Migraine

Question 1

[…] throbbing headache preceded by an […], such as […] (eg. lines, zigzags) or […] (paraesthesia spreading from fingers to face) symptoms.

The headache may last 4-[…] hours and is associated with […] and phonophobia. There may be identifiable triggers such as oral […] or chocolate.

Answer 1

unilateral throbbing headache preceded by an aura, such as visual (eg. lines, zigzags) or sensory (paraesthesia spreading from fingers to face) symptoms.

The headache may last 4-72 hours and is associated with photophobia and phonophobia. There may be identifiable triggers such as oral contraceptives or chocolate.

Question 2

Mx of migraine: acute attacks

Answer 2

oral triptan such as Sumatriptan (CI: ischaemic heart disease), in addition to Paracetamol or an NSAID

Question 3

Mx of migraine: prophylaxis

Answer 3

Propranolol (CI: asthma), Topiramate or Amitriptyline