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*Only for medical professionals to read for reference.
The key to mastering complicated classification of secondary headaches is to clarify our thinking, and the form of mind map can help us clarify our thinking very well.
The author carefully sorts the international headaches into thinking guides.
Picture, and share it for everyone to learn.
"2018 International Classification of Headaches (Third Edition)" classifies secondary headaches as secondary to head and neck trauma; cranial or cervical vascular diseases; intracranial non-vascular diseases; substance or substance withdrawal; infection; internal Environmental disorders; disorders of the skull neck, eyes, ears, nose, sinuses, teeth, oral cavity or other craniofacial structures; headaches due to mental disorders in 8 subtypes.
In the last issue, we introduced the 4 subtypes of secondary headache due to head and neck trauma, cranial or neck vascular disease, intracranial non-vascular disease, and infection.
In this issue, we continue to introduce secondary headaches.
The other 4 subtypes of headache.
1 Headache due to a certain substance use or contact When the time of occurrence of a new headache is closely related to the time point of substance contact or withdrawal, it is considered as a secondary headache due to this substance contact or withdrawal.
Headache caused by using or contacting a certain substance generally occurs immediately or within a few hours after the substance is used.
This headache can be caused by a toxic substance, or it can be a side effect of a substance in general treatment or experimental research.
Generally speaking, patients with migraine, tension-type headache, and cluster headache are more likely to have such headaches than the average person.
The occurrence of drug overdose headache is the result of the combined effect of susceptible patients and overuse of drugs.
Drug overdose headaches are most common in patients with migraine and tension-type headaches.
Substance withdrawal headache refers to the headache caused by stopping the application or exposure of drugs or other substances that have been used for several weeks or months.
It is most common in the withdrawal of caffeine, opioids, and exogenous estrogen, but after long-term use of corticosteroids, tricyclic antidepressants, selective serotonin reuptake inhibitors, and non-steroidal anti-inflammatory drugs Abstinence can also cause headaches.
2 Headaches due to internal environmental disturbances When new headaches are related to internal environmental disturbances in time, they can be diagnosed as headaches secondary to internal environmental disturbances.
Hypoxemia/hypercapnia, dialysis, hypertension, hypothyroidism, fasting, cardiogenic and other internal environmental disorders caused by high altitude, airplane travel, diving and sleep apnea can all cause subsequent Headache caused by internal environment disorders.
3 Headaches due to head, neck, eyes, ears, nose, sinuses, teeth, oral cavity, or other facial or neck structural diseases.
When a new headache occurs for the first time with the skull, cervical vertebrae, face, eyes, ears, nose, When the nasal sinuses, teeth, oral cavity and other diseases that can cause headaches are closely related in time, they are considered as secondary headaches due to these factors.
Disorders of the cervical spine and other structures of the head and neck are often considered to be common causes of this type of headache, because many headaches seem to originate from the cervical spine, the back of the neck, the occiput, or a certain part of the above.
In fact, for headache or facial pain due to head, neck, eyes, ears, nose, sinuses, teeth, oral cavity, or other facial or neck structural diseases, because the clinical manifestations are not specific, there is no specific diagnostic criteria.
Distinguish any form of headache.
4 Headaches due to mental disorders and mental illnesses are common diseases, so the two often happen to coexist with each other as expected.
However, there may be a causal link between a new or significantly worsening headache and mental illness.
Currently, there is limited evidence that mental illness can cause headaches.
In the currently reported cases, headaches occur in the context of mental disorders and directly manifest themselves in the form of well-known somatization disorders.
Headache attacks due to somatization disorders are part of the symptomatic manifestations of somatization disorders, while headaches due to psychotic disorders are manifested as delusions, and the patient is convinced of this (for example, headaches are caused by aliens in their The result of installing some kind of device in the brain).
In order to determine whether the headache is due to a certain mental illness, it is first necessary to find out whether there is a mental illness at the same time.
It is recommended to ask all headache patients about common coexisting psychiatric symptoms such as depression and anxiety disorders.
When it is suspected that a certain mental illness may be the cause of the headache, it is recommended to be evaluated by an experienced psychiatrist or psychologist.
Summary So far, we have made a simple classification introduction to the 8 subtypes of secondary headaches using mind maps.
Secondary headaches account for less than 10% of clinical headaches, and the classification is complicated.
It is difficult to master it, but we need to understand more about the four main types of secondary headaches in the secondary headache mind map.
Recognize secondary headaches caused by critical illness, and keep in mind the early warning symptoms of headaches.
In the next issue, we plan to continue to explain the third major category of headaches-painful cranial neuropathy and other facial pains and other types of headaches.
References: (1) Headache Classification Committee of the International Headache Society (IHS), The International Classification of Headache Disorders, 3rd edition, Cephalalgia.
2018 Jan;38(1):1-211.
(2) Yu Shengyuan, International headache classification Third Edition (beta version) Chinese version, http: // This article source: Neurology, the medical profession channel author: Yichun City Xin Ping flowers People’s Hospital Review of this article: Wang Yan, Deputy Chief Physician, Beijing Tiantan Hospital, Capital Medical University Responsible Editor: Mr.
Lu Li, Copyright Statement.
If you need to reprint the original text, please contact us for authorization-End-Call for contributions.
Note: [Submission] Hospital + department + name The manuscript is in the form of word document, and the remuneration is favorable.
Edit WeChat: chenaFF0911
The key to mastering complicated classification of secondary headaches is to clarify our thinking, and the form of mind map can help us clarify our thinking very well.
The author carefully sorts the international headaches into thinking guides.
Picture, and share it for everyone to learn.
"2018 International Classification of Headaches (Third Edition)" classifies secondary headaches as secondary to head and neck trauma; cranial or cervical vascular diseases; intracranial non-vascular diseases; substance or substance withdrawal; infection; internal Environmental disorders; disorders of the skull neck, eyes, ears, nose, sinuses, teeth, oral cavity or other craniofacial structures; headaches due to mental disorders in 8 subtypes.
In the last issue, we introduced the 4 subtypes of secondary headache due to head and neck trauma, cranial or neck vascular disease, intracranial non-vascular disease, and infection.
In this issue, we continue to introduce secondary headaches.
The other 4 subtypes of headache.
1 Headache due to a certain substance use or contact When the time of occurrence of a new headache is closely related to the time point of substance contact or withdrawal, it is considered as a secondary headache due to this substance contact or withdrawal.
Headache caused by using or contacting a certain substance generally occurs immediately or within a few hours after the substance is used.
This headache can be caused by a toxic substance, or it can be a side effect of a substance in general treatment or experimental research.
Generally speaking, patients with migraine, tension-type headache, and cluster headache are more likely to have such headaches than the average person.
The occurrence of drug overdose headache is the result of the combined effect of susceptible patients and overuse of drugs.
Drug overdose headaches are most common in patients with migraine and tension-type headaches.
Substance withdrawal headache refers to the headache caused by stopping the application or exposure of drugs or other substances that have been used for several weeks or months.
It is most common in the withdrawal of caffeine, opioids, and exogenous estrogen, but after long-term use of corticosteroids, tricyclic antidepressants, selective serotonin reuptake inhibitors, and non-steroidal anti-inflammatory drugs Abstinence can also cause headaches.
2 Headaches due to internal environmental disturbances When new headaches are related to internal environmental disturbances in time, they can be diagnosed as headaches secondary to internal environmental disturbances.
Hypoxemia/hypercapnia, dialysis, hypertension, hypothyroidism, fasting, cardiogenic and other internal environmental disorders caused by high altitude, airplane travel, diving and sleep apnea can all cause subsequent Headache caused by internal environment disorders.
3 Headaches due to head, neck, eyes, ears, nose, sinuses, teeth, oral cavity, or other facial or neck structural diseases.
When a new headache occurs for the first time with the skull, cervical vertebrae, face, eyes, ears, nose, When the nasal sinuses, teeth, oral cavity and other diseases that can cause headaches are closely related in time, they are considered as secondary headaches due to these factors.
Disorders of the cervical spine and other structures of the head and neck are often considered to be common causes of this type of headache, because many headaches seem to originate from the cervical spine, the back of the neck, the occiput, or a certain part of the above.
In fact, for headache or facial pain due to head, neck, eyes, ears, nose, sinuses, teeth, oral cavity, or other facial or neck structural diseases, because the clinical manifestations are not specific, there is no specific diagnostic criteria.
Distinguish any form of headache.
4 Headaches due to mental disorders and mental illnesses are common diseases, so the two often happen to coexist with each other as expected.
However, there may be a causal link between a new or significantly worsening headache and mental illness.
Currently, there is limited evidence that mental illness can cause headaches.
In the currently reported cases, headaches occur in the context of mental disorders and directly manifest themselves in the form of well-known somatization disorders.
Headache attacks due to somatization disorders are part of the symptomatic manifestations of somatization disorders, while headaches due to psychotic disorders are manifested as delusions, and the patient is convinced of this (for example, headaches are caused by aliens in their The result of installing some kind of device in the brain).
In order to determine whether the headache is due to a certain mental illness, it is first necessary to find out whether there is a mental illness at the same time.
It is recommended to ask all headache patients about common coexisting psychiatric symptoms such as depression and anxiety disorders.
When it is suspected that a certain mental illness may be the cause of the headache, it is recommended to be evaluated by an experienced psychiatrist or psychologist.
Summary So far, we have made a simple classification introduction to the 8 subtypes of secondary headaches using mind maps.
Secondary headaches account for less than 10% of clinical headaches, and the classification is complicated.
It is difficult to master it, but we need to understand more about the four main types of secondary headaches in the secondary headache mind map.
Recognize secondary headaches caused by critical illness, and keep in mind the early warning symptoms of headaches.
In the next issue, we plan to continue to explain the third major category of headaches-painful cranial neuropathy and other facial pains and other types of headaches.
References: (1) Headache Classification Committee of the International Headache Society (IHS), The International Classification of Headache Disorders, 3rd edition, Cephalalgia.
2018 Jan;38(1):1-211.
(2) Yu Shengyuan, International headache classification Third Edition (beta version) Chinese version, http: // This article source: Neurology, the medical profession channel author: Yichun City Xin Ping flowers People’s Hospital Review of this article: Wang Yan, Deputy Chief Physician, Beijing Tiantan Hospital, Capital Medical University Responsible Editor: Mr.
Lu Li, Copyright Statement.
If you need to reprint the original text, please contact us for authorization-End-Call for contributions.
Note: [Submission] Hospital + department + name The manuscript is in the form of word document, and the remuneration is favorable.
Edit WeChat: chenaFF0911
