Oral med - primary headaches

Question 1

what are the 3 ICHD?

Answer 1

orofacial migraine (migraine)
tension type orofacial pain (tension headache)
trigeminal autonomic orofacial pain (trigeminal autonomic cephalalgias)

Question 2

what are the 2 types of migraines?

Answer 2

migraine without aura
migraine with aura

Question 3

describe a migraine without aura?

Answer 3

recurrent headache disorder manifesting attacks lasting 4-72 hours
typical characteristics of the headache are unilateral location, pulsing, and aggravated by physical activity and associated with nausea and or photophobia and phonophobia

Question 4

what is the diagnostic criterial for migraine without aura?

Answer 4

a. at least 5 attacks fulfilling criteria B-D
b. headache attacks lasting 4-72 hours
c. headache has at least 2 of the following:
1. unilateral location
2. pulsating quality
3. moderate or severe pain intensity
4. aggravation by or causing avoidance of routine physical activity
d. during headache at least 1 of the following:
1. nausea and/or vomiting
2. photophobia and phonophobia
e. not better accounted for by another ICHD-3 diagnosis

Question 5

what is a migraine without aura - facial involvement?

Answer 5

a subset of otherwise typical patients have facial location of pain which is called ‘facial migraine’ in the literature

Question 6

describe a migraine with aura?

Answer 6

recurrent attacks, lasting minutes, of unilateral fully-reversible visual, sensory or other CNS symptoms that usually develops gradually and are usually followed by headache and associated migraine symptoms

Question 7

what is the diagnostic criteria for migraine with aura?

Answer 7

a. at least 2 attacks fulfilling criteria B and C
b. one or more of the following fully reversible aura symptoms:
1. visual
2. sensory
3. speech and/or language
4. motor
5. brainstem
6. retinal
c. at least one of the following 6:
1. one symptoms spreads gradually over 5 mins
2. 2 or more aura symptoms occur in succession
3. each individual aura symptom lasts 5-60 mins
4. at least one aura symptom is unilateral
5. at least one aura symptom is positive
6. the aura is accompanied or followed within 60 mins by headache