Flashcards in Migraine (Kaakeh) Deck (115)
What are the primary headaches?
Vascular (Migraines, cluster, non-migraine vascular)
What question should you always ask someone who has a headache before giving NSAIDs?
Did they have any acute or chronic trauma to their head? (want to rule out possible bleeding)
Tension headache: bilaterol or unilateral
Tension headache: location
forehead, nape of neck
Cervical osteoarthritis headache?
Caused from osteorthritis to cervical spine or inflammation to neck muscles
chronic inflammation of muscle tissue
Severe, debilitating headache--can have N/V, visual disturbances
What is mixed headache syndrome?
Episodes of migraine headache with tension HAs in between
Cluster headache: unilateral or bilateral?
Cluster headache often accompanied by ____ symptoms
___ required to terminate most migraine HAs
3 proposed causes of migraine headaches
Vasodilatory (dilation of intracranial extracerebral vessels)
Neurological (abnormal neuron firing)
Neurogenic dural inflammation (irritating substances in braine--CGFR, substance P, NO)
Migraines: more common in women or men?
Comorbidities with migraine?
How many attacks for migraine with aura diagnosis?
Migraine with aura must have __ of the following characteristics:
Aura lasts __ minutes
HA follows aura within __ min
(Other side effects with aura)
Normal neurologic exam
3 of the following characteristics:
Mild to severe intensity
Aura lasts 5-60 minutes
HA follows aura within 60 minutes
May have N/V, photophobia, phonophobia
___ attacks to be diagnosed with migraine without aura
Diagnosis for migraine without aura:
2 of these:
Aggravated by _____
Any 1 of:
____ and ____
Aggravated by physical activity
Moderate to severe intensity
Nausea and vomiting
Photophobia and phonophobia
Phases of migraine attack (4)
2. Aura (sometimes)
3. The attack
What are the symptoms of prodrome?
What are the symptoms of the attack?
Pain, N/V, sensitivity to light/sound
What are the symptoms of postdrome?
Tiredness, residual HA
How long does prodrome last?
How long does the migraine attack last?
How long does postrdome last?
What are the positive symptoms of visual auras?
Teichopsia (zigzag lines)
What are the negative symptoms of visual auras?
Hemiapias (partial blindness)
What are sensory auras?
Hemiparesis (paralysis on one side)
Ophthalmoplegia (eye paralysis)
Dysphasia (Speech problems)
Olfactory hallucinations (smell odd odors)