What type of headache is considered a medical emergency?

Symptoms such as headache with fever and stiff neck, headache that starts with thunder, headache after a head injury, headache with loss of vision or numbness in the arms or legs, or headache with fever (not caused by the flu) are urgent medical conditions. Headache is a common complaint in the Department. The causes of headache can range from benign to life-threatening, and these patients can deteriorate rapidly, making thorough evaluation of these patients critical. Almost 47% of adults report headaches at some point in their lives and there are approx.

While the difference for headache is large, a systematic approach to history and physical examination will allow an effective evaluation of these patients and the determination of necessary diagnostic tests and therapeutic interventions. Common types of headaches include tension headaches, migraines or cluster headaches, sinus headaches, and headaches that. You may have a mild headache with a cold, flu, or other viral illnesses when you also have a low fever. Headache is one of the most common reasons for an emergency room visit.

Some people are due to a chronic headache or migraine problems that don't go away with treatment, and in other cases, headache is a symptom of another medical problem. The neurologist must perform a general medical examination in addition to the neurological evaluation. A rash and elevated temperature should be actively searched for, and for signs not commonly found in neurology (e.g. enlarged cervical lymph nodes or an inflamed tympanic membrane) should be considered.

Neurological signs will suggest a primary neurogenic cause, but may be nonspecific (for example, Horner syndrome can occur in migraine, cluster headache, or carotid dissection), and the absence of signs is of little comfort in the presence of a suspicious history that many patients with HSA will have headache alone. The presence of stiffness in the neck (meningism) indicates irritation of the meninges due to blood or inflammation, but cannot differentiate between the two; meningism may be absent in coma and the absence of stiffness in the neck does not exclude HSA or meningoencephalitis. The classic sign of HSA, subhyaloid hemorrhage, can be difficult to see and is probably more common in patients with markedly increased intracranial pressure and a reduced level of consciousness (where urgent research is required anyway). Drug overuse headache (MOH) is a common and well-described condition that develops in patients with underlying primary headache syndromes.

They can be of any phenotype, including migraine-like headaches or tension-type headaches in character. Many patients will report a history of previous headaches and will be able to explain whether their current headache is different from the previous one and in what form. The consensus of the European Headache Federation reports the reasons and cases of headache that may require technical investigation, as well as the required tests. Secondary headaches There are a number of diseases in which the main presenting symptom may be headache.

A group of neurologists with considerable HSA experience have stated that they have never seen anyone presenting with HSA with a headache of less than an hour, although they qualify it by admitting that no one really knows what the shortest duration of the headache may be, and conclude that perhaps HSA should be considered in anyone with a sudden and severe headache, even if it resolves within an hour, especially if there is any deterioration of consciousness. If you have any type of headache all the time, it's important to talk to your primary care doctor so they can help you create a treatment plan or refer you to a specialist. Mitsikostas DD, Ashina M, Craven A, Diener HC, Goadsby PJ, Ferrari MD, Lampl C, Paemeleire K, Pascual J, Siva A, Olesen J, Osipova V, Martelletti P, on behalf of the EHF (European Headache Federation Consensus 201 on technical research for primary headache disorders. Consideration should be given to using CT imaging of the head in patients who have symptoms of “red flag”, have a new onset headache or changes in the nature of their headache.

Most people who go to an emergency room for severe headache or migraine don't get lasting results from medications given in the emergency room, so it's very important to have a good long-term plan and relationship with an outpatient doctor who treats their headache disorder. If you have the typical severe headache or migraine, and you don't have any new symptoms, the chances that these tests will be helpful are extremely low and you have the right to refuse them (see 5 things patients and doctors should question with migraine and headache). . .