Headache is the most common pain that almost all people experience during their lifetimeIt is interesting to know that the brain tissue itself has no nerves or receptors to feel or trigger pain, and what we perceive as headaches is actually due to the damage or stimulation of the pain-sensitive tissues such as the meninges (which surround the brain) and/or the inner wall of cerebrovascular. what we will read:




Causes of headache (different headache categories)

How do you feel the headache?

What are the frequencies of recurrence of your headache attack?

What are the symptoms associated with your headache?

What causes a headache attack?

What causes your headache to get worse?



Headache types based on the causes:

First, let's look at the main and primary causes of headaches in general. These causes may be used to categorize the headache. These causes are: 

 Primary headaches:

  • Migraine
  • Tension headache
  • Cluster headache

 Different neuralgia:

  • Trigeminal neuralgia
  • Occipital neuralgia
  • Glossopharyngeal neuralgia
  •  Postherpetic neuralgia 

Secondary headache:

These are headaches that have an underlying cause. These secondary headaches can be categorized as:


  • Headache following temporal arthritis (inflammation of the temporal artery)
  • Headache due to increased intracranial pressure:
    • Increased intracranial pressure can be without obvious reason which is called pseudotumor cerebri  
    • Increased intracranial pressure can be due to a space-occupying lesion like tumor
  • Intracranial hemorrhage:
    • Bleeding inside the brain parenchyma
    • Bleeding subarachnoid
    • Epidural bleeding
    • Subdural hemorrhage
  • Drug headaches:
    • Overuse of painkiller drugs
    • Overuse of sedation drugs
    • Overuse of compounds containing caffeine
    • Nitroglycerin
    • Nitrocontin (isosorbides)
    • Dipyridamole
    • Bupropion

The above category is the most valid classification of different types of headaches. secondary headaches require more vital and faster diagnostic and therapeutic interventions than primary headaches. Determining the type of headache is done by skilled doctors with a careful review of patient's history, and physical and neurological examinationSecondary headaches sometimes may require urgent imaging procedures and therapeutic interventions such as surgery and shunting.

 In the history of headaches you will encounter the following questions:

 How long have you been experiencing the headache?

 Based on your answer to this question, your doctor may place your headache in one of the following groups:

 Acute headache:

It is a headache that less than 4 weeks has passed from its start date.

Chronic headache:

It is a headache that has been present for a more than a month. 


Sudden onset of headache attacks or onset of headaches within a few seconds can indicate the following causes and urgent action may be required.

  • Cerebral hemorrhage
  • Rupture of cerebrovascular aneurysm
  • Slow onset of headache and its gradual progression
  • How long does each period of your headache last?
  • Headache attack duration
  • The duration of each migraine attack is four hours to seventy-two hours .
  • Neuralgia duration will be in about some seconds or minutes .


How do people feel their headache?

Based on the cause of the headache, people may feel the headache in different ways like:

  • Stabbing
  • Explosive
  • Beating
  • Burning
  • Pressure


What are the frequencies of recurrence of your headache attack?

Another information which can help doctors to identify the source or the type of headache is the frequency of its occurence. For example, how many times in twenty-four hours or during a week or a month have you had a headache attack?  


What are the symptoms associated with your headache?

The main symptoms seen in people with headache are:

  • Nausea
  • Vomit
  • Photophobia
  • Phonophobia
  • Red eyes
  • Shed tears
  • Runny nose
  • Blurred vision 


What causes headache attacks?

There are so many factors which can initiate and trigger the headache. The most common ones are:

  • Being Hungry
  • Fatigue
  • Stress
  • Menstruation
  • Some foods
  • Some smells
  • Insomnia
  • Bad sleep
  • Cold weather


What causes your headache to get worse?

When you have a headache, the following items can make your headache even worse!

  • Physical activity and physical activity
  • Pushing and coughing
  • Change in patient status
  • Head trauma of the fall
  • History of current and former disease
  • Family history of diseases and headaches
  • Medications that the patient has been taking and is taking
  • Nitrocontin (isosorbide)
  • Compounds containing Nitroglycerin
  • Dipyridamole
  • Bupropion


What headaches should we take seriously?

  • Headaches that start suddenly and explosively.
  • Headaches which patients are reporting them as the worst headaches they have experienced in their life.
  • Any decrease in level of consciousness and confusion due to the headache
  • Headaches that are accompanied with fever and stiffness of the neck.
  • Headaches happening with high blood pressure.
  • Headaches that suddenly starts in a person over fifty years old.
  • Headache with visual impairment and bilateral or bilateral vision loss. 
  • Headaches with pain on both sides of the temporal lobe, especially in the elderly.
  • Headaches in people with the history of head trauma.

 In general, it can be said that most headaches are benign, but if you have any of the above conditions, it is necessary to see a well-equipped medical center immediately.




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