Migraine Flashcards
1
Q
Migraine def
A
regular headaches lasting 4-72hrs
2
Q
Migraine triggers
A
CHOCOLATE
CHeese OCP Caffeine alcohOL Anxiety Travel Exercise
3
Q
Migraine prodrome
A
visual (hemianopia, blindness, teichophosia, fortification spectra, scintillating scotoma)
aphasia
tingling
weakness
4
Q
Scintillating scotoma
A
spot near centre of visual field flashing
5
Q
teichophosia
A
flashes
6
Q
fortification spectra
A
jagged lines
7
Q
Migraine w/o aura diagnostic criteria
A
5+ headaches lasting 4-72 hrs \+ Nausea/vomiting or phono/photophobia \+ 2+ out of : - Unilateral - Pulsating - Interference with normal life - Worsened by routine activity
8
Q
Treatment of an acute migraine episode
A
1) Paracetamol + metoclopramide
2) NSAID + metoclopramide
3) Rizatriptan (triptans)
4) Ergotamine
9
Q
Prophylaxis of migraines
A
Avoid triggers 1st line: Propanolol or topiramate 2nd line: acupuncture or riboflavin or Valproate or pizotifen or gabapentin
10
Q
CI to triptans
A
angina
high risk of ischaemic heart disease
11
Q
Who gets Botox injection for migraine
A
- for prevention of headaches in adults with chronic migraine
- should haveheadaches for 15days/mo, 8 days w/ migraine
- should have tried 3 other preventative meds
12
Q
How often Botox injection for migraine
A
every 12 wks
