Migraine

Question 1

Causes of migraine?

Answer 1

Unknown

- Thought to be vascular

Question 2

What does vascular constriction in migraine cause?

Answer 2

Aura

Question 3

What does vascular dilatation cause in migraine?

Answer 3

Headache

Question 4

What are the three types of migraine?

Answer 4

1. Visual aura with headache
2. Visual aura with nothing
3. Just headache

Question 5

What are the symptoms of the headache?

Answer 5

UNILATERAL throbbing headache

• Photophobia
• Phonophobia
• Allodynia
• Parasthesia of hands and face
• Nausea and vomiting

Question 6

What is allodynia?

Answer 6

Sensitisation to pain

Question 7

DDx?

Answer 7

Cluster headache

Trigeminal neuralgia

Paroxysmal hemicrania

Question 8

Diagnosis and tests?

Answer 8

Based on history of

• Aura
• Unilateral throbbing headache
• Duration

Can do an MRI if sinister symptoms

Question 9

Abortive pharmacological treatment?

Answer 9

Analgesia

Triptans

Question 10

Prophylactic treatment?

Answer 10

Propranolol

Anti epileptics

Tricyclics

Question 11

What other treatment can be employed?

Answer 11

Identify the triggers and remove them such as coffee

Question 12

What is the criteria of a chronic migraine?

Answer 12

8 days per month of migraine symptoms

- And 15 days with just the headache

Question 13

What may be a cause of a chronic headache in migraine sufferers?

Answer 13

TREATMENT RELATED

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