SlideShare a Scribd company logo
Mohammed Nabil J AlAli
5th Year Medical Student
At King Faisal University
Group B (210006209)
OUTLINES :
- DEFINITION
- SIGNS AND SYMPTOMS
- MANAGMENT
The word derives from the Greek (hemikrania) : pain on
one side of the head ( hemi- "half“ , kranion "skull” )

“Migraine is a familial disorder characterized by
recurrent attacks of headache widely variable in
intensity, frequency and duration. Attacks are

commonly unilateral and are usually associated
with anorexia, nausea and vomiting”
2/23/2014

3


According to stage :
is the complex of
neurological symptoms
that occurs just before
or at the onset of
migraine headache

Vague symptoms that
begin from 12 to 36 hours
before the aura and
headache

1- Prodrome

2- Aura

4- Postdrome

3- Headache

resolution stage ,
recovery
-Deprresion
- fatigue
For hours to two days
2/23/2014

from 4 to 72 hours

4


Throbbing or pulsatile headache, with moderate to severe
pain that intensifies with movement or physical activity



Unilateral and localized pain in the frontotemporal and
ocular area, but the pain may be felt anywhere .



Pain builds up over a period of 1-2 hours, progressing
posteriorly and becoming diffuse



Headache lasts 4-72 hours



Nausea (80%) and vomiting (50%), including anorexia and
food intolerance, and light-headedness



Sensitivity to light and sound

2/23/2014

5


May precede or accompany the headache phase or may
occur in isolation



Usually develops over 5-20 minutes and lasts less than 60
minutes



Most commonly visual (can be sensory, motor, or combination )



Visual symptoms may be positive or negative



Scintillating scotoma is the most common positive visual
phenomenon .

2/23/2014

6
2/23/2014

7
Non-pharmacological

Pharmacological

- Identification of triggers
- Meditation ( Yoga )
- Relaxation training
- Psychotherapy

Classified as :

2/23/2014

-Abortive ( acute phase )
- Prophylactic
(preventive).

8


Selective serotonin receptor
(5-hydroxytryptamine–1, or 5-HT1) agonists (triptans)







2/23/2014

Ergot alkaloids (eg, ergotamine, dihydroergotamine [DHE])
Analgesics
NSAIDs
Combination products
Antiemetics
9
Some indications :

Frequency ( greater than 2 per month)
Duration of attacks ( longer than 24 hours)
Cause major disruptions in the patient's lifestyle,
with significant disability that lasts 3 or more days
 Abortive therapy fails or is overused
 Symptomatic medications are contraindicated or
ineffective
 Use of abortive medications more than twice a
week
 Risk of permanent neurologic injury[




2/23/2014

10










2/23/2014

Antiepileptic drugs
Beta blockers
Tricyclic anti-depressants
Calcium channel blockers
Selective serotonin reuptake inhibitors
(SSRIs)
NSAIDs
Serotonin antagonists
Botulinum toxin
11


In December 2013, the FDA approved the Cerena
Transcranial Magnetic Stimulator (Cerena TMS),
the first device to relieve pain caused by migraine
headache with aura for use in patients aged 18
years and older .

2/23/2014

12
2/23/2014

http://www.healandhealth.com

14
Thank you

More Related Content

Viewers also liked

Chronic migraines management
Chronic migraines managementChronic migraines management
Chronic migraines management
Arthur Muriuki MBPsS
 
Migraine
MigraineMigraine
Migraine
Sonam Yeshi
 
Headaches presentation at www.eyenirvaan.com
Headaches presentation at www.eyenirvaan.comHeadaches presentation at www.eyenirvaan.com
Headaches presentation at www.eyenirvaan.com
Eyenirvaan
 
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
noidahomoeopathy
 
Headaches
HeadachesHeadaches
Headaches
Domenick John
 
Pathophysiology of migraine
Pathophysiology of migrainePathophysiology of migraine
Pathophysiology of migraine
Chindo Mallum
 
Advanced Analytics for Clinical Data Full Event Guide
Advanced Analytics for Clinical Data Full Event GuideAdvanced Analytics for Clinical Data Full Event Guide
Advanced Analytics for Clinical Data Full Event Guide
Pfizer
 
Recent Advances in migraine
Recent Advances in migraine Recent Advances in migraine
Recent Advances in migraine
DR ANUP PETARE
 
Migraine (VK)
Migraine (VK)Migraine (VK)
Migraine 1
Migraine 1Migraine 1
Migraine 1
Shrinath Kothekar
 
Pharmacotherapy of migraine
Pharmacotherapy of migrainePharmacotherapy of migraine
Migrane ppt
Migrane pptMigrane ppt
Migrane ppt
Deepak Sarangi
 
Migraine
MigraineMigraine
Migraine
Shriyans Jain
 
Migraine treatment ppt
Migraine treatment pptMigraine treatment ppt
Migraine treatment ppt
tityo
 
Pharmacotherapy of migraine
Pharmacotherapy of migrainePharmacotherapy of migraine
Pharmacotherapy of migraine
Dr. Manu Kumar Shetty
 
Secondary headache
Secondary headacheSecondary headache
Secondary headache
Abino David
 
Primary headache
Primary headachePrimary headache
Primary headache
Abino David
 
Headache
HeadacheHeadache
Headache
Abino David
 
Migraine
MigraineMigraine
Migraine
drangelosmith
 
Pathophysiology of migraine
Pathophysiology of migrainePathophysiology of migraine
Pathophysiology of migraine
webzforu
 

Viewers also liked (20)

Chronic migraines management
Chronic migraines managementChronic migraines management
Chronic migraines management
 
Migraine
MigraineMigraine
Migraine
 
Headaches presentation at www.eyenirvaan.com
Headaches presentation at www.eyenirvaan.comHeadaches presentation at www.eyenirvaan.com
Headaches presentation at www.eyenirvaan.com
 
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
Migraine - Presented By Dr.Tewari At NHMA On 06 06 09
 
Headaches
HeadachesHeadaches
Headaches
 
Pathophysiology of migraine
Pathophysiology of migrainePathophysiology of migraine
Pathophysiology of migraine
 
Advanced Analytics for Clinical Data Full Event Guide
Advanced Analytics for Clinical Data Full Event GuideAdvanced Analytics for Clinical Data Full Event Guide
Advanced Analytics for Clinical Data Full Event Guide
 
Recent Advances in migraine
Recent Advances in migraine Recent Advances in migraine
Recent Advances in migraine
 
Migraine (VK)
Migraine (VK)Migraine (VK)
Migraine (VK)
 
Migraine 1
Migraine 1Migraine 1
Migraine 1
 
Pharmacotherapy of migraine
Pharmacotherapy of migrainePharmacotherapy of migraine
Pharmacotherapy of migraine
 
Migrane ppt
Migrane pptMigrane ppt
Migrane ppt
 
Migraine
MigraineMigraine
Migraine
 
Migraine treatment ppt
Migraine treatment pptMigraine treatment ppt
Migraine treatment ppt
 
Pharmacotherapy of migraine
Pharmacotherapy of migrainePharmacotherapy of migraine
Pharmacotherapy of migraine
 
Secondary headache
Secondary headacheSecondary headache
Secondary headache
 
Primary headache
Primary headachePrimary headache
Primary headache
 
Headache
HeadacheHeadache
Headache
 
Migraine
MigraineMigraine
Migraine
 
Pathophysiology of migraine
Pathophysiology of migrainePathophysiology of migraine
Pathophysiology of migraine
 

Similar to Migraine headache

MIGRAINE AND TENSION TYPE HEADACHE
MIGRAINE AND TENSION TYPE HEADACHEMIGRAINE AND TENSION TYPE HEADACHE
MIGRAINE AND TENSION TYPE HEADACHE
DR.UMAR MUSHIR
 
Migraine
MigraineMigraine
Migraine
Ahmed Abouelela
 
Practical Approach to headache
Practical  Approach to headachePractical  Approach to headache
Practical Approach to headache
Dr Surendra Khosya
 
Headache
HeadacheHeadache
Headache
HarunMohamed7
 
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MDMigraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Decontee "Dr. Dee" Jimmeh
 
Headache primary and secondary
Headache primary and secondaryHeadache primary and secondary
Headache primary and secondary
Ahmad Saladdin
 
Headache ; dr jayesh
Headache  ; dr jayeshHeadache  ; dr jayesh
Headache ; dr jayesh
DrJayesh Choudhary
 
Migrain
MigrainMigrain
Migraine
MigraineMigraine
Migraine
webzforu
 
Headache
HeadacheHeadache
Headache
Kishore Rajan
 
Primary headache
Primary headachePrimary headache
Primary headache
drswarupa
 
Headache ppt
Headache pptHeadache ppt
Headache ppt
Dr Surendra Khosya
 
chronic pain management.pptx
chronic pain management.pptxchronic pain management.pptx
chronic pain management.pptx
PrithviRaj535583
 
Clinical study of Migraine
Clinical study of MigraineClinical study of Migraine
Clinical study of Migraine
syeddastagir9
 
Neurological diseases 1 with Psychiatric disorders
Neurological diseases 1 with Psychiatric disordersNeurological diseases 1 with Psychiatric disorders
Neurological diseases 1 with Psychiatric disorders
DrRavi Jain
 
Headaches
Headaches  Headaches
Headaches
serene Maria
 
Headache
HeadacheHeadache
Headache
NeurologyKota
 
Pediatric headache by dr. milind bapat
Pediatric headache by dr. milind bapatPediatric headache by dr. milind bapat
Pediatric headache by dr. milind bapat
Milind Bapat
 
Headache
HeadacheHeadache
Migrine :pain management.
Migrine :pain management.Migrine :pain management.
Migrine :pain management.
Dr Ravi Shankar Sharma
 

Similar to Migraine headache (20)

MIGRAINE AND TENSION TYPE HEADACHE
MIGRAINE AND TENSION TYPE HEADACHEMIGRAINE AND TENSION TYPE HEADACHE
MIGRAINE AND TENSION TYPE HEADACHE
 
Migraine
MigraineMigraine
Migraine
 
Practical Approach to headache
Practical  Approach to headachePractical  Approach to headache
Practical Approach to headache
 
Headache
HeadacheHeadache
Headache
 
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MDMigraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
 
Headache primary and secondary
Headache primary and secondaryHeadache primary and secondary
Headache primary and secondary
 
Headache ; dr jayesh
Headache  ; dr jayeshHeadache  ; dr jayesh
Headache ; dr jayesh
 
Migrain
MigrainMigrain
Migrain
 
Migraine
MigraineMigraine
Migraine
 
Headache
HeadacheHeadache
Headache
 
Primary headache
Primary headachePrimary headache
Primary headache
 
Headache ppt
Headache pptHeadache ppt
Headache ppt
 
chronic pain management.pptx
chronic pain management.pptxchronic pain management.pptx
chronic pain management.pptx
 
Clinical study of Migraine
Clinical study of MigraineClinical study of Migraine
Clinical study of Migraine
 
Neurological diseases 1 with Psychiatric disorders
Neurological diseases 1 with Psychiatric disordersNeurological diseases 1 with Psychiatric disorders
Neurological diseases 1 with Psychiatric disorders
 
Headaches
Headaches  Headaches
Headaches
 
Headache
HeadacheHeadache
Headache
 
Pediatric headache by dr. milind bapat
Pediatric headache by dr. milind bapatPediatric headache by dr. milind bapat
Pediatric headache by dr. milind bapat
 
Headache
HeadacheHeadache
Headache
 
Migrine :pain management.
Migrine :pain management.Migrine :pain management.
Migrine :pain management.
 

More from Mo7ammed Nabil Al Ali

Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
Mo7ammed Nabil Al Ali
 
Tinea capitis
Tinea capitis Tinea capitis
Tinea capitis
Mo7ammed Nabil Al Ali
 
panorama x ray
panorama x ray  panorama x ray
panorama x ray
Mo7ammed Nabil Al Ali
 
Congenital ureteropelvic (upj) obstruction
Congenital ureteropelvic (upj) obstructionCongenital ureteropelvic (upj) obstruction
Congenital ureteropelvic (upj) obstruction
Mo7ammed Nabil Al Ali
 
Spondylolisthesis and DDx
Spondylolisthesis and DDxSpondylolisthesis and DDx
Spondylolisthesis and DDx
Mo7ammed Nabil Al Ali
 
pilon fractures or " plafond "
pilon fractures or  " plafond "pilon fractures or  " plafond "
pilon fractures or " plafond "
Mo7ammed Nabil Al Ali
 
Supraglottic Cancer
Supraglottic Cancer Supraglottic Cancer
Supraglottic Cancer
Mo7ammed Nabil Al Ali
 
retinopathy of prematurity
retinopathy of prematurityretinopathy of prematurity
retinopathy of prematurity
Mo7ammed Nabil Al Ali
 

More from Mo7ammed Nabil Al Ali (8)

Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
 
Tinea capitis
Tinea capitis Tinea capitis
Tinea capitis
 
panorama x ray
panorama x ray  panorama x ray
panorama x ray
 
Congenital ureteropelvic (upj) obstruction
Congenital ureteropelvic (upj) obstructionCongenital ureteropelvic (upj) obstruction
Congenital ureteropelvic (upj) obstruction
 
Spondylolisthesis and DDx
Spondylolisthesis and DDxSpondylolisthesis and DDx
Spondylolisthesis and DDx
 
pilon fractures or " plafond "
pilon fractures or  " plafond "pilon fractures or  " plafond "
pilon fractures or " plafond "
 
Supraglottic Cancer
Supraglottic Cancer Supraglottic Cancer
Supraglottic Cancer
 
retinopathy of prematurity
retinopathy of prematurityretinopathy of prematurity
retinopathy of prematurity
 

Recently uploaded

Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
Torstein Dalen-Lorentsen
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
Dr.pavithra Anandan
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
anaghabharat01
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
suvadeepdas911
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
AksshayaRajanbabu
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
Dhayanithi C
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
Josep Vidal-Alaball
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 

Recently uploaded (20)

Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 

Migraine headache

  • 1. Mohammed Nabil J AlAli 5th Year Medical Student At King Faisal University Group B (210006209)
  • 2. OUTLINES : - DEFINITION - SIGNS AND SYMPTOMS - MANAGMENT
  • 3. The word derives from the Greek (hemikrania) : pain on one side of the head ( hemi- "half“ , kranion "skull” ) “Migraine is a familial disorder characterized by recurrent attacks of headache widely variable in intensity, frequency and duration. Attacks are commonly unilateral and are usually associated with anorexia, nausea and vomiting” 2/23/2014 3
  • 4.  According to stage : is the complex of neurological symptoms that occurs just before or at the onset of migraine headache Vague symptoms that begin from 12 to 36 hours before the aura and headache 1- Prodrome 2- Aura 4- Postdrome 3- Headache resolution stage , recovery -Deprresion - fatigue For hours to two days 2/23/2014 from 4 to 72 hours 4
  • 5.  Throbbing or pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity  Unilateral and localized pain in the frontotemporal and ocular area, but the pain may be felt anywhere .  Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse  Headache lasts 4-72 hours  Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness  Sensitivity to light and sound 2/23/2014 5
  • 6.  May precede or accompany the headache phase or may occur in isolation  Usually develops over 5-20 minutes and lasts less than 60 minutes  Most commonly visual (can be sensory, motor, or combination )  Visual symptoms may be positive or negative  Scintillating scotoma is the most common positive visual phenomenon . 2/23/2014 6
  • 8. Non-pharmacological Pharmacological - Identification of triggers - Meditation ( Yoga ) - Relaxation training - Psychotherapy Classified as : 2/23/2014 -Abortive ( acute phase ) - Prophylactic (preventive). 8
  • 9.  Selective serotonin receptor (5-hydroxytryptamine–1, or 5-HT1) agonists (triptans)      2/23/2014 Ergot alkaloids (eg, ergotamine, dihydroergotamine [DHE]) Analgesics NSAIDs Combination products Antiemetics 9
  • 10. Some indications : Frequency ( greater than 2 per month) Duration of attacks ( longer than 24 hours) Cause major disruptions in the patient's lifestyle, with significant disability that lasts 3 or more days  Abortive therapy fails or is overused  Symptomatic medications are contraindicated or ineffective  Use of abortive medications more than twice a week  Risk of permanent neurologic injury[    2/23/2014 10
  • 11.         2/23/2014 Antiepileptic drugs Beta blockers Tricyclic anti-depressants Calcium channel blockers Selective serotonin reuptake inhibitors (SSRIs) NSAIDs Serotonin antagonists Botulinum toxin 11
  • 12.  In December 2013, the FDA approved the Cerena Transcranial Magnetic Stimulator (Cerena TMS), the first device to relieve pain caused by migraine headache with aura for use in patients aged 18 years and older . 2/23/2014 12
  • 13.