Tightness in the top of the head refers to the patient’s tension headache caused by a feeling of tightness and heavy pressure in the head. Then what are the examination methods for heavy pressure and tightness in the head? 1.Blood pressure measurement, electrocardiogram and blood test Don’t forget to measure blood pressure no matter what the situation is. Headache patients, many of them are unsystematic treatment of high blood pressure patients. Secondly, the contraindications to the treatment of migraine, such as the potent drug treprostinil, are high blood pressure, liver damage, previous history of cerebrovascular disease and myocardial infarction, ischemic heart disease, and so on. It is important to know if there are any of these contraindications before using the drug. In case of previous myocardial infarction or suspected angina pectoris, an electrocardiogram is required. In addition, blood tests are required for first-time patients. Vasculitis represented by temporal arteritis and cavernous sinusitis may have inflammatory manifestations such as peripheral blood leukocytosis, rapid blood sedimentation, and positive CRP. 2, head CT head CT is very meaningful for determining intracranial organic lesions, CT can find the lesions that cannot be predicted by questioning or examination. Whether it is chronic or acute headache, if possible, it is best to check the head CT. a considerable portion of the headache patients feel uneasy about “brain disease”, and want to do head CT and other imaging; with CT pictures, can be presented to the patient and explained. CT for some organic lesions have absolute significance, especially the bleeding and calcification than the MGM. hemorrhage and calcification, is more sensitive and rapid than MRI. It is also useful in the diagnosis of cerebral hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, and epidural hemorrhage. Calcifications can suggest craniopharyngiomas, meningiomas, teratomas, astrocytomas, ventricular meningiomas, and chordomas. Enhanced CT should always be done when primary or metastatic tumors in the brain are suspected. meningitis can be seen as an enhancing effect of the meninges on the surface of the brain. 3.Magnetic resonance imaging of the head and magnetic resonance angiography (MRI/MRA) To find the cause of secondary headache, CT examination is mostly fast and effective. However, for neoplastic lesions, inflammatory lesions, cerebral edema, posterior cranial fossa surrounded by bone and periorbital and sinus lesions, it is still the most suitable for MRI. MRI is equally useful for inflammatory diseases of the meninges such as hypertrophic dura mater and cancerous meningitis. Id骄傲低颅压性头痛headacheheadache is worse when standing and less severe when lying down. Dural enhancement seen on gadolinium contrast MRI is characteristic of this disease. The diagnosis can be confirmed by lumbar puncture to measure the cranial pressure, and MRA is very useful in detecting cerebral aneurysms, but it should be noted that its accuracy is not very high. Due to the progress of medical science and technology, CT and MRI have been popularized in China, and simple X-ray of the head is nearly eliminated. multidisciplinary X-ray can be used for the diagnosis of cerebral aneurysm. However, the shape of the pterygoid saddle and the atlantoaxial joint at the base of the skull can be seen on the X-ray lateral image, which is sometimes of some significance taller. In the case of pterygoid paraspinal tumors and pituitary tumors, changes in the saddle nodule, anterior bed protrusion, posterior bed protrusion, pituitary fossa, and saddle dorsum can be observed. Congenital lesions of the atlantoaxial conjunction of the skull base, such as craniosynostosis or flattened skull base, can also be the cause of head and neck pain. In chronic intracranial hypertension, separation of the bony sutures can be seen in children, and increased finger indentation and changes in the pterosynCEAL saddle are seen in adults. 5, cervical spine simple X-ray The cause of headache is not necessarily limited to the head. Deformational cervical spondylosis can also cause occipital or head and neck pain. Cervical spine simple X-ray can observe the loss of physiological anterior protrusion or lateral bending of the cervical spine, deformation of the vertebral body and intervertebral space narrowing. Cervical spine simple camera has 7 directions: orthostatic, bi-oblique, lateral (forward flexion, neutral, backward flexion), and frontal open position, and the necessary examinations should be used according to the situation.