Migraines Flashcards
What are the categories of migraines?
Migraine without aura
Migraine with aura
Silent migraine
Hemiplegic migraine
What are the stages of a migraine?
Prodromal
Aura
Headache
Resolution
Postdromal or recovery phase
How does a migraine typically present?
Unilateral
Moderate/ severe intensity
Pounding or throbbing
Photophobia
Phonophobia
Osmophobia
Aura
Nausea and vomiting
What is can an aura affect?
Vision, sensation or language
How does a visual aura present?
Sparks in vision
Blurred
Lines across vision
Loss of visual fields
What does a hemiplegic migraine cause?
Hemiplegia
Ataxia
Impaired consciousness
Is hemiplegic migraines are familial, what is the type?
Autosomal dominant
What is essential to do in hemiplegic migraine?
Essential to rule out strokes
What triggered migraines?
Stress
Bright lights
Strong smells
Certain foods
Dehydration
Menstruation
Disturbed sleep
Trauma
What is the acute management for migraines?
Dark, quiet room
Sleep
Medical
-NSAIDS
-paracetamol
-triptans
-antiemetics if vomiting
What can be used as prophylaxis in migraines?
Propranolol
Amitriptyline
Topiramate
What are more specialist prophylaxis?
Pizotifen
Candestartan
Sodium valproate
Monoclonal antibodies
What are other options in treatemnt?
CBT
Mindfulness and meditation
Acupuncture
Vit B2
