HEADACHE AND MIGRAINE ATTACK
· When the brain is distressed, it sends out signals through severe headaches and migraines.
· A headache is a pressure-like sensation in the head, while a migraine is a pain that usually occurs on one side of the head.
· They are mostly caused due to sinusitis, stress and mental tension.
SYMPTOMS
· They can be serious if they are recurring, or followed by vomiting, giddiness, blurring of vision, weakness or numbness in any part of the body, or are accompanied by seizures, fits or loss of consciousness.
· Symptoms like depression, loss of memory, and loss of smell or hearing ability are also associated with more serious conditions in the brain.
· If any of these symptoms occur, visit a neurologist or a neurosurgeon immediately for a thorough examination
CAUSES
· Some of these symptoms could be caused by brain haemorrhage, tumours, water-logging within the brain, or infections like tuberculosis.
· Diabetes or hypertension can also lead to haemorrhages and brain hypoxia.
· Tyramine is an amino acid that has been thought to trigger headaches by reducing serotonin levels in the brain and affecting the dilation of blood vessels.
DIETARY CAUSES
· Suddenly switching to a very low calorie diet, i.e.crash dieting.
· Reducing or eliminating carbohydrates completely, as brain can only use carbohydrate as fuel.
· Low blood sugar levels, due to skipping or delaying meals.
· Very low water intake.
· Foods that contain tyramine, like red wine, cheeses, chocolate, alcoholic beverages, and certain processed meats.
· Sudden withdrawal of coffee consumption, as addiction to caffeine temporarily enhances mental alertness and concentration.
· However, for some people, stopping coffee might actually abort a migraine by relaxing the constricted blood vessels that are causing the throbbing in the head.
· Intolerance to artificial sweeteners, especially aspartame, could also cause headaches.
· However, newer sweeteners that use sucralose may not act as triggers.
DIAGNOSIS
· Tests like magnetic resonance imaging (MRI), computed tomography (CT scan) and lumbar puncture can help diagnose brain diseases.
· An MRI is harmless and can be done on children and pregnant women too.
· CT scans involve exposure to radiation and is better avoided by pregnant women.
TREATMENT AND SURGERIES
· Most patients with brain diseases will require extra care and follow up over a long period.
· In serious conditions, the patient may require ventilator support, where oxygen is pumped into the patient’s lungs, to control brain damage due to hypoxia, and reduce pressure on the brain.
· For certain conditions, minimally invasive neurosurgeries like endoscopies and angiograms greatly help reduce mortality and morbidity.