L3: Headache Flashcards
Def of Headache (Cephalgia)
Incidence of Headache (Cephalgia)
It is the most common form of pain affecting 90 - 99% of the population at any time of their Life
Pathogenisis of Headache (Cephalgia)
Classification of Headache (Cephalgia)
1ry & 2ry
1ry Headache
2ry Headache
Def of Migraine
Chronic, Episodic (in attacks and free in between) the headache combined with Neurological, GIT and Autonomic manifestations.
Epidemeology of Migraine
Characters of attack of Migraine
Def of Migraine Triggers
- Certain substances or conditions that contribute in the beginning of the pathophysiology of migraine.
Examples of Migraine Triggers
Classification of Migraine
Incidence of Migraine with aura (classic migraine)
Less common than migraine without aura (1:8)
What is Migraine with aura (classic migraine) a RF for?
Ischemic Stroke
What congenital anomaly is associated with Migraine with aura (classic migraine)?
50 % have Patent Foramen Ovale
Aura in Migraine with aura (classic migraine)
Complicated Migraine
Types of migraine that is associated with:
- Transient Hemiplegia
- Transient Ophthalmoplegia
Pathogenesis of Migraine
- Neurovascular Theory
Pathogenesis of Migraine
Pathogenesis of Migraine
- Vascular Theory
Pathogenesis of Migraine
- Serotonergic Abnormalities
Pathogenesis of Migraine
- Integrated Theory
Dx of Migraine
- History: characteristics of the attack.
- Absence of neurological signs.
- Negative investigations: either neurological or laboratory.
TTT Aspects of Migraine
- Acute
- Prophylactic
Oral Acute Migraine TTT
Oral Acute Migraine TTT
- Specific TTT
Oral Acute Migraine TTT
- Non-Specific TTT
Preventive TTT of Migraine
Preventive TTT of Migraine
- Indications
- > 2 attacks / month
- Attacks last > 24 hours
- Attacks cause major disturbance for 3 or more days
- H/O complicated migraine
Preventive TTT of Migraine
- Drugs
Preventive TTT of Migraine
- Beta Blockers
Preventive TTT of Migraine
- TCA
Preventive TTT of Migraine
- Neuromodulators
Def of Cluster Headache
A rare, severe form of chronic headache.
Incidence of Cluster Headache
Common in males than females (9: 1)
Characters of Cluster Headache
Periodicity in Cluster Headache
- Rec 1-3 times/ day
- Lasts 1-2 month with freedom periods in between clusters for many months.
Autonomic Symptoms in Cluster Headache
Abnormal Behaviour in Cluster Headache
- Severe Irritation,
- Pressure over the affected side
- Restlessness
- Agitation
Managment of Cluster Headache
- Acute TTT
- Prophylactic
Managment of Cluster Headache
- Acute TTT
Managment of Cluster Headache
- Prophylactic TTT
- Ergotamine
- Valproate
- Topiramate
Def of Tension Headache
- Commonest type of headache, Constitutes 30-80% of try headaches.
Incidence of Tension Headache
- Commonest type of headache, Constitutes 30-80% of try headaches.
Characters of Tension Headache
Clinical Types of Tension Headache
Managment of Tension Headache
