Overview
Headaches are characterized by severe piercing pain from the back of one eye to the temple, some with repetitive and some with chronic.Repeated cluster headaches are likely to occur during periods such as the change of seasons, with attacks lasting from 15 minutes to three hours a day, for days to months.After the period of headache, the period of no seizures lasts for several months to three years.If you have a headache repeatedly for more than a year, it is called a chronic cluster headache, and this type is rarely without it.The prevalence rate is one in 1,000 people, which is quite rare among headaches, but the symptoms are severe and have a significant impact on life.It is common in men in their 20s and 40s.cause
The cause is not clear, but it is said to be related to the hypothalamus of the brain.When the hypothalamus is stimulated, the trigeminal nerve in the back of the eye of the head feels pain.As a result, blood vessels around the trigeminal nerve expand, causing severe pain in the inner part of the eye where the trigeminal nerve is connected.Excessive alcohol consumption, tobacco, sudden changes in atmospheric pressure and irregular hours of sleep are cited as causes of headaches, and these factors are advised to be avoided during the developing season.symptom
It is characterized by severe headaches at regular intervals at approximately the same time each day, especially during the night after sleep.A cluster headache is so painful that some patients describe it as a pain that makes their eyes droop.His personality may change or he may be suspicious of mental illness, such as feeling restless and constantly excited by the pain.In most cases, it is one of the left and right sides, and it hurts not only the back of the eyes but also the periphery of the eyes, the frontal part, the lateral part and the cheek.It is also often accompanied by eye congestion, tears, nasal congestion, and runny nose.It is also characterized by periodic recurrence of seizures and non-seizures.It occurs every six months to three years for more than 10 years, and lasts for a month or two every day once it starts.examination and diagnosis
It is possible to diagnose based on clinical symptoms such as how headaches.Criteria for differentiation include (1) severe unilateral headache (ii) persistence for 15 to 3 hours (iii) congestion of conjunctiva, runny nose and nasal congestion, sweating on the face, and restlessness (iv) periodic seizures.Similar to this disease, trigeminal neuralgia is characterized by severe pain and repetitive pain, which can be distinguished by the fact that the duration of the attack is about seconds to tens of seconds, while cluster headaches are much longer than minutes.Head CT and MRI tests are also performed to exclude headaches from serious brain diseases such as subarachnoid hemorrhage and meningitis.treatment
There are treatments to relieve pain during seizures and preventive treatments to prevent and reduce seizures with medicine.A hypodermic injection medicine or a nose drop of a tryptane-based medicine is used at the time of an attack.Because of the severe pain, ordinary painkillers and tryptane-based internal medicines are not expected to have immediate or high effects.Injection drugs usually start to relieve pain in about 10 minutes.Because of the daily pain, it is difficult to get injections at the hospital, and you may learn how to inject yourself under the guidance of a doctor.In case of an acute attack, oxygen inhalation is also effective, and medical oxygen inhalation for about 15 minutes may relieve the symptoms.Oxygen inhalation is now covered by insurance for severe patients.Prevention therapy is also used because headaches are repeated every day during the cluster stage.Although ergotamine preparations, steroids, calcium antagonists and lithium carbonate are used, effective preventive treatments are few.precautions after prevention/treatment
Since drinking and smoking are considered to cause seizures, it is important to observe abstinence and try to quit smoking during periods when seizures are likely to occur, and sudden changes in atmospheric pressure can cause headaches, so consult your doctor before climbing or flying.
Headaches are characterized by severe piercing pain from the back of one eye to the temple, some with repetitive and some with chronic.Repeated cluster headaches are likely to occur during periods such as the change of seasons, with attacks lasting from 15 minutes to three hours a day, for days to months.After the period of headache, the period of no seizures lasts for several months to three years.If you have a headache repeatedly for more than a year, it is called a chronic cluster headache, and this type is rarely without it.The prevalence rate is one in 1,000 people, which is quite rare among headaches, but the symptoms are severe and have a significant impact on life.It is common in men in their 20s and 40s.cause
The cause is not clear, but it is said to be related to the hypothalamus of the brain.When the hypothalamus is stimulated, the trigeminal nerve in the back of the eye of the head feels pain.As a result, blood vessels around the trigeminal nerve expand, causing severe pain in the inner part of the eye where the trigeminal nerve is connected.Excessive alcohol consumption, tobacco, sudden changes in atmospheric pressure and irregular hours of sleep are cited as causes of headaches, and these factors are advised to be avoided during the developing season.symptom
It is characterized by severe headaches at regular intervals at approximately the same time each day, especially during the night after sleep.A cluster headache is so painful that some patients describe it as a pain that makes their eyes droop.His personality may change or he may be suspicious of mental illness, such as feeling restless and constantly excited by the pain.In most cases, it is one of the left and right sides, and it hurts not only the back of the eyes but also the periphery of the eyes, the frontal part, the lateral part and the cheek.It is also often accompanied by eye congestion, tears, nasal congestion, and runny nose.It is also characterized by periodic recurrence of seizures and non-seizures.It occurs every six months to three years for more than 10 years, and lasts for a month or two every day once it starts.examination and diagnosis
It is possible to diagnose based on clinical symptoms such as how headaches.Criteria for differentiation include (1) severe unilateral headache (ii) persistence for 15 to 3 hours (iii) congestion of conjunctiva, runny nose and nasal congestion, sweating on the face, and restlessness (iv) periodic seizures.Similar to this disease, trigeminal neuralgia is characterized by severe pain and repetitive pain, which can be distinguished by the fact that the duration of the attack is about seconds to tens of seconds, while cluster headaches are much longer than minutes.Head CT and MRI tests are also performed to exclude headaches from serious brain diseases such as subarachnoid hemorrhage and meningitis.treatment
There are treatments to relieve pain during seizures and preventive treatments to prevent and reduce seizures with medicine.A hypodermic injection medicine or a nose drop of a tryptane-based medicine is used at the time of an attack.Because of the severe pain, ordinary painkillers and tryptane-based internal medicines are not expected to have immediate or high effects.Injection drugs usually start to relieve pain in about 10 minutes.Because of the daily pain, it is difficult to get injections at the hospital, and you may learn how to inject yourself under the guidance of a doctor.In case of an acute attack, oxygen inhalation is also effective, and medical oxygen inhalation for about 15 minutes may relieve the symptoms.Oxygen inhalation is now covered by insurance for severe patients.Prevention therapy is also used because headaches are repeated every day during the cluster stage.Although ergotamine preparations, steroids, calcium antagonists and lithium carbonate are used, effective preventive treatments are few.precautions after prevention/treatment
Since drinking and smoking are considered to cause seizures, it is important to observe abstinence and try to quit smoking during periods when seizures are likely to occur, and sudden changes in atmospheric pressure can cause headaches, so consult your doctor before climbing or flying.
댓글