Lecture 7.2 - Migraine 1 Flashcards
Episodic Migraine (EM)
< 15 monthly migraine days (MMDs) or monthly headache days
Chronic Migraine (CM)
> 15 MHDs for > 3 months (> 8 days are MMDs)
Aura
complex of positive and negative focal neurologic symptoms that precedes or accompanies an attack
Positive Symptoms
Scintillations
Photopsia
Teichopsia
Fortifiction spectrum
Negative Symptoms
Scotoma
Hemianopsia
Medication-overuse Headache
self-sustaining cycle of headaches in which the headache returns when the medication wares off, leading to use of more medication utilization which perpetuates the cycle.
Characterized by increased headache frequency and medication consumption
Primary headache
Sinus
Cluster
Tension
Migraine
Secondary Headaches
Head trauma Stroke Infections substance abuse/withdrawal Craniofacial structure disorders
not good for selfcare
Sinus Headache
pain is usually behind the forehead and/or cheekbones
Cluster Headache
pain is in and around one eye
Tension Headache
pain is like a band squeezing the head
Migraine Headache
pain, nausea, and visual changes are typical of classic form
Tension Headache onset & duration
gradual & Min to days
Migraine Headache onset & duration
sudden & hours to 2 days
Sinus Headache onset & duration
Simultaneous w/ sinus symptoms & Days (resolves w/ sinus symptoms)