TYPES OF HEADACHES WITH THEIR REGIONAL DISTRIBUTIONS

POST-CONCUSSION HEADACHES: -

Common following motor vehicle collisions, other head trauma; severe injury or loss of consciousness often not present. Symptoms of headache, dizziness, vertigo, impaired memory, poor concentration, irritability; typically remits after several weeks to months. Neurologic examination and neuroimaging studies normal. Not a functional disorder; cause unknown and treatment usually not satisfactory.

LUMBAR PUNCTURE HEADACHES: -

Typical onset within 48 h after LP; follows 10–30% of LPs. Positional: onset when pt sits or stands, relief by lying flat. Most cases remit spontaneously in ≤1 week. Oral or IV caffeine (500 mg IV over 2 hours) successful in 85%; epidural blood patch effective immediately in refractory cases.

COUGH HEADACHES: - Transient severe head pain with coughing, bending, lifting, sneezing, or stooping; lasts for several minutes; men > women. Usually benign, but posterior fossa mass lesion in some patients therefor brain MRI is seen.

INDOMETHACIN-RESPONSIVE HEADACHES: -

A diverse set of disorders that respond often exquisitely to indomethacin includes:

• Paroxysmal hemicrania: Frequent unilateral, severe, short-lasting episodes of headache that are often retroorbital and associated with autonomic phenomena such as lacrimation and nasal congestion.
• Hemicrania continua: Moderate and continuous unilateral pain associated with fluctuations of severe pain that may be associated with autonomic features.
• Primary stabbing headache: Stabbing pain confined to the head or rarely the face lasting from 1 to many seconds or minutes.
• Primary cough headache
• Primary exertional headache: Has features similar to cough headache and migraine; usually precipitated by any form of exercises.

HOMEOPATHIC MANAGEMENT: -

The medicines that can be thought of use are:-

• Bryonia
• Belladonna
• Gelsemium
• Glonoine
• Nat sulph
• Sanguinaria.