SECONDARY HEADACHE

Due to underlying conditions CAUSES Intracerebral bleeding Subdural hematoma – trauma, pts on

anticoagulants. + coma/ seizures Subarachnoid haemorrhage – berry or

saccular aneurysms at circle of willis. sudden severe thunderclap headache

+ Vomiting, loss of consciousness at onset, photophobia, neck stiffness

Intracerebral haemorrhage- + aphasia or visual field defect +ataxia, diplopia, vertigo

CONTD…

Papilloedema, late – vomiting, bradycardia, arterial HTN

dull ache, mild worse in morning morning vomiting worse bending foreward inc with cough , straining relieved by analgesia

Raised intracranial tension

Tumors – sec from bronchus, breast, GIT headeache not invariable post fossa tumors pain in occipital

region seizures , N ,V deep & dull aching more on exertion

CONTD…

Changes with position, not relieved by sleepObstructive hydrocephalus

CONTD…

Idiopathic intracranial HTN• morning headache • worsened by coughing & straining• young & obese females • h/o steroid or vit A intake• + transient diplopia , visual dist

CONTD…

Meningitis – pyrexia & meningism [headache ,photophobia & neck stiffness]

• viral, bact, TBEncephalitis -herpes simplex• a/c onset, fever, seizures, aphasia/hemiplegia Brain abscess- + seizures, fever

Infections

Temporal arteritis- throbbing headache, U/L or b/L, >50yrs , + fever, jaw claudication

Arthritis – TM joint arthritis costen’s syndrome

Inflammatory diseases

Elderly , pain in eyebrow thin papery white scars- anaesthetic Continual & burning

Post herpetic neuralgia

Referred painTrivial head injuries – post concussion

headache HTN – pheochromocytoma Iatrogenic- nitrates , nifedipine, post-

lumbar puncture Caffeine, smoking

CONTD…

THANK YOU