Cortical volume loss means decrease in the volume of the cortex of the brain. The cortex of the brain is a thick layer of nerve cells on the surface of the brain. The nerve cells in this area are mainly responsible for higher mental functions like; memory, attention, awareness, thought, language, and consciousness.
Thinning of the cortical volume is a normal part of aging. But in conditions like Alzheimer's and dementia, increased thinning of the cortical layers can be seen on medical imaging like MRI. In both Alzhemer's and Deentia, there is considerable cortical thinning (cortical volume loss) in both the side of brain. Small cortical loss occurs due to aging in majority of the individuals.
The cortical volume loss is unlikely to cause headache. So your doctor need to find out the other cause for it.
Most headaches are caused by following:
Chronic daily headache
Chronic daily headache is not a type of headache but frequent headaches of various kinds. Most people with chronic daily headache have migraine or tension-type headache as the underlying type of headache. Tension headaches are the most common type of primary headache. So probably this would be the first to be considered in the differential diagnosis of your headache also. A tension headache is a headache caused by tense muscles in the face, neck, or scalp. These headaches give a feeling of tightness around the head. The neck muscles can also become sore and tight. Tension headaches can be caused by staying in one position for a long time, such as reading, playing video games or using a computer.
Migraine headaches are the second most common type of primary headache. Cluster headaches are a rare type primary headache.
There are other causes of headache also;
1) sinus headache.
2) Medication overuse headache
3) Post trauma headache; occur after injury or accident.
4) Secondary headache; brain tumor.
Usually a doctor's examination is sufficient to ascertain the cause of headache. But occasionally x-ray of the sinus and CT scan or MRI of the brain may be needed, especially if the headache is persisting for long is worsening and is accompanied by symptoms like vomiting, vision disturbances and imbalance. After the tension headaches commonest headache are migraine. Aura and vision disturbances are absent, many times in migraine. Please read the symptoms of the migraine in this resource;
There are two types of medications used for the treatment of migraine;
1) To abort the attack
2) To prevent the headache
Valproic acid, gabapentin
Calcium channel blockers
Beta-blockers, tricyclic antidepressants
There are dietary triggers known which should be avoided. Common triggers are
b) aged cheeses and meats,
c) wine and beer
d) citrus fruits.
Please feel free for your follow up questions.
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