Patient's question:
First, thank you for making me healthy and happy, doctor. Your guidance has convinced me that yesterday's test results were incorrect. It seems that today's doctor has a higher level of confidence in the diagnosis. The child's current symptoms are intermittent headaches, fever, and eye pain. The highest temperature reached was 38 degrees Celsius, and the headaches and eye pain started when the fever began. Today, another hospital's doctor ordered an infrared thermal imaging test, which confirmed a diagnosis of neuralgia, prescribed medication, and administered intravenous fluids.Thank you for your help!
Doctor's answer:
Hello: Treatment of Neuralgia Headache:1. Actively prevent and treat various underlying diseases.
2. Symptomatic treatment:
During an attack, one of the following methods can be used as early as possible to relieve pain: oral ergotamine caffeine 0.1-0.2g; if ineffective after 30 minutes, an additional 0.1g can be taken, with a daily total not exceeding 0.6g. Intramuscular injection of ergometrine 0.2-0.5mg; if ineffective, it can be repeated after 1 hour. Intramuscular injection of huperzine 4-5mg or slow intravenous infusion of 2-6mg (dissolved in 40ml of 50% glucose). Subcutaneous blockade of dilated temporal arteries with 0.5% novocaine, etc. Ergot preparations should be avoided in patients with arteriosclerosis, cardiovascular or peripheral vascular diseases, and during pregnancy.
3. During the intermission period, to prevent attacks, one may choose from: vitamin B6 (20-30mg), propranolol (10-20mg), huperzine (1-4mg), or cyproheptadine (0.5-1mg), three times daily. Alternatively, one may take ergotamine butalbital (initial dose 0.5mg, gradually increased to 1-2mg, twice daily, not exceeding 6 months, contraindications similar to ergotamine), huperzine (1-4mg), or cyproheptadine (0.5-1mg), three times daily. Kudzu root tablets, Ligusticum (Ligusticum injection), etc., also have certain therapeutic effects.
4. For severe patients with a long course of illness, frequent attacks, ineffective drug treatment, and prominent temporal artery dilation, superficial temporal artery ligation surgery may be considered under appropriate circumstances.