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10 Cards in this Set

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International Headache Classification - Primary Headaches
Migraine
Tension
Cluster
Other (exertional, thunderclap, hemicarnia continua)
IHS Classification Secondary Headaches
Traumatic
Vascular (SAH, hematoma, aneurysm, HTN, temporal arteritis)
Nonvascular IC (LP, brain tumor, meningitis)
Substance/Withdrawal
Theories of Migraines
Vascular
Neural
Neurochemical
Neurovascular
Migraine without Aura (Common Migraine)
last 4-72 hours
At least 1 of the following during HA:
nausea a/o vomiting
photophobia AND phonophobia
2 of 4 additional s/sx:
unilateral
pulsating or throbbing quality
moderate-severe intensity
aggravated by activity
Migraine with Aura (Classic Migraine)
Same as common migraine plus:
Visual sx, somatosensory disturbance, or dysphagia OR
at least 2: dysarthrita, vertigo, tinnitus, hypacusia, diplopia, visual sx simultaneously in both temporal and nasal fields of both eyes, ataxia, decreased LOC or simulatneous bilateral paresthesias
MOTOR weakness does NOT occur
How many stages in Classic Migraine?
FOUR stages
Prodrome
Aura
Headache
Postdrome
Migraine Aura
sign of impending HA
up to 85% do not have aura
begins gradually over >4 mins
Last < 1 hour
fully reversible - no motor weakness
visual symptoms most common
scotomata
fortification spectra (zig-zag)
teichopsia (shimmering lights, wavy lines)
Migraine Triggers
Dietary (ETOH, asparame, caffeine, MSG, nuts, nitrites)
Sensory (bright flickering lights, odors)
Stress (change in lifestyle)
Menstrual Migraine
drop in estrogen during late luteal and menstrual phases
HRT
Pregnancy, menopause "improve" HAs
"TRUE" Menstrual Migraine
occurs Day#1 menses OR 2 days before OR 2-5 days after AND no other time
usually migraine w/o aura
prevalence 7.2%
abortive Rx effective
preventive Rx usu not effective