Introduction headache is one of the most common symptom and collectively headache is among the most common symptom of the neurodisorders, however there might be several reasons behind different sort of headache, headache can also be classified as 1. Odontogenic headache 2. Non odontogenic headache Case report: Here we are going to discuss an unusual case report of headache. A middle aged Asian male presented with headache in the department of cardiology with a history of migraine of 20 years

more »

... and he was suspecting the headache because of high bp 90/ 160. He was prescribed with Ace inhibitors. Still he was suffering from daily persistent headache with pain intensity 4/10. Subsequently he was suggested to see the neurologist. the patient was without any red flag sign, head and neck examination was normal. This headache was always worsen in the evening and night hours, after taking calcium channel blockers headache was relieved for several hours but again started in the early morning hours. This was wakening headache. This headache was also relieved after maintaining cross ventilation in the room. Headache was unilateral, never crossed the midline, intensity varied from mild to severe shooting pain, worsened by hot and cold winds directly or indirectly on the head. Patient also had acupressure therapy on yin tang and tai-yang acupoints but he can't get a stable relief. Conclusion: Careful and thorough history taking skills are the key points for diagnosing exact cause and origin of a headache. It may reduce useless financial burden in the stable treatment of headache.