Migraine Flashcards
What is a migraine a common cause of?
Headache
How long does a migraine last?
4-72 hours
What are the triggers of a migraine?
- cheese, chocolate
- tiredness, stress
- alcohol
- combined oral contraceptive pill
- menstruation, menopause and pregnancy
- lights and noise
How does a migraine present?
- visual aura 6-60minuts
- unilateral throbbing headache
- photophobia and phonophobia
- nausea and vomiting
- irritability
What is a non-specific treatment of migraine?
Paracetamol
What is specific treatment for a migraine?
Sumatriptan (combine with paracetamol)
What can be given as prophylaxis for a migraine?
Topiramate
Propranolol
What is a complication of topiramate?
Teratogenic
What is a complication of Propranolol
Can’t be given to asthmatics
What are the main triggers for a migraine?
Chocolate
COC pill
What are the mian characteristics of a migraine?
- unilateral location
- pulsating quality
- moderate or severe pain intensity
- aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs)*
How many characteristics does someone need to present it for it to be classed as a migraine?
2 characteristics
What additional symptoms can occur during a migraine?
- nausea and/or vomiting
- photophobia and phonophobia
How many attacks does a person need to have for them to have migraines?
At least 5 attacks
How can migraine attacks occur in children?
Attacks are shorter-lasting
Headache is more commonly bilateral, Gastrointestinal disturbance is more prominent.
