is bilateral. One-sided headache is characteristic of migraine. This disease lasts a long time and intensifies in bright light, strong noise and other irritating factors. If a person has a headache worse lying down and his face swells, then perhaps he has venous cephalgia.
Other causes of permanent headaches:
- protrusion of intervertebral discs, scoliosis;
- intracranial hypertension or hypotension;
- swelling of the skull base;
- of the brain tumor;
- other neurosurgical ailments;
- gynecological diseases;
- neurological ailments;
- ailments of the cardiovascular system;
- lack of vitamins or oxygen;
- increased fatigue;
- neurosis;
- incorrect posture during sleep or working posture;
- is too rigid or too high a pillow.
In fact, in addition to the above list of reasons for which a headache can be chronic, there are many more provoking factors. Diseases of the kidneys, liver, eyes, ears, smoking, harmful work and other factors can always cause chronic headaches.
2 How a person's behavior affects a person's condition
When a person turns to a treating neurologist or a neurosurgeon, the doctor usually asks when the pain is unbearable: when lying down or when in a vertical position. In some cases, the patient reports that with such headaches it is better for him to lie, then he begins to feel much better. Provided that this condition is caused by cerebrospinal effects, most likely, the patient suffers from intracranial hypotension. If the headache is worse in the supine position, then the CSF pressure is applied to the walls of the cranium;there is intracranial hypertension.
Normally, a uniform distribution of cerebrospinal CSF is carried out at a pressure of 7 to 17 mm Hg. Art.(although some experts believe that the maximum value of normal intracranial pressure is no more than 15 mm Hg).This provides excellent brain function without headaches. If a person has hypertension, his high blood pressure provokes vascular changes in the brain, as a result, the intracranial pressure rises and, as a result, a prolonged headache.
In hypotension, the lack of cerebrospinal fluid acts on the brain in such a way that this organ performs not only nutritional functioning, but also cushioning. In this case, cephalgia, which is worse when walking or just when in a vertical position, passes only during rest, when the patient lies.
The danger of this disease is that the lack of cerebrospinal fluid affects extremely negatively on the work of the brain and the vessels of the head, as a result, a fatal outcome can occur. This is due to the fact that hypotension severely damages blood vessels and is capable of provoking hemorrhage, dislocation of hemispheres and brain stem structures. As a result, cerebral edema, impaired brainstem material and hemorrhage lead at best to a stroke, at worst - to a lethal outcome.
Often, the headache is eliminated with conservative therapy aimed at restoring the water-electrolyte balance.
In this case, often resort to therapy using isoosmolar solutions. If the patient has a cerebrospinal fluid, more often than not he needs treatment in a hospital.
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3 Why hypertension and tumors have a headache and how to treat it
In the case of hypertension, a headache often occurs due to excess fluid in the ventricles of the brain or fluid space. In order to prevent the patient from having a headache, he is prescribed a therapy aimed at a gradual normalization of the discharge of the liquid. If the patient's condition is severe, he is referred for consultation to a neurosurgeon for the purpose of administering this ailment. Then, to remove excess CSF, which causes not only a headache, but also weakness, weakness, dizziness, nausea and other signs, perform an operation to install a shunt.
However, if the outflow of CSF is too fast, it also leads to multiple bad conditions. In this case, there may be cerebral edema, foci or hemorrhage, which is fraught with serious harm to the health of the patient or even fatal. If the shunting operation is impossible, the neurosurgeon performs a cerebrospinal fluid puncture. If the patency of the pathways is preserved, the headache may temporarily disappear after a spinal puncture, in which case the main thing is to start the treatment in time and correctly.
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From the tumors at the base of the skull, removed by a cyberknife, the head can also be hurted constantly and strongly, a feeling of drunken walking, fainting, pain in the face and epileptic seizures is added to the symptoms. Such a neglected condition is most often fatal, so it is necessary, if there are even some signs, to seek medical help urgently.