Neurology 17 - Migraines

Question 1

typical migraine symptoms

Answer 1

moderate/severe pain
throbbing 
unilateral usually
photophobic
phonophobic
aura
vomiting

Question 2

aura

Answer 2

visual changes with migraine

sparks in vision
blurring of vision
lines across vision
visual field loss

Question 3

hemiplegic migraine

Answer 3

stroke mimic

exclude stroke first

hemiplegia+ataxia+migraine signs

Question 4

stages of migraine

Answer 4

individual trigger factors

prodrome - subtle signs, fatigue /mood change 3 days

aura up to 60 mins
headache stage 4-72hrs
resolution stage
recovery phase

Question 5

acute migraine management

Answer 5

paracetamol
sumatriptan 50mg at start
NSAIDs
antiemetics

Question 6

migraine prophylaxis

Answer 6

take headache diary and identify triggers to avoid

propanolol
topiramate (no preg!)
amitriptyline

acupuncture
supplement riboflavin