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    Headache and Facial Pain

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    Oke Kadarullah
    The document discusses various types of headaches and facial pain, their causes, symptoms, and treatments. It covers primary headaches like migraines, tension headaches, and cluster headaches. It also discusses secondary headaches that result from head injuries, vascular disorders, infections, and other conditions. Diagnostic testing for headaches includes MRI, CT scans, and checking sedimentation rates. Sinus headaches are accompanied by other facial pain and evidence of sinus infection.

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    Headache and Facial Pain

    Uploaded by

    Oke Kadarullah
    88 views14 pages
    The document discusses various types of headaches and facial pain, their causes, symptoms, and treatments. It covers primary headaches like migraines, tension headaches, and cluster headaches. It also discusses secondary headaches that result from head injuries, vascular disorders, infections, and other conditions. Diagnostic testing for headaches includes MRI, CT scans, and checking sedimentation rates. Sinus headaches are accompanied by other facial pain and evidence of sinus infection.

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    The document discusses various types of headaches and facial pain, their causes, symptoms, and treatments. It covers primary headaches like migraines, tension headaches, and cluster headaches. It also discusses secondary headaches that result from head injuries, vascular disorders, infections, and other conditions. Diagnostic testing for headaches includes MRI, CT scans, and checking sedimentation rates. Sinus headaches are accompanied by other facial pain and evidence of sinus infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    88 views14 pages

    Headache and Facial Pain

    Uploaded by

    Oke Kadarullah
    The document discusses various types of headaches and facial pain, their causes, symptoms, and treatments. It covers primary headaches like migraines, tension headaches, and cluster headaches. It also discusses secondary headaches that result from head injuries, vascular disorders, infections, and other conditions. Diagnostic testing for headaches includes MRI, CT scans, and checking sedimentation rates. Sinus headaches are accompanied by other facial pain and evidence of sinus infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    Headache and Facial Pain

    LITERATURE READING GENERAL ENT R. MOH KRISNA W. BARATA

    Background

    Epidemiology

    Anatomy and Pathobiology of Head and Face Pain

    INTRACRANIAL PAIN-SENSITIVE STRUCTURES Extracranial Patterns of Referral

    HEADACHE

    Headache Diagnosis and Testing

    Primary Headaches
    Migraine Migraine with and without Aura Migraine and Sinus Headache Migraine Treatment: Acute and Preventive Chronic Daily Headache and Migraine Tension-Type Headache Episodic tension-type headache Chronic tension-type headache Trigeminal Autonomic Cephalalgia Including Cluster Headache Paroxysmal Hemicrania Short-lasting Unilateral Neuralgiform Headache Attacks with Conjunctival Injection and Tearing (SUNCT) Other Primary Headaches

    Secondary Headaches
    Headache Attributed to Head and Neck Trauma Headache and Hematomas Postoperative Headache Postcraniotomy Headache Headache Attributed to Cranial or Cervical Vascular Disorder Acute Subarachnoid Hemorrhageand Thunderclap Headache Giant Cell (Temporal) Arteritis Headache Attributed to Nonvascular Intracranial Disorders Intracranial Hypertension (Pseudotumor Cerebri) Headache Attributed to Low Cerebrospinal Fluid Pressure

    Secondary .
    Headache or Facial Pain Attributed to Disorder of Cranium, Neck, Eyes, Ears, Nose, Sinuses, Teeth, Mouth, or Other Facial or Cranial Structures Sinus Headache Temporomandibular Disorders

    FACIAL PAIN

    Cranial Neuralgias and Facial Pain


    Trigeminal Neuralgia Glossopharyngeal and Other Less-Common Neuralgias Herpetic and Postherpetic Neuralgia Atypical Facial Pain

    Highlights

    Migraine underlies most of the common headaches in clinical practice, including sinus headache. Because of cranial autonomic symptoms or seasonal periodicity associated with some of the primary headaches, the specialist in allergy or diseases of the ear, nose, and throat may be the first contact a patient makes. MRI is the gold-standard radiographic study for headache diagnosis. CT is the test of choice for acute, thunderclap, or new-onset headache in the emergency department to rule out hemorrhage. Patients with daily headaches typically have a history of episodic migraine. CH and the trigeminal autonomic cephalalgias typically are first seen with shorterduration, focal, and side-locked head pain associated with ipsilateral autonomic features. These may mimic pathology in orbital structures or the sinuses. Secondary headaches do not have distinctive features of pain in terms of location, duration, or quality, yet for some, associations make the diagnosis and evaluation relatively straightforward. Preexisting primary headache may worsen in frequency or severity in relation to a secondary headache.

    Highlights
    Posterior fossa procedures, especially suboccipital craniotomies and retromastoid surgeries performed for acoustic neuromas, may result in chronic headache. Headache is not a reliable indicator of ischemic cerebrovascular disease or its results. The sudden onset of severe generalized headache, either the first or the worst, should alert the practitioner immediately to the possibility of subarachnoid hematoma. Temporal arteritis occurs in patients older than 60 years with complaints of daily moderate to severe headache, scalp sensitivity, generalized fatigue, and feelings of being unwell in nonspecific ways. Sedimentation rate is routinely elevated. Sinus headache is accompanied by pain in the face, ears, or teeth accompanied by clinical, endoscopic, and radiologic or laboratory evidence of acute or acute-on-chronic rhinosinusitis that develops simultaneously and resolves within 7 days after infection remits or is successfully treated.

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