3 Jan, 2023
According to Brain Research UK, 2 in 5 UK adults (more than 20 million people) are affected by a headache or facial pain disorder.
Sometimes, headaches can pass quickly on their own, and won't recur. However, persistent headaches, including migraine headaches and cluster headaches, can be symptoms of a more serious problem. Headache and facial pain disorders are responsible for almost 3/4 of neurological-related disabilities, which include stroke, brain injury or more progressive conditions such as dementia.
Many patients who experience unusual headaches feel anxious about the possible causes. This article will talk you through the different types of headaches, how headaches happen, and when it's time to book a brain scan to find out if there is a serious underlying cause.
There are over 100 different types of headaches, and it is difficult to know which one you are suffering from. However, most headaches can be grouped into two different types, primary headaches and secondary headaches.
A primary headache is a type of headache that is not caused by another underlying condition. Primary headaches can be further divided into categories, such as tension headaches, cluster headaches, and migraine headaches.
Tension headaches are the most common type of primary headache, accounting for around 90% of all cases. They are usually described as a dull, throbbing pain that affects the forehead, temples or both sides of the head. Tension headaches can be triggered by eye strain, stress, anxiety, tiredness and lack of sleep, or poor posture.
Cluster headaches are a rare type of primary headache that can be very painful. They are usually described as a sharp, burning pain that affects one side of the head. Cluster headaches often occur in series, with one headache lasting for a few days followed by a period of remission. Cluster headaches can be triggered by alcohol, cigarette smoke, bright lights or changes in the weather.
Migraine headaches are the second most common type of primary headache, affecting around 1 in 4 people. They are usually characterised by throbbing pain on one side of the head, accompanied by nausea, vomiting and sensitivity to light and sound. Migraine headaches can be triggered by stress, hormonal changes or even certain foods.
A secondary headache is caused by another underlying condition. Examples of secondary headaches include cranial nerve headaches and systemic headaches.
Cranial nerve headaches are a type of secondary headache that is caused by damage or compression to one of the 12 cranial nerves. They can be caused by a number of different conditions, including head injury, stroke, tumour or infection.
Systemic headaches are secondary headaches caused by another underlying condition that affects the entire body. Systemic conditions that can cause headaches include high blood pressure, kidney disease, diabetes and auto-immune diseases.
Imaging tests such as MRI or CT scans can be used to identify whether your headaches are caused by issues in your central nervous system, and can also be used to identify or evaluate whether you have a brain tumour.
However, some types of secondary headaches may be caused by problems elsewhere in the body, and there may be other serious symptoms. At Scan.com, our experienced clinical team reviews all referrals to make sure the correct scan has been chosen. If your brain imaging tests reveal no anomalies, you may need to have more tests to identify whether the headache is caused by other factors.
For patients having brain scans elsewhere, it is important to speak to a healthcare professional about possible symptoms that could be causing a severe headache, to ensure nothing is missed.
Both CT and MRI scans can be used to diagnose or rule out some causes of headaches, and each has its own advantages and disadvantages. In some cases, based on your medical history, you might be recommended one over the other, either to reduce unnecessary radiation exposure or avoid the effects of MRI magnets on metal or devices in your body. Scan.com's experienced clinical team will provide guidance after you place your booking, to ensure you've selected the correct scan for your needs.
MRI stands for magnetic resonance imaging, and is an imaging test used to diagnose diseases and medical issues. MRI uses strong magnets and radio waves to create detailed images of the soft tissues and musculoskeletal system, and can show both the brain and spinal cord. MRI also allows you to avoid unnecessary radiation with generally no harmful effects.
An MRI scan can't diagnose a headache, but as a neurological exam, it can investigate the underlying causes or why your headache occurs.
An MRI can identify:
All of these problems could be the causes of a headache.
CT stands for computerised or computed tomography. It uses x rays to generate images of the head and brain. A CT scan can show some of the causes of headaches, such as excess fluid in the brain (called hydrocephalus), an abscess (infection of the brain), tumours, sinus blockages or even an aneurysm or bleeding on the brain. However, a CT scan often provides less detailed pictures of the soft tissues than MRI.
If you have an aneurysm clip in your brain, or certain types of pacemaker, healthcare providers would normally advise you to have a CT scan rather than an MRI. This is because the magnets in an MRI machine can interact and interfere with medical devices and metallic objects.
Some patients may need to have contrast material injected into their veins to help make the images on a brain MRI or CT scan clearer. This is because the contrast material helps to highlight the blood vessels and some tissues in higher definition.
If your healthcare professional feels that you would benefit from having contrast material injected, they will discuss this with you prior to your scan.
Go private and skip long waiting lists.Start your search