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OTHER NAMES
PRIMARY MIGRAINES
HEADACHES IN BUNCH (migraine of Horton)
There are headaches type migraine located around or behind an eye. They appear in a rapid pain succession, more commonly at night and with more frequency in men. There is characterized by a unilateral intense pain in the eye with injection of the conjunctive one, lacrimeo, edema of eyelid, nasal congestion, and sudoración straight ahead and face.
The migraine in bunch, is the most intense type of headache appellant. The beginning age is between 20 and 40 years. They study in weeks sprouts, yield and appear again some months later.
SECONDARY MIGRAINES
They can stem to:
- hemorrhage subaracnoidea
- meningitis
- break of an aneurisma
- cerebral tumors
The signs that suggest a secondary migraine are:
- Intense headache in a patient older than 50 years, without migraine precedents
- Nape rigidity, with positive Kernig and / or Brudzinski
- Diplopia ó double vision.
- Retina hemorrhage
- Fever
- Elevation Arterial Tension
- Unexplained vomiting
- Precedent of a traumatism
MENINGITIS
It is the inflammation of the meninges, the revetment that surrounds the brain and the spinal drawstring. The meningitis can be caused by fungoid, viral and bacterial infections, by cancerous processes and by chemical reactions to injections intratecales. The early signs of this illness include:
Rigid neck (rigidity of nape), fever, shakes, vomiting, photophobia and a severe and constant headache that deteriorates with the movement.
In some viral cases an eruption can appear papular reddish, and in the meningitis meningocócica often an eruption appears purpúrico. Initially, the person can be confused and irritable and can go so far as to be sleepy, amazing, inclined to hemorrhages and comatose. The precise and rapid diagnosis and the punctual evaluation are decisive because some forms, especially the meningocócica there can be a threat for the life concerning hours.
Occasionally the headaches can indicate a severe neurological problem, such as the meningocele or annoyance intracraneal and the increase of the pressure intracraneal.
TREATMENT
- To be supported in rest without noises in a dark place.
- To put compresses of cold and warm water, alternating, in the forehead and base of the neck.
- To get into a bath of lukewarm water.
- To realize massages in neck and nape.
- As medicine can use Paracetamol (600 mg. 2 ó 3 times a day).
PREVENTION
The prevention of the headaches is considered to be more important than the treatment. Since many of the causes are known, they can be avoided easily. By means of certain domestic advices there can be mitigated 90 % of all the headaches.
- To encourage the abundant water consumption every day.
- To do regular exercise.
- To avoid any well-known food that aggravates the problem.
- To avoid stress situations.
- To sleep the correct hours every day.
- To avoid the alcohol and the tobacco.
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