W5_01 Migraine

Question 1

what’s the most expensive brain disorder?

Answer 1

headaches

Question 2

difference between tension and migraine headaches?

Answer 2

tension: bilateral, non-throbbing, featureless, rarely disabling;
migraine: often throbbing, photo/phonophobia, nausea, disabling

Question 3

migraine is more prevalent in which sex?

Answer 3

females (3:1)

Question 4

which hormone is thought to play a role in migraines?

Answer 4

estrogen. there’s an observed drop in estradiol that correlates with migraines

Question 5

fact: headaches can become chronic, then develop into other problems like depression, anxiety etc.

Answer 5

good.

Question 6

name non readily-modifiable factors of transition to chronic migraines

Answer 6

female
younger age
low education
low socioeconomic status
head/neck trauma
concussion

Question 7

name readily-modifiable factors of transition to chronic migraines

Answer 7

attack frequency
obesity
medication overuse (>2d/wk)
response to stressful life events
disordered sleep
depression/anxiety
allodynia

Question 8

criteria for migraine without aura?

Answer 8

at least 5 attacks fulfilling:
4-72 hour attacks
>2 of (moderate/sever pain, aggravation by routine physical activity, unilateral, pulsating)
>1 of (nausea/vomiting, photophobia+phonophobia)
not caused by anything else

Question 9

criteria for migraine with aura?

Answer 9

at least 2 attacks fulfilling:
fully reversible speech/sensory issues
>2 of (unilateral, between 5-60 minutes, one symptom develops gradually over 5 mins)
headache begins during the aura or follows the aura within 60 minutes
not caused by anything else

Question 10

what is an aura?

Answer 10

2 attacks
fully reversible sensory symptoms
like the criteria for migraine with aura

Question 11

should you use birth control pills with migraines with aura?

Answer 11

no, if aura is beyond a simple visual aura