Secondary Headaches-
Primary head ache are migraine , tensity and clump worry . Headacheis defined as secondary headache when chief cause of headache is excluded . Secondary headache is because of fervor orinfectionof the soft tissue paper lie within the skull , abnormal metabolism , brain injury or any space concern disease within the skull . handling of junior-grade vexation depends on cause of the cephalalgia .
Causes of Secondary Headache
Inflammatory Diseases and Infections Causing Headache Are-
handling involves NSAIDs , opioids , antidepressants , anti - anxiety medications and antibiotic .
Space Occupying Diseases and Lesions-
Treatment involves nonsteroidal anti-inflammatory drug , opioids , chemotherapy , radiation handling and surgery .
Abnormal Circulation and Metabolism-
Treatment involvesNSAIDs , opioids , antidepressants , antianxiety medications endovenous fluid and extradural blood patch .
Brain Injury-
intervention involves NSAID , opioids , antidepressants , antianxiety medicament , antibiotic and surgery .
Complete Treatment Guide for Secondary Headache
A. Medications to Treat Secondary Headache
NSAIDS are anti - inflammatory medicinal drug abbreviated as NSAID . Mild headaches are often treated by NSAIDs alone . Daily attack of headaches are plow with prophylactic medication such as NSAIDs ,
Acute and abbreviated plan of attack of vexation most of the time catch best without any treatment . affected role may break impedance and tolerance to opioid medicine .
Side impression of Opioid Medications :
selection of Opioids :
i ) synthetic Derivatives : Hydrocodone , Hydromorphone , Oxycodone , Oxymorphone Diacetylmorphine ( diacetylmorphine ) , Dihydrocodeine , Nicomorphine ,
ii ) Synthetic Opioids
Anti - seizure medications are thought to reduce the happening of hemicrania by calming inflame blood vessel in the encephalon , which may lead to migraine painfulness . However , none of these medicament is a cure for junior-grade cephalalgia . Antiepileptics are divers grouping of medications . Most common used antiepileptic in headache discussion is gabapentine ( Neurontin ) , Lyrica , Topamax and Depakote .
i ) Gabapentin :
ii ) Pregabalin Also known as Lyrica .
Antidepressants were “ consort with improvements in nuisance , depression , fatigue , sleep disturbances , and health - link quality of life in patients with FMS . ” drug that at the same time increase the amount of two genius spunk transmitter , serotonin and norepinephrine ; have been approved to treat fibromyalgia in adult . These drugs admit duloxetine and milnacipran .
i ) Tricyclic Antidepressants ( Elavil )
ii ) Prozac I :
iii ) Trazadone ( Desyrel ) :
iv ) Duloxetine ( Cymbalta ) :
v ) Milnacipran ( Savella ) :
Capsicum originated from hot pepper . Used in tension and cluster cephalalgia . Capsicum is utilise over occipital skin and also inside nose . It is a safe medication and available as over the counter product in pharmacy .
Side personal effects of Capsicum :
Serious Side personal effects :
GABA Effects : Benzodiazepam enhance GABA result such as sedative , hypnotic ( sleep inducing ) , anxiolytic , anticonvulsant , muscle relaxant and amnesic action .
Corticosteroid drug ( also called steroids ) are used in hypersensitized response and autoimmune disease as anti - inflammatory medications .
Side Effects of Corticosteroids :
Primarybrain tumoris gliomas and medulloblastoma .
Chemotherapy medicament used to pour down and slow down the development of cancer cell . Blood brain roadblock restrict and filtrate medicinal drug passing from blood to wit tissue paper . Chemotherapy is most effective after radiation therapy discourse and surgical process .
Route of Chemotherapy Administration :
Most Commonly Used Chemotherapy :
Less Common Used Chemotherapy : Tamoxifen ( Nolvadex ) and paclitaxel ( Taxol ) , which are used to plow breast Crab
Antibiotics are order for infection such as meningitis , phrenitis , and sinusitis .
antibiotic are selected following blood testing . A roue exam is performed to evaluate antibiotic sensitiveness mental testing . Appropriate antibiotics and road of administration depends on cause of contagion and anatomical expanse infected .
B. Radiation Treatment for Secondary Headache
High energy radioactivity kills the cancer cells and shrinks the tumour stack .
Types of Radiation Treatment for Secondary Headache
i ) External- By Using Radiation Beam :
ii ) Internal by injecting radioactive iodine .
C. Surgery for Secondary Headache
Indication for Procedure :
Risk Involved:
D. Cognitive Behavioral Treatment For Secondary Headache
Cognitive Behavior Therapy ( CBT ) is utile to assist change or alter behavior problems in - patient hurt with chronic headache .
Principle of Treatment:
Treatment Orientation:
i ) Cognitively orientate .
ii ) Behaviorally oriented .
iii ) Imaginary photo therapy fuse both approaches .
Also scan :
