Headache

Frontal headache: on forehead is non pathological

Occipital headache: at back of head is pathological Presents- cannot stand loud noises or bright light, increased headache with posture changes , may have blurring of vision, disturbance in gait, vertigo, tinnitus (ringing in the ears) Warning signs-transient fever, neck stiffness, decreased school performance Triggering factors-lack of sleep, certain foods, alcohol, change in weather, anxiety, glare/dazzle.

Primary headache in 90% of cases is migraine, tension headache, cluster headache

Secondary headache are secondary to tumours, meningitis CT scan/ MRI essential