Migraine and Headaches Flashcards
Name some migraine triggers?
Chocolate, cheese, hangovers, lie-ins, tumult, orgasms, exercise, oral contraceptive pill
What are the 3 phases of a migraine?
Prodrome, aura, migraine
What is the presentation of a migraine?
Photophobia
Phonophobia
N+V
Diarrhoea
One sided pounding headache
How long does a migraine last?
4-72 hours
What is 1st line prophylaxis for migraines?
Propranalol
Topiramate in asthmatics
When are nasal triptans used?
Migraine prophylaxis in 12-17 year olds
Who is C/I for sumatriptan?
IHD, CVD, alongside SSRI
What are some side effects of triptans?
Flushing, angina, chest tightness
When is botox indicated for migraines?
More than 15 per month with 8 being migraines
What is a treatment for chronic unresponsive migraines?
Fremanezumab - CGRP inhibitor
How long do tension headaches last?
Minutes to days
What is the presentation for tension headaches?
Bilateral tight band pain
Pressure behind the eyes
Frequent
No nausea and vomiting
What are some triggers of a tension headache?
Stress
Missing meals
Fatigue
Concentrated visual effort
Hot weather
Dehydration
What are cluster headaches?
Headaches that are severe, unbearable, usually concentrated around one eye and present in clusters of attacks and then disappear for months
What are some symptoms of a cluster headache?
Ptosis
Miosis
Rhinorrhoea
Blood shot eye