What could be the possible cause of severe headaches?

For patients, if they experience severe head pain, they should go to the hospital for examination in time. Some headaches are often caused by some diseases, or even some more serious diseases, such as vascular pain, tension headache, central headache, trigeminal neuralgia, etc. Not only are the diseases more harmful, but they also have a great impact on the patient's daily life and work.

1. Vascular headache:

Such as migraine, cluster headache:

It is a paroxysmal intracranial vasoconstriction and reduced local blood flow, causing visual symptoms, followed by extracranial artery dilation and headache.

The triggering factors of migraine include mental stress, fatigue, climate change, strong light stimulation, scorching sun exposure, hunger, eating foods high in tyramine (such as chocolate, cheese, citrus), drinking, vasodilating foods, oral contraceptives and diuretics, etc.

2. Tension headache - also known as muscle contraction headache or neuralgia, is the most common functional headache. It is more common in young women. The attacks are intermittent and are often caused by tension, anxiety, fatigue, incorrect writing or reading posture, etc., which lead to continuous contraction of the head, face or neck muscles and cause headaches.

3. Benign functional headache

Such as primary throbbing headache; cold stimulation headache; benign cough headache; benign fatigue headache; external compression headache; sexual activity headache, etc.

4. Central headache:

1. Space-occupying headache - caused by brain tumors and brain cysts. The headache progressively worsens and is severe and dull pain, which may be accompanied by symptoms of increased intracranial pressure such as dizziness, nausea and vomiting.

2. Infectious headache - caused by various encephalitis, meningitis, arachnoiditis, etc., such as tuberculous meningitis and encephalitis, often with infection symptoms such as fever.

3. Cerebrovascular disease headache - seen in cerebral hemorrhage, infarction, brain trauma, cerebral vascular malformation, rheumatic cerebrovasculitis, etc.

5. Cranial neuralgia

1. Trigeminal neuralgia - more common in women over 40 years old, paroxysmal, electric shock-like pain lasting tens of seconds to several minutes, accompanied by facial muscle twitching.

2. Occipital neuralgia: electric shock-like pain or tingling in the Fengchi area behind the occipital bone.

6. Headache in the ENT department

1. Otogenic headache - otitis media, mastoiditis;

2. Odontogenic-toothache; Rhinogenic-sinusitis, nasopharyngeal carcinoma;

3. Ocular causes: refractive error, glaucoma.