migraine Flashcards
discuss characteristics of migraine HA
familial disorder of recurrent attacks; unilateral
usually c:
- anorexia
- nausea
- vomiting
- neurological and mood disturbances
not all attacks are similar - freq, severity and ssx may vary
common migraine
migraine s aura
discuss migraine s aura
at least 5 attacks c
- lasting 4-72 hrs
- uni or pulsating
- mod to severe
- worsened by activity
- nausea, vomiting, photo or phonophobia
- secondary HA is r/o
discuss migraine c aura
visual or sensory aura
at least 2 attacks c:
- 1 or more reversible aura
- aura develops gradually; > 4 mins
- aura does not last > 1 hr
- HA follows aura w/in 1 hr at end of aura
- secondary HA is excluded
discuss prevalence of migraine c aura
30-50 yo; females > males
classic migraine
migraine c aura
discuss visual aura
(+) flashing lights, zigzag lines
(-) graying out of vision
discuss sensory aura
(+) tingling
(-) numbness
what are the phases of migraine
premonitory or prodromal
aura phase
HA phase
HA terminal or resolution phase
postdrome phase
further discuss premonitory or prodromal
before having a headache
can be psychological, neurological or autonomic
further discuss aura phase
present in classic migraine
MORE THAN 4 MINS BUT LESS THAN 1HR
95% visual pero pwede din sensory
develops HA w/in 1 hr after end of aura
further discuss HA phase
60% - unilateral
10% - alternating hemicrania
gradual onset - build up .5 to several hrs
throbbing and mod-severe for 4-72 hrs
worsened by activity
assoc c: NVPP
further discuss HA terminal/resolution phase
sleep most common natural method for relief
further discuss postdrome phase
pt feels good or bad after disappearance of HA
mood changes
muscular weakness
physical tiredness
reduced appetite
behavioral migraine triggers
Stress
Fasting
Emotions
Sleep disturbance
Exercise (excessive)
environmental migraine triggers
Bright light
Odors
Weather changes
Cigarette Smoke
infectious migraine triggers
URTI
dietary migraine triggers
Caffeinated beverages
Alcoholic beverages
Aged cheese
Chocolate
Ice cream
chemical migraine triggers
MSG, umami
tyramine
nitrates
aspartates
hormonal migraine trigges
menstruation
migraine causes
vascular
nueral
combined
