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10 Cards in this Set
- Front
- Back
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International Headache Classification - Primary Headaches
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Migraine
Tension Cluster Other (exertional, thunderclap, hemicarnia continua) |
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IHS Classification Secondary Headaches
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Traumatic
Vascular (SAH, hematoma, aneurysm, HTN, temporal arteritis) Nonvascular IC (LP, brain tumor, meningitis) Substance/Withdrawal |
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Theories of Migraines
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Vascular
Neural Neurochemical Neurovascular |
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Migraine without Aura (Common Migraine)
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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 |
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Migraine with Aura (Classic Migraine)
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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 |
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How many stages in Classic Migraine?
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FOUR stages
Prodrome Aura Headache Postdrome |
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Migraine Aura
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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) |
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Migraine Triggers
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Dietary (ETOH, asparame, caffeine, MSG, nuts, nitrites)
Sensory (bright flickering lights, odors) Stress (change in lifestyle) |
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Menstrual Migraine
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drop in estrogen during late luteal and menstrual phases
HRT Pregnancy, menopause "improve" HAs |
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"TRUE" Menstrual Migraine
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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 |
