Tipos de cefalea 1

 

 

 

 

 

Cefalea: Migraña, Jaqueca. Generalidades y tratamientos

El término «cefalea» se refiere en general a dolor de cabeza o cefalalgia. Comprende una gran variedad de entidades, al menos 150 subtipos descritos y caracterizados al día de hoy.

Igualmente, causas de cefalea hay muchas y de muy diverso origen y significación patológica, pudiendo estar en el origen del dolor alteraciones anatómicas y funcionales de la cabeza y del cuello (por ejemplo tumores cerebrales, malformaciones vasculares, alteraciones de la unión cráneo-cervical, accidentes vasculares, hidrocefalia, dentro de muchas más), lo que siempre debe ser sospechado, estudiado  y eventualmente descartado.

Sin embargo, la gran mayoría de los pacientes que sufren de cefalea y dolor cráneo-facial crónico no demostrarán alteraciones en los exámenes de imágenes. Estos casos corresponderán a cefaleas y síndromes dolorosos cráneo faciales primarios, dentro de los cuales están los cuadros más frecuentes de dolor crónico, entre ellos:

  • Migraña, hemicránea (jaqueca) y sus variantes
  • Otras cefaleas vasculares
  • Cefalea tensional
  • Cefaleas mixtas
  • Cefalea de Horton (cefalea cluster, cefalea en racimos)
  • Neuralgia del trigémino
  • Cefaleas con componente autonómico facial
  • Neuralgia del glosofaríngeo

Una vez descartada la presencia de patologías anatómicas estructurales con el estudio clínico, de laboratorio y de neuroimágenes, el equipo médico especializado debe iniciar el análisis del tipo distintivo de cefalea o síndrome de dolor cranea facial que presente cada paciente. Esto orientará al tipo de tratamiento que se prevéa más efectivo para el tipo particular de síndrome doloroso, con un abordaje que debe ir siempre de menor a mayor invasividad, buscando un diseño de tratamiento que responda de la mejor manera posible a las características del dolor.

En este sentido, el manejo de los factores desencadenantes ambientales y conductuales, el manejo farmacológico y el empleo de tratamientos de mínima invasión como bloqueos e infiltraciones especializadas son parte de las herramientas de las que disponemos en el intento de aliviar estas frecuentes y complejas patologías.

En artículos específicos de este sitio abordaremos los síndromes más freceuntes y sus tratamientos.

Ante dudas y para solicitud de atenciones médicas contáctenos a través de nuetros Formularios, WhatsApp o Email

 

Dr. Francisco Jarufe
Neurocirujano NeuroMed
www.neuromed.cl
Categoría
Cefalea, jaqueca, migraña. Tratamientos

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