Voltage headache.

Description

The headache of the voltage is the most common type of headaches. It does not have such bright and unusual manifestations like a migraine or cluster pain, she is "banal" and does not cause a great anxiety at first.

Names

Russian name: ibuprofen.
English name: iburfen.

Latin name

IBUPROPHENUM (IBUPROPHENI).

Chemical name

(RS) -2- (4- (2-methylpropyl) phenyl) propaneic acid.

Farm Group

NPBS - propionic acid derivatives.

1 Mechanism of origin

Psycho-emotional stress causes the reflex tension of all body muscles. Muscles of the neck and head occur. As a result, the strong sensations of pain, discomfort and depths in this zone are often distributed on temporal and occipital muscles.

Music spasms face. These anomalous physiological processes cause tension headaches, which often have a very protracted character. Patients with such pains are constantly in a state of stress. This noticeably reduces the quality of life.

Causes of the development of pathology

Physical, psycho-emotional overvoltage is the cause of such headaches. The energy of the body is spent on maintaining the muscles of the head in a tense state.

So, headache Voltages are usually provoked by such factors:

• Mental, nervous or emotional overvoltage, which appears due to a long stress.
• Long-term seat in a static position in the workplace or in front of the computer (typical muscle tension, provoking muscle spasm and pain).
• Incorrectly selected possession for rest or sleep.

• Long use of tranquilizers and analgesics leads to the development of chronic GBN.
• Change weather.
• Incorrect nutrition or adherence to a very strict diet.
• Physical overwork.

• Lack of oxygen indoors.
• Tonic muscle spasm.
• Violation of the function of the antinocyptive system and reducing the painful threshold. That is, the ratio of pain and anti -olsystems is non-optimal, and the fault of this disorder in the work of vegetative NA.

• Depression also causes a headache of nervous tension.
• Disorders in the operation of the respiratory system, which are able to raise the level of anxiety in humans.
• Reception of a large amount of caffeine.
• Genetic predisposition (according to the statistics of ICD in 40% of cases, patients have a family history).

Prevention

Effective complex of medical gymnasts:

1. The head during the exercise is important to keep right. It must be briefly tilt forward after performing motor actions to relax muscles.
2. Palm should be pressed on the forehead, then alternately on the temple zone, overcoming the resistance of the muscles of the neck and head. Palms of both hands put on the back of the head. When performing the leaf, an isometric reduction of muscles occurs.
3. Massotherapy. With headache, you can make a circular movement to make a point massage of temporal muscles, bridges.

If the head hurts, you should not engage in self-medication. Only a specialist can establish the causes of GBN with the code G44.2 on the ICD 10 and assign proper treatment.

• You are tormented by episodic or regular painty bouts
• Presses the head and eyes or "hits a sledgehammer" on the back of the back or knocks in temples
• Sometimes when headaches you sick and spin the head?
• All starts shave, it becomes impossible to work!
• Slop your irritability on loved ones and colleagues?

Stop it to endure, you can not wait anymore, tightening with treatment. Read Elena Malyshev advises and find out how to get rid of these problems.

The headache of the voltage is an independent and serious pathological condition that violates the usual way of life. With him you need to fight, and starting with the most early stage Development of the disease. That is, it should be very quick to consult a doctor.

However, treatment of sufficiently strong headaches with the help of drug drugs is fraught with the appearance of side effects or other complications. Therefore, it is best to observe preventive measures:

1. Optimization of the day mode. It is impossible to break physically or mentally. It is advisable to periodically take breaks during hard work.
2. Regular physical exertion.

1. The day rest is important, as well as a full night sleep. At the same time, it is better to use an orthopedic mattress and a pillow that will not lead to the overvoltage of the muscles due to the wrong position of the body.
2. It is important to monitor your diet. Eliminate alcohol from it, limit the consumption of products with increased content Caffeine, Tiramine (cheese, chocolate, nuts).

Characteristic of substance

Ibuprofen is a racemic mixture of S- and R-enantiomers. White or not very white crystalline powder, practically insoluble in water, well soluble in organic solvents (ethanol, acetone). Molecular weight 206.28.

The treatment of ibuprofen should be carried out in a minimum effective dose, the minimum possible short course. During long-term treatment, the pattern of peripheral blood and functional state Liver and kidney.

Given the possibility of the development of NSAIDs-gastropathy, with caution prescribe to people of elderly, if there is a stomach ulcers and other diseases of the gastrointestinal and intestinal bleeding, with simultaneous glucocorticoids, other NSPIDs and for long-term therapy.

With the appearance of gastropathy symptoms, careful control is shown (in PM, the conduct of esophagogastroduodenoscopy, blood test with the determination of hemoglobin, hematocrit, feces analysis hidden blood). To prevent the development of NSAIDs-gastropathy, it is recommended to combine with PGA (Mizoprostol) preparations.

Caution is prescribed to patients with impaired liver and kidney function (required regular control of the level of bilirubin, transaminase, creatinine, concentration ability), arterial hypertension and chronic heart failure (daily control over diurea, body weight, blood pressure).

When impaired violations, the dose or cancel the drug should be reduced. The use of alcoholic beverages during the treatment period is not recommended.

It is impossible to apply on an open wound surface, damaged skin; It should be avoided by the cream, gel or ointment in the eyes and on the mucous membranes ..

Cefalgia classification

Before treating such a headache, a neurologist must, firstly, eliminate the headaches of other species (cluster, migraine, with cervical osteochondrosis, elevated intracranial pressure, tumor, syndrome of temporomandibular joint), and second, to identify possible diseases due to which pain appeared (hypertension, neuroinfection, hypothyroidism, etc.

d.). In order to differentiate the diagnosis, instrumental and laboratory tests are carried out, as well as consultations of other specialists (endocrinologist, cardiologist, infectiousist, etc.

In cases where the GBN is caused by somatic or infectious diseases And it has completely specific reasons, the treatment of basic pathology leads to the disappearance of pain or facilitating the state.

Since the pain of stress can be a manifestation of a masked clinical depression, the patient must be consulted by a psychiatrist. Reception of antidepressants when the diagnosis of affective disorder is confirmed, as a rule, leads to the disappearance of GBN and prevent attacks.

It is recommended to seek the patient for supporting the psychotherapist, since treatment with clinical depression should imply not only the use of drugs, but also a course of psychotherapy. Comprehensive impact allows for a long time to get rid of pain.

In other cases, treatment is difficult, but this does not mean that it should be absent. Some patients help drugs that remove spasm (for example, "but-shpa") or muscle relaxants that reduce the tone of muscles.

If the headache of the voltage in a woman is associated with the menstrual cycle or the appearance of a climax, in this case the treatment can help hormonal drugswhich picks up a gynecologist. However, it is worth noting that their use in some cases, on the contrary, can provoke attacks.

Some patients with tension type headache helps treatment in manual therapists, osteopaths, reflexotherapists.

Methods of preventing attacks

A patient with GBN is recommended to analyze his lifestyle in order to identify the reasons for triggering attacks. If the pain appear when stress, can help get rid of them or facilitate the following recommendations:

• avoiding traumatic situations as possible (also change the place of work or team);
• consultation with a psychologist, who in an individual or group version will help to cope with the standard situations that bring emotional experiences;
• mastering relaxation methods (autotraining, aromatherapy, bath acceptance, etc.);
• turning on effective ways Distractions from negative situations (hobbies, communication with friends, animals).

When the GBN is particularly often appearing with a low-fat lifestyle, follows:

• enter physical exertion from 3 to 5 times a week;
• undergo massage courses;
• include outdoor walks;
• during the day, if the work is low-loving, regularly get up and move.

When headaches appear during diets, purposeful weight loss is recommended:

• five-volume nutrition (not standard three-time) small portions;
• the mandatory presence of dinner (it is proved that people who refuse him suffer from night headaches);
• balanced menu with the inclusion of all nutrients and trace elements;
• presence of physical exertion;
• the use of pure water is at least 2 liters per day.

The headache of the voltage is an unpleasant illness that is able to pull the patient, attending in his life every day or appearing early in the month. It is not necessary to endure discomfort, as the condition significantly reduces the quality of life. After the examination, the doctor may choose the optimal treatment that will allow you to remove the attacks and prevent them.

According to the results of the study, experts revealed five major types of cephalgia. They manifest themselves B. various form And they have their own code of pain syndrome in the ICD 10. Pathology classifies cefalgia by type of its impact on the body:

• neuralgic;
• infectious toxic;
• lycvodynamic;
• vasomotor (voltage);
• vascular.

At the same time, each form of illness has a different effect on the body. Depending on the type of pain, the patient appears various symptoms.

By definition, the GBN is a diffuse bilateral headache, which has a squeezing character, and is also characterized by small or moderate intensity. Believe such a pathological condition to primary pains in the head. That is, in accordance with the ICD, this disease is independent and has the code G44.2 "Headache of the Stressed Type".

Its feature is that for the first time it meets after 20 years. The elderly people who crossed the 50-year-old frontier, the symptoms are the exception rather. In any case, pathology needs treatment, as it can create serious problems for normal human life.

Contraindications

Hypersensitivity. For use inside: erosive-peptic diseases of the gastrointestinal tract in the aggravation phase (in PM ulcerative disease Stomach and duodenum.

Crohn's disease. Nonspecific ulcerative colitis.

Peptic ulcer). "Aspirin" bronchial asthma.

Hives. Rhinitis.

Provoked by the reception of salicylates or other NSAIDs; Blood coagulation disorders (in TC hemophilia. Hangoagulation.

Hemorrhagic diathesis). Diseases spectator nerve.

Scotoma. Amblyopia.

Violation of color vision. Asthma.

Leukopenia. Thrombocytopenia.

Hemorrhagic diathesis. Confirmed hypercalemia.

Heavy liver failure or active liver disease. Heavy renal failure (clearance creatinine

The ICD-10 has been introduced into the practice of health throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia from 27.05.97. №170

A new revision (ICD-11) is planned to be planned in 2017 2018.

With changes and additions to WHO.

Processing and transferring changes © MKB-10.com

Code of ICD: G44

Other headache syndromes

Other headache syndromes

Code of ICD Online / ICB code G44 / Diseases nervous system / Episodic and paroxysmal disorders / other headache syndromes

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Head Pains Code on the ICD 10

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International Classification of Headache

Migraine without Aura

Migraine with aura

Typical aura with migrane headache

Typical Aura with Nemigrenous Headache

Typical aura with no headache

Family Hemiplegic Migraine (SGM)

Sporadic hemiplegic migraine

Basilar type migraine

Periodic syndromes children's age - Migraine Predecessors

Benign paroxysmalnos dizziness of childhood

Persistent aura without a heart attack

G43.3 + g40.x or g41.x

Migraine - Trigger Epileptic Slow

Possible migraine without aura

Possible migraine with aura

Possible chronic migraine

Voltage Headache (GBN)

An infrequent episodic GBN

An infrequent episodic GBN, combined with the voltage of pericranial mice

An infrequent episodic GBN that does not combine with the voltage of pericranial muscles

Frequent episodic GBN

Frequent episodic GBN, combined with a voltage of pericranial muscles

Frequent episodic GBN, not combined with the voltage of pericranial muscles

Chronic GBN, combined with the voltage of pericranial muscles

Chronic GBN, not combined with the voltage of pericranial muscles

Possible infrequent GBN

Possible frequent GBN

Possible chronic GBN

Buffle (cluster) headache and other trigeminal vegetative (autonomous) cefalgia

Bucket headache

Episodic beam head

Chronic beam head

Episodic paroxysmal hemikrania

Chronic Paroxysmal Hemikrania (CPG)

Short-term unilateral neuralgic headaches with injecting conjunctiva and tearing

Possible trigeminal vegetative cefalgia

Possible beam head

Possible paroxysmal hemikrania

Possible short-term unilateral neuralgic headaches with injecting conjunctiva and tearing

Other primary headaches

Primary stuffing headache

Primary cough headache

Primary headache with physical voltage

Primary headache related to sexual activity

Prevogazmic headache

Orgasmic headache

Hypnia headache

Primary bulwed headache

New daily (initially) persistent headache

Headache-related headaches and / or neck injury

Acute post-traumatic headache

Acute post-traumatic headache associated with moderate or severe head injury

Acute post-traumatic headache associated with easy head injury

Chronic post-traumatic headache

Chronic post-traumatic headache associated with moderate or severe head injury

Chronic post-traumatic headache associated with easy head injury

Acute headache associated with a whip injury

Chronic headache associated with a whip injury

Headache associated with traumatic intracranial hematoma

Headache associated with epidural hematoma

Headache associated with subdural hematoma

Headaches associated with other head and / or neck injuries

Acute headache related to other head injuries and / or neck

Chronic headache associated with other headache and / or neck injuries

Headache after Craniotomy

Acute headache after craniotomy

Chronic headache after craniotomy

Headaches associated with lesions of brain and neck vessels

Headache associated with ischemic stroke or transient ischemic attack

Headache associated with ischemic stroke (cerebral infarction)

Headache associated with a transient ischemic attack

Headache associated with non-immoral intracranial hemorrhage

Headache associated with intracranial hemorrhage

Headache associated with subarachnoid hemorrhage

Headache associated with unexploded vascular malformation

Headache associated with fabric aneurysm

Headache associated with arteriovenomic malformation

Headache associated with arteriovenous fistula solid cerebral shell

Headache associated with encephalotrigheminal or

lEKTOMENINGEAL ANNIKOMATOMOM (Schurgs-Weber Syndrome

Headache associated with arteries

Headache associated with giantal artery

Headache associated with primary angiite of the central nervous system

Headache, associated with secondary angite central nervous system

Pains associated with carotid and verteramine arteries

Head, facial pain or neck pain, associated with the bundle of arteries

Headache endarterectomy

Headache associated with angioplasty carotid arteries

Headache associated with intracranial endovascular interventions

Headache with angiography

Headache associated with thrombosis of cerebral veins

Headaches associated with other intracranial vascular processes

Cerebral autosomal dominant arthropathy with subcortical infarction and leukeneentsephalopathia

Mitochondral encephalopathy with lactoacidosis and in-sulti-like episodes

Headache, associated with a benign angiopathy central nervous system

Headache associated with apoplexy pituitary

Headaches associated with non-sustainable intracranial lesions

Headache associated with high pressure Likvora

Headache associated with idiopathic (benign) intracranial hypertension

Headache associated with secondary intracranial hypertension due to metabolic, toxic or hormonal causes

Headache associated with secondary intracranial hypertension due to hydrocephalus

Low Pressure Headache

Headache after lumbar puncture

Headache with Likvorn Fistula

Headache associated with spontaneous (idiopathic-kim) decrease in likvorn pressure

Headache associated with non-infectious inflammatory diseases

Headache associated with neurosarcomatosis

Headache associated with aseptic (noncommunicable) meningitis

Headache associated with other noncommunicable inflammatory diseases

Headache associated with lymphoicitarian pituitary

Headache associated with intracranial tumor

Headache associated with an increase in intracranial pressure or hydrocephalus due to a tumor

Headache directly associated with a tumor

Headache associated with carcinomatous meningitis

Headache associated with redundancy or insufficiency of the secretory function of the hypothalamus or pituitary (due to their tumor lesion)

Headache associated with injection into the subordinate space

Headache associated with epileptic seizures

Headache arising after epileptic seizure

Headache associated with Melformation Kiari i type

Transient headache syndrome with neurological manifestations and lycvore lymphocytosis

Headache associated with other non-audible intracranial lesions

Headache associated with various substances or their cancellation

Headache associated with acute or long exposure

Headache caused by nitrogen oxide donors (N0)

Immediate headache caused by donors n0

Delayed headache caused by donors n0

Headache caused by phosphodiesterase inhibitors (FDE)

Headache caused by carbon monoxide

Headache caused by alcohol

Immediate Headache caused by alcohol

Delayed Headache caused by alcohol

Headache caused by food and additives

Headache caused by glutamate mononitrome

Headache caused by cocaine

Headache caused by hashish

Headache caused by histamine

Immediate Headache caused by histamine

Deferred headache caused by histamine

Headache caused by peptide related to calcitonin genome (PGC)

Immediate headache caused by a PSGC

Delayed headache caused by PSGC

Headache as an acute side effect on the impact of others medicines

Headache caused by sharp or long exposure to other substances

Headache with excessive use medicinal preparations (Abuzus headache)

Headache with excessive use of ergotamine

Headache with excessive use of tryptans

Headache with excessive use of analgesics

Headache with excessive use of opiates

Headache with excessive use of the combination of drugs

Headaches associated with overflowing other drugs

Headaches may be redundant

mentening drugs

Headache as a side effect of long-term drug intake

Headache caused by hormone techniques

Headache associated with cancellation of drugs

Headache when canceling caffeine

Headache when canceling opiates

Headache with the abolition of estrogen

Headache with the abolition of other substances

Headaches associated with infections

Headache associated with intracranial infection

Headache associated with bacterial meningitis

Headache associated with lymphocyte meningitis

Headache associated with encephalitis

Headache associated with brain abscess

Headache associated with subduuril emphasis

Headaches associated with system infections

Headache associated with systemic bacterial infection

Headache associated with systemic viral infection

Headache associated with other system infections

AIDS / HIV-related headache

G44.821 or G44.881

Chronic post-infectious headache

Chronic headache after bacterial meningitis

Headaches associated with a violation of homeostasis

Headache associated with hypoxia and / or hypercapper

High-height headache

Headache of divers

Headache associated with sleepy apnea

Hemodialysis Headache

Headache associated with arterial hypertension

Headache associated with feuhromoyatoma

Headache associated with hypertensive crisis without hypertensive encephalopathy

Headache associated with hypertensive encephalopathy

Headache associated with preeclampsia

Headache associated with eclampsia

Headache associated with an acute increase in blood pressure in response to the reception of various substances

Headache associated with hypothyroidism

Hunger headache

Headache for Heart Diseases (Myocardium Ischemia)

Headaches associated with other homoseostasis disorders

Head and facial pains associated with the pathology of the skull, neck, heads, ears, nasal cavity, sinuses, teeth, oral cavity or other structures of the skull and face

Headache associated with the pathology of the bones of the skull

Headache associated with pathology in the neck

Cervicogenic headache

Headache associated with retrofaringal tendinium

Headache associated with Craniocerevical Distonia

Headache related to eye pathology

Headache associated with acute glaucoma

Headache associated with refraction violations

Headache associated with inflammatory eye diseases

Headache associated with the pathology of the ears

Headache associated with pathology of nasal sinuses

Headache associated with pathology of teeth, jaws and related structures

Head or facial pain associated with the pathology of the temple-nodulelace joint

Headache associated with other pathological processes in the field of skull, neck, eye, ears, nose, sinuses, teeth, oral cavity and other skull and neck structures

Headaches associated with other diseases

Headache associated with somatized disorders

Headache associated with mental disorders

Cranial neuralgia n central causes of facial pain

Classical trigeminal neuralgia

Symptomatic trigeminal neuralgia

Classic Gloss Sofaringeal Neuralgia

Symptomatic glossopyal neuralgia

Neuralgia intermediate nerve

Neuralgia Upper Nerva Large

Neuralgia of other branches of triple nerve

Neuralgia of the occipital nerve (Occipital neuralgia)

Headache associated with external compression

Headache associated with cold stimuli

Headache associated with the external influence of cold

Headache associated with the internal influence of cold (inhalation, reception inside cooling substances)

Constant pain caused by compression, irritation or stretching of cranial nerves or upper cervical roots structural damage

Neurry optic nerve

Diabetic neuropathy of the optic nerve

Head or facial pain associated with acute infection

Cefalgia

In medicine there are many types of headaches susceptible and insensitive to pain syndrome. Cefalgia code on ICD 10 refers to R51.

At the same time, such syndromes are excluded as:

At the same time, most of the R51 paragraphs refers to the face of the head. International Directory Contains detailed information about the diagnosis of the patient without the extension of all its components.

Cefalgia classification

According to the results of the study, experts revealed five major types of cephalgia. They are manifested in various shape and have their own code of pain syndrome in the ICD 10. Pathology classifies cefalgia by the type of its impact on the body:

• neuralgic;
• infectious toxic;
• lycvodynamic;
• vasomotor (voltage);
• vascular.

At the same time, each form of illness has a different effect on the body. Depending on the type of pain, a different symptoms appear in the patient.

Symptomatics

Since the types of disease are influenced by the extent to the body, it is necessary to disassemble the main manifestations of the illness for each of them:

• Neuralgic cefalgia. A fairly common form of disease manifestation. It is characterized by sharp and sharp attacks that are manifested due to physical exposure: shaving, chewing, washing, and so on.
• Infectious-toxic. In this case, the cause is any virus or bacterium listed in the body. To eliminate the negative factor, the body uses the immune system, as a result of which the destruction takes place with the further propagation of toxic elements. It is they who cause prolonged pain.
• Likvorodynamic. Common, among the people of old age, the type of cepalgia. It is formed as a result of an increase in intracranial pressure. An unpleasant pulsating pain may become stronger and subsid for over time. Among young people, such a disease can be caused by the complication of the disease or external factors.
• Vasomotor. Active lifestyle or daily loads in the gym cause excessive muscle tension. They create a monotonic pain syndrome of medium intensity. Patients have a feeling of compression or squeezing the head. It is observed mainly in the frontal or occipital part of the head. In the ICD, the headache of the voltage is indicated as a common code R
• Vascular. Excessive disorder leads to the expansion of vessels and large volumes of flowing blood in the body. Patients with similar syndromes are experiencing pain comparable with sharp blows inside the skull. Get rid of adverse sensations allows the transmission of leading artery.

The primary formation of the disease is easily eliminated with the help of available analgesics. However, they do not treat, but only dulk pain. It is possible to completely get rid of Cefalgia with the help of an appropriate course of treatment. To create it, it will be necessary to consult a doctor to put an accurate diagnosis, pick up optimal preparations and assign the appropriate set of procedures.

Diet and change in lifestyle are equally important, since in most cases they are the cause of pain in the head.

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Self-medication can be dangerous to your health. At the first sign of disease, consult a doctor.

Code of ICD: G44

Other headache syndromes

Other headache syndromes

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Both everything in the world and diseases have not only classification, but also numbering. It is convenient to observe outbreaks of diseases, keeping strict consideration of appeals in medical institutions With certain complaints, and, relying on the statistics, to know that most often sends people to the hospital bed and is the cause of death.

For all this, it was created, which in Russia acts as a single regulatory document. Cefalgia is also listed in this list. Its code on the ICD-10: R 51 headache.

1 What causes a symptom

The usual reaction of most people: whipped his head, and pain passed, everything was forgotten. But no, the problem remained, because, as thousands of examples proved, Cefalgia basically arises as a consequence of any disease, often not completely associated with his head.

• hypertension, intracranial pressure;
• cardiovascular problems;
• neuralgia and osteochondrosis;
• heavy load, especially for vision;
• nervous overvoltage;
• lack of regime and systematic lack of space;
• injuries and head inflammation;
• inflammation internal organs and diabetes.

2 clinical picture illness

If you are "shuffling" the headache with pills, after time it returns again. Even stronger and as always, not on time. Without taking proper measures, pain goes into chronic and prevents life. Learn how the readers of the site cope with headaches and migraines with a poker means.

Headache cannot be confused with any other. Basically, even regardless of the reasons, it has an increasing tendency, nausea and vomiting begins, the Spirin appears on the forehead. A man with difficulty perceives bright lights and sounds, becomes irritable.

1. View of pain - vascular cepalgia. Its cause is a narrowing or expansion of blood arteries that experienced unexpected irritation and responded, feeding pain. A unexpected load is falling on the brain vessels, which is not calculated on the adoption of a large amount of blood, because patients characterize their perception as a pain of a pulsating nature. It makes itself felt a vegan dystonia, but also hypertension or hypotension have similar symptoms. When the volume of blood is large, and the voltage of muscle tissues located in the walls of the channels, low, slows down the venous blood velocity in the cranial box, its volume is reduced. So pain arises. Sometimes this kind of pain can provoke external reasonsIf a person holds his head too long in lowered, too pulls her throat with narrow clothing.
2. Cefalgia venous is caused by the weak voltage of the walls of venous channels, the volume of blood increases, as well as pressure, and intracranial veins are forced to stretch, and the person experiences pain in the back of the head. There is another reason: if a hemorrhagic failure and blood becomes too thick, due to the loss of erythrocyte elasticity increases the coagulant plasma activity. Oxygen in conventional quantities does not arrive, toxins remain, and stupid pain torments suffer, it becomes unbearable, then quiet, but the severity remains. There are ringing and noise in the ears, movement slow down.
3. Cefalgia Vasomotor. Head, as during sophisticated torture, firmly clamped in vice. The pain does not pass, causes nausea. Usually, a small mobility, nervous shocks, an excess of medical preparations, a strong load on the neck and shoulders, staying in a stuffy, most often around the room are becoming the perpetrators.
4. When there is a spasm of muscle tissue, then blood flow or completely may be discontinued, or partly, which means that toxins are not washed out of the body, starting their poisoning effect, which is one of the causes of pain, which can over time without the treatment of paint into chronic . Cefalgia stress is most often felt in the occipital part, spreading across the head. Patients complain about the sensation of a hot hoop that cannot be removed.
5. A vegetative nervous system may suffer from various reasons. Stagnation and disorders of blood flow, injury, inflammation, stress, alcohol - any push can disrupt the work of many systems of the body, and thus convicted vegetary dystonia can cause a special stupid, squeezing pain. And if the pressure is enhanced, the heart is often starting to hurt, respiratory functions are disturbed.
6. Cefalgia angodistonic. Headaches arise and then when blood pressure increases, and the brain vessels begin to narrow, veins due to improper blood flow deform. This is a dangerous state, since it often leads to a heart attack, hemorrhage into the brain. The pain with this form of cephalgia is the character of ripples, is localized in the occipital part, but it can spread to the entire head. Especially dangerous attacks after active physical exertion.

3 What to do with pathology

• Presses the head and eyes or "hits a sledgehammer" on the back of the back or knocks in temples

Other headache syndromes (G44)

In Russia, the International Classification of Diseases of the 10th Review (ICD-10) adopted as a single regulatory document for accounting for incidence, reasons for people's appeals to medical institutions of all departments, causes of death.

The ICD-10 has been introduced into the practice of health throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia from 27.05.97. №170

A new revision (ICD-11) is planned to be planned in 2017 2018.

With changes and additions to WHO.

Processing and transferring changes © MKB-10.com

Code of ICD Cefalgia

Short description

The reasons

Symptoms (signs)

Diagnostics

Pain Head Voltage - Description, Causes, Symptoms (Signs), Diagnostics, Treatment.

Short description

Stress headache (GBN) is the most common form of headaches. About a third of the population suffers from GBN. The frequency in 60% of patients for the first time appears after 20 years. Start after 50 years is atypically occur more often in women.

The reasons

Genetic aspects. 40% of patients have a positive family history.

Risk factors obstructive apnea during the sleep of drugs LS receiving a large amount of caffeine.

Symptoms (signs)

Diagnostics

Diagnosis of X-ray radiography of the cervical spine of the MRI or CT of the head as amended in the nature of the headache or the identification of pathological changes in neurological examination.

General principles of ways of weakening headache intensity Rest with a wet towel in the eyes in a dark room with good soundproofing, warm shower or bath, massage of the rear and temporal areas. Training in the method of autotraining psychotherapy, hypnosis. Postisometer minelaxation, acupuncture must try to change the lifestyle, exclude frequent or long-term Stressful situations Performing relaxing exercises, aerobics, regular training.

The course and forecast in the presence of a unreasonable continuous stress situation occurs the chronization of the process. Most cases of the disease have an episodic nature, it does not significantly interfere with work and does not affect the quality of life.

Synonyms Headache Muscular Abbreviation Cefalgia Stress Stress Headache Idiopathic Headache Psychoic Headache Headache Muscle Tension Headache

Reduction. GBN - Tension Headache

ICB-10 G44.2 Headache of Stray Type

Cefalgia

Cefalgia classification

• neuralgic;
• infectious toxic;
• lycvodynamic;
• vasomotor (voltage);
• vascular.

Symptomatics

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Code of the ICD 10 Cefalgia

Cefalgia code for ICD -10 and signs of the disease

1 What causes a symptom

Headache occurs on the background:

But this is not full list Diseases that provoke headache.

2 clinical picture illness

Cefalgia has varieties, thanks to which you can identify the disease, at first glance, not related to the headache.

Permanent pains can turn into chronic cephalgia, and the causes of such pathology can be the most unexpected.

Basically, it is a violation of hormonal balance, too stressful working schedule, nervous breakdowns, therapeutic agents.

3 What to do with pathology

When the headache does not pass even after the adoption of analgesics, increases, doctors determine that it is a resistant cepalgia. With this form, it is necessary to study the entire body, modern devices come to the rescue, and the patient will be treated with the cause.

Headaches may occur when changing temperatures caused by climatic conditions, and may be a hereditary factor.

Dangerous for life, if the headache is associated with meningitis, when swelling in the cerebral shell occurs.

Head pains may have many reasons, and respond to the fact that Cefalgia originated, it is necessary on time.

• You are tormented by episodic or regular bouts of headaches
• Sometimes when head pain your head is sick and the head is spinning?
• Everything begins to inflate, it becomes impossible to work!
• Slop your irritability on loved ones and colleagues?

Stop it to endure, you can not wait anymore, tightening with treatment. Read Elena Malyshev advises and find out how to get rid of these problems.

Code of ICD: G44

Other headache syndromes

Other headache syndromes

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Stress headache (GBN) is the most common form of headaches. About a third of the population suffers from GBN. Frequency. In 60% of patients first appear after 20 years. The beginning after 50 years is notypically. More often occurs in women.

Code for the international classification of diseases of the ICD-10:

• G44.2.

Classification. Episodic - usually associated with stressful situations of moderate intensity, passes independently and, as a rule, is removed widely used by the preparations. The duration of attacks is from a few minutes to several days. Chronic - daily, bilateral, usually occipient - frontal localization, is associated with the muscle spasm of the head and neck.

The reasons

Etiology and pathogenesis. The combination of chronic emotional stress and muscular - tonic factor in the conditions of imbalance of ntsia and antinocyptive relationships. Uncomfortable posture, wrong posture. Frequent or prolonged stressful situations associated with anxiety and anxiety. Depression (in 70% of patients with chronic GBN). Pathology of the cervical spine.

Genetic aspects. 40% of patients have a positive family history.

Risk factors. Obstructive apnea during sleep. Hp. Reception of a large amount of caffeine.

Symptoms (signs)

Clinical picture. Headache appears gradually, with emotional voltage there may be sharply, passes for several days or hours. The characteristic of the headache is bilateral, localized in the frontal-occipital region, both frontal fractions or diffuse, has a stupid compressive character. Typically, patients describe their feelings figuratively (".. attaches like a hoop"), and on the background permanent sensation Compression or compression arise prolonged episodes of stupid non-intensive pain. The patient experiences unpleasant sensations when calculating the hair, wearing a headdress. The pain does not stop even at night. Insomnia, difficulty concentration. The pain is not exacerbated by physical activity. When muscular palpation, muscle seals can be detected.

Diagnostics

Diagnostics . Radiography of the cervical spine. MRI or CT of the head as amended in the nature of the headache or the identification of pathological changes in a neurological examination.

Treatment

TREATMENT

General principles. Methods of weakening the headache intensity .. Rest with a wet towel in front of a dark room with good sound insulation, a warm shower or bath, a massage of the rear and temporal areas .. Education of the method of autotraining .. Psychotherapy, hypnosis .. Psychotherapy, acupuncture. It is necessary to try to change the lifestyle, eliminate frequent or long-term stressful situations. Performing relaxing exercises, aerobics, regular training.

Drug therapy. With an acute fit - NSAIDs .. Naproxen in 500 mg / day in 2 reception .. Ibuprofen 400 mg / day in 3 reception .. ketoprofen 50 mg / day in 2 reception. For the prevention of chronic GBN - TAD .. amitriptyline 50-100 mg / day .. imipramine at a dose of 50-100 mg / day. In resistant cases, in additionally to antidepressants, b - adrenoblays are prescribed. Propranolol is 80 mg daily .. Out of 40 mg daily .. Atenolol 50-100 mg daily.

The course and forecast. If there is a unreasonable long stress situation, the process is chronis. Most cases of the disease have an episodic nature, does not significantly interfere with work and does not affect the quality of life.

Synonyms. Muscle contraction headache. Cefalgia voltage. Stressing headache. Idiopathic headache. Psychoic headache. Muscular tension

Reduction. GBN - Tension Headache

MKB-10. G44.2 Headache Stress Type

Headache, or Cefalgia, is one of the most common neurological symptoms. Headache can perform an independent violation, but most often is secondary symptom Against the background of the injuries of the spine or vascular pathologies of the brain. Cefalgia is equally common in people of different age categories.

Most often, Cefalgia is a symptom of another disease, to independent pathologies, which are based on headache, belongs to beam pain and migraine

Cefalgia is called pain in the skull area of \u200b\u200bvarious location and intensity. To date, more than 200 types of headaches are distinguished depending on the cause of its appearance, the severity of pain syndrome, pathological changes in brain vessels, etc.

Cefalgia faces people at any age. Women are subject to head pains more often than men, however, representatives of strong sex pain syndrome is more intense.

Interesting! Despite the fact that the headache often spreads deep into the skull, the brain in person can not hurt, as there are no pain receptors.

Cefalgia is developing due to irritation of only 9 regions. Most often, the headache is a consequence of irritation of the painful receptors of periosteum, arteries or nasal sinuses.

Many codes are assigned to the ICB-10 headache. Cefalgia in adults is carried out in the classification on the ICD-10, depending on the cause. Thus, the Cefalgic syndrome is noted by the G44 code various etiology - from the "histamine" headache to chronic cephalgic syndrome. Any cephalgic syndrome, the cause of which is not included in the list of diseases given in the classifier, will have international code on the ICD G44.8. In addition, there is a separate international Classification Head pains adopted in 2003, in which all types of cephalgia are listed.

To effectively get rid of headaches, it is necessary to identify the reason for its appearance. Despite the fact that analgesics help from cephalgia, they do not give a long effect, since they do not affect the cause of the appearance of pain syndrome. To make a diagnosis and identify pathologies leading to headaches, a neurologist can.

Symptoms in children and adults

Recommending what it is - cephalgium brain, you should know how it manifests itself. Cefalgic syndrome is characterized by pain of different intensity and duration in various parts of the skull. Exact symptoms depend on the cause of cepalgia.

Chronic cefalgia is a constant new headache. They can manifest themselves under the action of any factors or arise spontaneously. Most often, such a headache is associated with stress.

Migraine (hemikerania) is called the primary headache of an approachable nature, the reasons for which cannot be associated with other neurological disorders. It is characterized by severe pain in one half of the head, which is accompanied by eye sensitivity, nausea. For migraine, a specific set of symptoms preceding the beginning of pain - "Aura" is characterized.

Cephalgic syndrome against the background of high blood pressure is manifested by a pulsating pain in the back of the head, against the background of low pressure - stupidly new pain in the temples.

Cefalgia syndrome is equally manifested in children and adults, specific symptoms depend on the cause and type of headache.

Classification of headaches, causes

The most common types of headaches are headache of voltage and migraine, as well as post-traumatic headache

In general, the cephalgic syndrome is divided into two large groups - these are primary and secondary headaches. The primary is migraine, voltage headache, vegetative cefalgia.

The second group of secondary headaches includes cefalgia associated with:

• injuries of the head, spine and neck;
• vascular pathologies of the brain and neck;
• non-audition brain lesions;
• reception of some medicines and chemicals;
• infectious diseases;
• mental illness.

In essence, the same classification describes the causes of headaches.

The cause of the occurrence of primary headaches is unknown. Interestingly, migraines may have a genetic nature, and transmitted from a woman to her daughter. So, there are many cases when the mother and daughter suffered the same in the intensity and frequency of migraine attacks.

Secondary cephalgic syndrome can be a consequence:

• mental disorders;
• vegetative dysfunction;
• hypertensive disease;
• hypotension;
• injury skull;
• spinal pathologies;
• osteochondrosis of the cervical
• vascular lesions of the brain;
• inflammation of the shells of the brain;
• infectious brain lesions;
• lesions of the facial nerve;
• inflammation of the nasal sinuses and others.

A complete list of causes of headaches is very large. Cefalgic syndrome in children often occurs against the background of the middle ear diseases (otitis), sinusitis. Cefalgic syndrome in older people may be a consequence of glaucoma.

Note! Stripping in small children may be the cause of the development of secondary cephalgic syndrome.

Cefalgia in the child and in an adult may be associated with injuries of the head and back. The woman of reproductive age is often headaches against the background of changes in the hormonal background.

In young children, Cefalgia can also be a symptom of minimal brain deficiency.

To accurately understand the causes and manifestations of cephalgic syndrome, the most specific types of headaches can be considered.

Migraine

Migraine is manifested by the bogy-like recurrent headaches of a pulsating character, more often it captures a dark-bond or frontal-temporal area, less commonly happens two-way

This type of headache refers to primary, as the exact cause of its development is unknown. Migraine is characterized by attacks, the frequency of which depends on a number of factors. Some people have specific smells, loud sounds to the beginning of the attack, bright light.

A characteristic feature of such headaches - the presence of aura. This is a complex of symptoms preceding the beginning of the attack. Aura is manifested by suddenly increased photosensitivity, nausea, irritability, mood swings. The painful syndrome in migraine is strongly pronounced, the pain is concentrated in one (right or left) part of the head. The attack can last from several hours to several days. Distinctive feature Such cephalgia is practically ineffective treatment with analgesics.

Koital Cefalgia

How it becomes clear from the name, the coital cefalgia is manifested only at the time of sexual activity. With such a headache, the most common women are faced. The discomfort is manifested either during loves due to the compression of the spinal artery, or at the time of the body voltage during orgasm.

Such a headache appears spontaneously and passes on average for half an hour. The pain syndrome can be so strong that it makes a person completely abandon intimate proximity. Kootlsky Cefalgia does not pose a threat to life, but greatly worsens its quality. You can prevent the attack by taking analgesic before sexual intercourse.

Vasomotor Cefalgia

This type of headaches is associated with stress, muscle hypertonus, depression and neurosis. Vasomotor cefalgia is manifested by pain on two sides of the head. The pain constant, without pulsation and peaks, is accompanied by a deterioration of cognitive functions - memory and ability to concentrate. A pronounced vasomotor cefalgia may be accompanied by a violation of coordination of movement due to muscle stiffness.

Vasomotor cephalgia is also called tension headache.

Vascular cepalgia

The most common vascular cepalgia is a pain that arise due to the expansion of brain vessels and the impression is that hammers are knocking inside the skull

This type of headache develops due to overflow of the brain vessels with blood due to their expansion. Vascular cefalgia is observed with an increase in blood pressure, strong physical Loadsstressful situations; Any states associated with emission of adrenaline. Vascular cefalgia arising from the overflow of blood vessels is characterized by pulsation in the back of the head that is amplified during load.

The vestibulo-atactic cefalgic syndrome is a severe violation, often manifested in children. The vestibulo-atactic syndrome develops against the background of the brain water, the osteochondrosis of the neck, hypertension. This is a severe form of vascular cephalgia, which is accompanied by vestibular disorders that propagate to coordinate movements. For this violation, the mining of flies in front of the eyes, dizziness, deterioration of performance. The pain may appear episodically, or constantly noted. In the second case, we are talking about a rack cephalgic syndrome, which requires qualified treatment.

Neurological and mental headache

Vegetative Cefalgia is the so-called meteo-dependent headache. As a rule, a violation is not an independent disease, but acts as part of a symptom complex of vegetative dysfunction (vegetative dystonia, neurocirculatory dystonia).

Note! A vegetative dystonia call the disease incorrectly, it is not in the ICD, and this diagnosis is not put today.

The vegetative headache of the doctors is considered as a symptom of violation of the vegans of the vegetative system of the nervous system.

Astheno-cephalgic syndrome is a headache associated with mental disorders or strong stress. She often accompanies panic attacks, phobic and alarm disorders. Such cephalgium in a child often occurs in adolescence and passes without treatment as the nervous system is strengthened.

Diagnostics

To diagnose "Cefalgic syndrome" can a neurologist after a comprehensive examination of the patient. Symptoms and symptoms of cephalgia will help the doctor to make a preliminary conclusion, so the patient should accurately describe the frequency, intensity and severity of pain.

To form a diagnosis, the patient is prescribed doppler image of the brain vessels, radiography or MRI of the neck - this makes it possible to immediately exclude or confirm the most common causes of cephalgic syndrome.

Principles of treatment

The drug spasmalgon in the form of tablets is orally accepted, the tablet swallowed entirely, not shredding and not chewing, drinking with sufficient water. If necessary, the tablet can be divided

How cephalgia is treated - it depends on the causes of its development. If the headache is associated with a violation of cerebral circulation, antioxidants, nootropics, means for normalizing the tone of vessels are prescribed.

The pronounced cefalgic syndrome in migraine is treated with drugs from a group of tryptans. The problem of migraine is that there is no universal chart of therapy. Some patients are helping to stop the attack, simple drugs such as Spasmalgon, while the majority of patients are forced to take hospital at the time of the attack, since even the drugs of a new generation (triptans) do not help to remove the attack.

With a headache of stress (Vasomotor Cefalgia), it is necessary to undergo a spinal survey. It is often possible to defeat the problem with the help of light sedatives and vitamins to normalize the activity of the nervous system (group B).

Moderate pain in cephalgic syndrome on the background of osteochondrosis or after injuries of the head can be cured by the use of manual therapy, needleflexotherapy, antioxidant reception.

The pattern of therapy depends on a number of factors and is selected by the doctor individually.

When to contact a doctor?

Knowing what cephalgium brain is and what it manifests itself, you should pay attention to the repeated attacks of headaches and consult with the doctor. Any pronounced cefalgic syndrome requires medical care. If the bouts of headaches happen more often than two times a month, while they are not associated with fatigue, psycho-emotional and physical tension, - it is necessary to contact a neurologist.