_____is a severe, recurring, unilateral, vascular headache.
One of the most common ailments of humans, it is a symptom rather than a disorder in itself; it accompanies many diseases and conditions, including emotional distress. Although recurring headache may be an early sign of serious organic disease, relatively few headaches are caused by disease-induced structural changes. There are four major types of headache: vascular, muscle contraction (tension), traction, and inflammatory. The most common type of vascular headache is a migraine. Migraine headaches are usually characterized by severe pain on one or both sides of the head, nasuea, and, at times, disturbed vision. Women are more likely than men to have migraine headaches. Headaches That May Present With Ophthalmic Manifestations Primary Headache Syndromes Migraine Migraine is the second most common headache syndrome seen in clinical practice. Migraine headache is often characterized as a disabling pain, moderate to severe in intensity, unilateral in location, and pulsatile in quality. A potentially life-threatening secondary headache disorder may also be identified based on the patient's description of symptoms (diplopia, dimming of vision in a single eye, stiff neck, disorientation, rash, fever, eye pain, unilateral paresthesias, unilateral weakness, balance change, etc.). These disorders can occur at any age but most often begin during childhood or between 20 and 50 years of age.6 Onset of headache after 50 years of age is a red flag for consideration of a secondary headache disorder such as temporal arteritis or a mass lesion (Table 4).6. Primary headaches, which include migraine, tension-type headache and cluster headache, are benign; these headaches are usually recurrent and have no organic disease as their cause4 (Table 1).3 Secondary headaches are caused by under-lying organic diseases ranging from sinusitis to subarachnoid hemorrhage(Table 2).3. vascular headache. a classification for certain types of headaches, based on a proposed cause involving abnormal functioning of the blood vessels or vascular system of the brain; included are migraine, cluster headache, toxic headache, and headache caused by elevated blood pressure. vascular headache a classification for certain types of headaches, based on a proposed etiology involving abnormal functioning of the blood vessels or vascular system of the brain; included are migraine, cluster headache, toxic headache, and headache caused by elevated blood pressure. It is often localized to the nasolabial fold or one side of the chin, but may spread to the jaw, face, and neck. It may develop after a dental procedure and is more commonly seen in women between the ages of 30 to 50 years. Psychiatric comorbidities are often present in patients with idiopathic facial pain syndrome. Intracranial hemorrhage Subarachnoid hemorrhage (SAH) is the most common cause of a sudden intense and incapacitating headache (thunderclap headache or “worst headache of my life”). The pain is usually unilateral and associated with nausea, vomiting, nuchal rigidity, and occasionally fever or cardiac dysrhythmia.
Migraine