Your headache symptoms can help your doctor determine its cause and the appropriate treatment. Most headaches aren't the result of a serious illness, but some may result from a life-threatening condition requiring emergency care.

Headaches are generally classified by cause:

Primary headaches

A primary headache is caused by overactivity of or problems with pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

Chemical activity in your brain, the nerves or blood vessels surrounding your skull, or the muscles of your head and neck (or some combination of these factors) can play a role in primary headaches. Some people may also carry genes that make them more likely to develop such headaches.

The most common primary headaches are:

  1. Cluster headache
  2. Migraine (with and without aura)
  3. Tension headache (also known as tension-type headache)
  4. Trigeminal autonomic cephalalgia (TAC), such as cluster headache and paroxysmal hemicrania

A few headache patterns also are generally considered types of primary headache, but are less common. These headaches have distinct features, such as an unusual duration or pain associated with a certain activity.

Although generally considered primary, each could be a symptom of an underlying disease. They include:

  1. (for example, chronic migraine, chronic tension-type headache, or hemicranias continua)

Some primary headaches can be triggered by lifestyle factors, including:

  1. Alcohol, particularly red wine
  2. Certain foods, such as processed meats that contain nitrates
  3. Changes in sleep or lack of sleep
  4. Poor posture
  5. Skipped meals
  6. Stress

Secondary headaches

A secondary headache is a symptom of a disease that can activate the pain-sensitive nerves of the head. Any number of conditions — varying greatly in severity — may cause secondary headaches.

Possible causes of secondary headaches include:

  1. Acute sinusitis
  2. Arterial tears (carotid or vertebral dissections)
  3. Blood clot (venous thrombosis) within the brain — separate from stroke
  4. Brain aneurysm (a bulge in an artery in your brain)
  5. Brain AVM (brain arteriovenous malformation) — an abnormal formation of brain blood vessels
  6. Brain tumor
  7. Chiari malformation (structural problem at the base of your skull)
  8. Concussion
  9. Dehydration
  10. Dental problems
  11. Ear infection (middle ear)
  12. Encephalitis (brain inflammation)
  13. (inflammation of the lining of the arteries)
  14. (acute angle closure glaucoma)
  15. Influenza (flu) and other febrile (fever) illnesses
  16. Intracranial hematoma (blood vessel ruptures with bleeding in or around the brain)
  17. Medications to treat other disorders
  18. Meningitis (inflammation of the membranes and fluid surrounding your brain and spinal cord)
  19. Monosodium glutamate (MSG)
  20. Overuse of pain medication
  21. Post-concussion syndrome
  22. Pressure from tight headgear, such as a helmet or goggles
  23. Pseudotumor cerebri (increased pressure inside the skull), also known as idiopathic intracranial hypertension
  24. Stroke
  25. Toxoplasmosis
  26. Trigeminal neuralgia (as well as other neuralgias, all involving irritation of certain nerves connecting the face and brain)

Some types of secondary headaches include:

  1. (a result of pressure-causing headgear)
  2. (commonly called brain freeze)
  3. (caused by overuse of pain medication)
  4. (caused by inflammation and congestion in sinus cavities)
  5. (caused by low pressure or volume of cerebrospinal fluid, possibly the result of spontaneous cerebrospinal fluid leak, spinal tap or spinal anesthesia)
  6. (a group of disorders that involves sudden, severe headaches with multiple causes)

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

May 04, 2016