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Cluster-like head pain may be diagnosed as secondary headache rather than cluster headache. [21] A detailed oral history aids practitioners in correct differential diagnosis, as there are no confirmatory tests for cluster headache. A headache diary can be useful in tracking when and where pain occurs, how severe it is, and how long the pain lasts.
Hormone replacement therapy for women going through menopause has been found to be associated with dry eyes, [13] which in turn is associated with blepharospasm. Blepharospasm can be caused by concussions in some rare cases, when a blow to the back of the head damages the basal ganglia. [36] Blepharospasm is associated with exposure to the sun ...
This causes the brain to lose its buoyancy, which results in pressure on pain-sensitive areas like the dura and blood vessels. The resulting pain is a headache, and because the brain is more reliant on its buoyancy in an upright position the headache can be relieved by switching to a horizontal position. [3]
The increased pressure leads to compression and traction of the cranial nerves, a group of nerves that arise from the brain stem and supply the face and neck. Most commonly, the abducens nerve (sixth nerve) is involved. This nerve supplies the muscle that pulls the eye outward.
Ethmoidal – may cause pain or pressure pain between or behind the eyes, along the sides of the upper nose (medial canthi), and headaches. [27] Sphenoidal – may cause pain or pressure behind the eyes, though it is often felt at top of the head, over the mastoid processes, or the back of the head. [27]
A headache, also known as cephalalgia, is the symptom of pain in the face, head, or neck.It can occur as a migraine, tension-type headache, or cluster headache. [1] [2] There is an increased risk of depression in those with severe headaches.
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The pain can ultimately become disabling unless the ambient pressure is reversed. The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space.
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