tailieunhanh - ESSENTIAL NEUROLOGY - PART 9

Điều quan trọng là phải nhớ rằng đau ở đầu và mặt có thể được không thần kinh trong tự nhiên, và nhiều hơn nữa địa bàn tỉnh của bác sĩ hoặc chuyên gia y tế hoặc phẫu thuật khác. Một số những điều kiện này là rất phổ biến. Họ được hiển thị dưới đây. | HEADACHE AND FACIAL PAIN 221 Other causes of headache and facial pain It is important to remember that pains in the head and face may be non-neurological in nature and more the province of the general practitioner or other medical or surgical specialists. Some of these conditions are very common. They are shown below. Fig. Non-neurological causes of headache and facial pain. Sinuses infection malignancy Eyes eyestrain glaucoma uveitis Temporo-mandibularjoints arthritis Ears otitis media Teeth malocclusion caries Neck trauma disc degenerative disease carotid dissection Heart angina may be felt in the neck and jaws 222 CHAPTER 13 CASE HISTORIES The diagnosis of headache and facial pains concentrates very much on the history. Abnormal examination findings are important but rare except in the acute and evolving headaches. Patients often use key phrases which start to point you towards the correct diagnosis. In reality you would want to hear a great deal more before committing yourself to a diagnosis but see if you can identify the likely causes in these cases. a. It was like being hit on the back of the head with a baseball bat. b. It s a tight band around my head holding it in a vice like something s expanding inside. c. Every night at 2 o clock like someone is squeezing my eyeball very hard. d. Mainly in the mornings and when I bend over. e. All over my head it feels so tender I ve never felt so bad in all my years. f. Maybe once or twice a month at the front on this side. g. Cruel sudden I can t brush my teeth. h. Awful when I sit up fine lying flat. i. Endless nagging ache in this cheek I m desperate. j. It s very embarrassing doctor it always happens just as I m you know. For answers see pp. 265-6.