Signs to Consider a Serious Fundamental Cause of Headache
Maybe, you will ask to yourself, “When shall I suspect a serious fundamental cause of headache? Honestly, that would be a very difficult question to answer, even by head pain experts.
All medical professionals will take many clinical judgment and experience to ensure the most possible result of headache, whether it is serious or not. Probably, your doctor can list six clinical features which shall cause some worry about a possible serious fundamental cause for the headache. Moreover, these clinical discretion and diagnostic have to be used as to how significant any one of these is in any specific case or particular patient.
You may see at the following clinical features which need clinical explanation and judgment.
Clinical Signs to Consider a Possible Serious Fundamental Cause
- A current change in a recognized headache pattern.
- New onset of a significant headache condition, especially after fifty years old.
- The presence of other neurologic signs apart from headache, such as seizures.
- A rapidly progressive headache syndrome.
- Abnormal neurologic signs on assessment, i.e., focal neurologic signs which cannot be explained by another known neurologic condition.
- The inability to classify a sufferer’s headaches into one of the benign headache syndromes. For example, the sufferer’s headaches do not meet diagnostic criteria for one of migraine, cluster headache or tension-type syndrome.
We still should consider the presence of other neurologic symptoms, which might suggest a structural lesion, such as seizures. Symptoms might include, as an example, the presence of nausea in between headache attacks at times while the patient is pain-free. Abnormal focal neurologic signs on assessment have to be taken seriously at all times.
A rapidly progressive headache syndrome where the patient’s headaches increase speedily in frequency and severity, it has to be taken seriously too. This situation might suggest an enlarging intracranial mass lesion or the development of increased intracranial pressure.
Lastly, there are headache patients who suffer with unusual headaches. Unusual here means do not meet diagnostic criteria for tension-type, migraine, or cluster headache. Even though some patients may have negative investigations, metabolic or structural causes might need to be excluded. Once again, clinical judgment should be exercised.
You should consult with your doctor and other health care professionals to get a better knowledge and information about Signs to Consider a Serious Fundamental Cause of Headache.
Kindly bear in mind, this article is not solely intended as the only source of information about Signs to Consider a Serious Fundamental Cause of Headache.