Combination headache Flashcards
1
Q
also known as mixed
Characteristics
A
common and often diagnosed as psychogenic headache or atypical migraine.
They have a combination of various degrees of:
- tension and/or depression
- cervical dysfunction
- vasospasm (migraine)
- drugs (e.g. analgesics—rebound, caffeine)
- some cases may be transformed migraine
2
Q
Symptoms
A
Has many of the features of tension headache, tends to be;
- Constant
- being present throughout every waking moment
It can last for weeks or months
Analgesic abuse can transform episodic migraine into chronic daily headache
3
Q
Treatment
A
Insight therapy
- reassurance that the patient does not have a cerebral tumour
Life style modification.
Wean the patient off analgesics.
The most effective medication is amitriptyline or other antidepressant.
Consider physical treatment for a cervical component
