Neurological lectures...Headaches
•Download as PPT, PDF•
7 likes•1,500 views
The document discusses different types of headaches including primary and secondary headaches. Primary headaches include tension headaches, migraines, and cluster headaches where the headache is the main issue. Secondary headaches have an underlying cause like infection, trauma, or vascular issues. Treatment depends on the type with acute treatments like NSAIDs, triptans, or ergot derivatives for attacks and preventative medications for frequent headaches.
Report
Share
Report
Share
![Classification of headaches Professor Yasser Metwally ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/headaches-090309074603-phpapp02/85/Neurological-lectures-Headaches-1-320.jpg)
![HISTORY AND EXAMINATIONS SHOULD CLARIFY IF ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
cluster headaches
cluster headaches are also called as
Familial cluster headaches
Histamine cephalalgia
Vasogenic facial pain
Horton’s Syndrome
Cluster headache (CH) is a neurological disorder characterized by recurrent, severe headaches on one side of the head, typically around the eye.
A cluster headache commonly awakens paitent in the middle of the night with intense pain in or around one eye on one side of head.Cluster headache often accompanied with eye watering, nasal congestion, or swelling around the eye, on the affected side. These symptoms typically last 15 minutes to 3 hours.
The starting date and the duration of each cluster period might be consistent from period to period. For example, cluster periods can occur seasonally, such as every spring or every fall.
Most people have episodic cluster headaches. In episodic cluster headaches, the headaches occur for one week to a year, followed by a pain-free remission period that can last as long as 12 months before another cluster headache develops
Migraine
Migraine in children, Childhood migraine, Headache syndromes in children, managing a child with headache
Migraine
A 35-year-old female patient has been experiencing recurrent severe headaches over the last 4 months, with unilateral pulsating pain lasting over 6 hours accompanied by nausea and sometimes vomiting. She prefers sitting in a dark room during attacks and is unable to be active. Migraine should be suspected in patients presenting with recurrent headaches that are unilateral, pulsating, long-lasting and inhibit daily activities, especially in women aged 20-50. Migraine is characterized by moderate to severe throbbing headache on one side of the head and can present with aura, nausea, photophobia, phonophobia, or other neurological symptoms. Treatment involves managing acute attacks and considering prophylaxis for frequent episodes.
Practical Approach to headache
This PPT focuses on the diagnosis and treatment of the primary headache disorders, with special emphasis on migraine, the headache most likely to bring patients to physicians and pharmacists. warning signs of the ominous headache, which, although rare, can herald a life-threatening condition. Clinical characteristics of the primary headache types, migraine, tension-type headache, and cluster headache, are described
Headache in children
This document discusses headaches in children. It classifies headaches as either primary or secondary. The most common primary headaches in children are migraine, tension headache, and cluster headache. Migraines affect 3-23% of children and symptoms include throbbing pain, sensitivity to light/sound, and nausea. Tension headaches are caused by emotional or physical stress and eye strain. The document provides guidelines for evaluating and managing common childhood headaches.
Headache
The document provides an overview of various headache types, including their causes, characteristics, treatments and related conditions. It discusses primary headache disorders like migraines and tension headaches, as well as secondary headaches that can indicate underlying issues. Evaluation of patient history is important for diagnosis. Treatment involves managing acute episodes and preventing recurrent headaches through lifestyle changes and medications.
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Dr. Dee shares basic information about migraines including causes, symptoms, and possible treatment options.
Management of headache
A talk covering epidemiology, diagnosis and management of primary headache disorders, common cases of secondary headache disorders and when to order brain imaging, lumbar puncture in headaches.
Recommended
cluster headaches
cluster headaches are also called as
Familial cluster headaches
Histamine cephalalgia
Vasogenic facial pain
Horton’s Syndrome
Cluster headache (CH) is a neurological disorder characterized by recurrent, severe headaches on one side of the head, typically around the eye.
A cluster headache commonly awakens paitent in the middle of the night with intense pain in or around one eye on one side of head.Cluster headache often accompanied with eye watering, nasal congestion, or swelling around the eye, on the affected side. These symptoms typically last 15 minutes to 3 hours.
The starting date and the duration of each cluster period might be consistent from period to period. For example, cluster periods can occur seasonally, such as every spring or every fall.
Most people have episodic cluster headaches. In episodic cluster headaches, the headaches occur for one week to a year, followed by a pain-free remission period that can last as long as 12 months before another cluster headache develops
Migraine
Migraine in children, Childhood migraine, Headache syndromes in children, managing a child with headache
Migraine
A 35-year-old female patient has been experiencing recurrent severe headaches over the last 4 months, with unilateral pulsating pain lasting over 6 hours accompanied by nausea and sometimes vomiting. She prefers sitting in a dark room during attacks and is unable to be active. Migraine should be suspected in patients presenting with recurrent headaches that are unilateral, pulsating, long-lasting and inhibit daily activities, especially in women aged 20-50. Migraine is characterized by moderate to severe throbbing headache on one side of the head and can present with aura, nausea, photophobia, phonophobia, or other neurological symptoms. Treatment involves managing acute attacks and considering prophylaxis for frequent episodes.
Practical Approach to headache
This PPT focuses on the diagnosis and treatment of the primary headache disorders, with special emphasis on migraine, the headache most likely to bring patients to physicians and pharmacists. warning signs of the ominous headache, which, although rare, can herald a life-threatening condition. Clinical characteristics of the primary headache types, migraine, tension-type headache, and cluster headache, are described
Headache in children
This document discusses headaches in children. It classifies headaches as either primary or secondary. The most common primary headaches in children are migraine, tension headache, and cluster headache. Migraines affect 3-23% of children and symptoms include throbbing pain, sensitivity to light/sound, and nausea. Tension headaches are caused by emotional or physical stress and eye strain. The document provides guidelines for evaluating and managing common childhood headaches.
Headache
The document provides an overview of various headache types, including their causes, characteristics, treatments and related conditions. It discusses primary headache disorders like migraines and tension headaches, as well as secondary headaches that can indicate underlying issues. Evaluation of patient history is important for diagnosis. Treatment involves managing acute episodes and preventing recurrent headaches through lifestyle changes and medications.
Migraine Basics Presentation by Decontee "Dr. Dee" Jimmeh, MD
Dr. Dee shares basic information about migraines including causes, symptoms, and possible treatment options.
Management of headache
A talk covering epidemiology, diagnosis and management of primary headache disorders, common cases of secondary headache disorders and when to order brain imaging, lumbar puncture in headaches.
Migraine
- Migraine is a recurrent headache disorder that is one of the most common complaints in medicine. It is classified into migraine with aura and without aura.
- The pathophysiology involves complex vascular and neural mechanisms including cortical spreading depression, trigeminal nerve activation, and release of vasoactive substances. Genetic and environmental factors can also play a role in migraine triggers and risk.
- Diagnosis is based on criteria involving recurrent attacks of moderate to severe pulsating headache, photophobia, phonophobia, and possibly nausea. Physical exam is typically normal but may reveal associated neurological symptoms.
Headache management
This document provides an overview of headache management in family practice. It discusses evaluating and treating common headache types like migraine, tension headache, and cluster headache. It covers diagnostic testing, acute and preventive treatment options, and considerations for headache in special populations like pregnancy, menopause, and the elderly.
Migraine
Migraine is a primary headache disorder characterized by recurrent headaches that can range from moderate to severe in intensity. It typically affects one half of the head and is pulsating in nature, lasting between 2 to 72 hours. Associated symptoms include nausea, vomiting, and sensitivity to light, sound or smell. Migraines are thought to be caused by a combination of genetic and environmental factors. They often run in families and can be triggered by changes in hormone levels, stress, hunger, or certain foods and drinks. Diagnosis is based on signs and symptoms according to established diagnostic criteria. Treatment involves lifestyle modifications, medications for prevention or acute attacks, and avoiding triggers.
Migraine and types
Migraine is a neurological disorder characterized by recurrent headaches that are often severe and pulsating in nature. It is estimated to affect 10% of the worldwide population. There are two main types - migraine with aura, which involves neurological symptoms before or during the headache, and migraine without aura, which involves headaches without preceding neurological symptoms. Potential triggers include hormonal changes, stress, foods, and environmental factors like light and noise. Management involves lifestyle modifications and medications to abort acute attacks or prevent future attacks. Preventive medications include beta blockers, antidepressants, and anti-seizure drugs, while acute treatments include analgesics, triptans, and anti-nausea drugs.
Headache
This document discusses approaches to evaluating and treating headaches in children. It begins by outlining common causes of chronic and severe headaches in children, including tension-type headaches, cluster headaches, and migraines. It then provides details on evaluating patients with headaches and classifying different headache types based on international standards. The rest of the document elaborates on diagnostic criteria and treatment strategies for recurrent headache types like tension headaches, cluster headaches, and migraines. It describes treating acute migraine attacks with analgesics and triptans and providing migraine prophylaxis for frequent or disabling attacks.
Migraine
Migraine is a severe headache that causes throbbing pain, nausea, vomiting, and extreme sensitivity to light and sound. It typically affects one side of the head and can last for hours or days. Some people experience aura, sensory disturbances such as flashes of light, before the headache starts. Migraine often begins in childhood or early adulthood and involves four stages - prodrome, aura, attack, and postdrome - though not everyone experiences all stages. Triggers can include hormonal changes, foods, stress, sensory stimuli, sleep patterns, and medications. Treatment involves both pain relievers during attacks and preventive medications taken daily. Self-care like stress reduction, avoiding triggers, and getting enough sleep can also help
Headache types & management
definition - types of headaches
symptoms & signs
Pathophysiology
-diagnosis and treatment of primary headache syndromes
Headache Feb 2016
Dr Gina Kennedy provides an overview of headache diagnosis and management. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. It is important to identify red flags and consider secondary causes. Treatment involves lifestyle modifications, acute medications, and preventive medications. Medication overuse headache is common and requires addressing overuse before initiating preventive treatment. Referral is indicated for atypical presentations or lack of response to treatment.
Headache
This document summarizes different types of headaches:
- Tension headaches are the most common and cause dull, tight pressure that worsens through the day. Treatment includes amitriptyline, physiotherapy, and reassurance.
- Migraines disproportionately affect women and can cause severe throbbing pain with aura, photophobia, and vomiting. Treatment includes avoiding triggers and using triptans or prophylaxis.
- Medication overuse headaches result from overusing compounds like codeine or triptans more than 10-15 days per month and require medication withdrawal.
- Cluster headaches cause brief but severe unilateral pain and autonomic symptoms in periodic episodes. Treatment includes sumatriptan injections or
Migraine (VK)
Migraine is characterized by episodic headaches that are typically unilateral and associated with symptoms like nausea, visual disturbances, photophobia, and phonophobia. It is believed to originate from changes in brain nerve cell activity and blood flow which can cause visual symptoms prior to headache onset. Treatment involves identifying and avoiding triggers, using over-the-counter pain relievers during attacks, and preventive medications if attacks occur frequently. Triptans and ergotamine are prescribed for acute attacks while beta-blockers and antidepressants are common preventive options.
Tension Type Headache (TTH)
Tension type headache is characterized by bilateral tight, bandlike discomfort that builds slowly and may persist continuously for many days. It can be episodic or chronic. The headache lacks features of migraine such as nausea, vomiting, or sensitivity to light or sound. While tension type headache and migraine can be difficult to distinguish, tension type headache involves a primary disorder of central nervous system pain modulation alone, unlike migraine which involves a more general disturbance of sensory modulation. Chronic tension type headache can be effectively managed with amitriptyline, while simple analgesics and behavioral relaxation are also used to treat pain.
Migraine
This document discusses migraine, a neurological disorder characterized by recurrent headaches. It notes that migraines significantly impact quality of life, with over 25% missing at least a day of work/school and over 30% reducing household productivity. The text describes migraine symptoms like pulsating one-sided headaches along with sensitivity to light and sound. It explains that migraines originate in the brain and involve changes in nerve cell activity and blood flow that can cause visual disturbances and pain. Common types of migraines are also outlined.
Managament Of Migraine
The document discusses the management of migraines. Key points include:
- Migraines are a common cause of recurrent headaches affecting 10-20% of the population. They are often underdiagnosed and undertreated.
- Treatment involves both abortive and preventive therapies. Common abortive medications include NSAIDs, triptans, and ergot alkaloids. Preventive options include beta-blockers like propranolol, antidepressants, anti-seizure medications, and calcium channel blockers.
- Propranolol, especially the extended release formulation, is an effective and well-tolerated option for migraine prevention and reduces attack frequency, severity, and analgesic use
Migraine
Dr. Shafi Ullah Khan presents information on migraine including diagnostic criteria, clinical features, classification, pathophysiology, treatment approaches, and future treatment options. Key points include the diagnostic criteria of recurrent headache lasting 4-72 hours with features of nausea/vomiting/photophobia, classification into types such as migraine with and without aura, the trigeminovascular system pathway in migraine pathophysiology, treatment approaches including abortive medications and preventive medications/procedures, and novel emerging treatments under investigation.
Headache for post basic neuroscience course 2015
This document provides information on different types of headaches, including migraine, tension-type headache, cluster headache, and medication overuse headache. It discusses the classification, symptoms, diagnosis, and management of various headaches. For diagnosis, it emphasizes taking a thorough history and physical exam. It outlines red flags that warrant further investigation. Treatment involves acute and preventative medications. The focus is on a personalized approach and lifestyle modifications like keeping a headache diary.
Migrane ppt
This document provides an overview of migraines including:
- Migraines affect 10-20% of the general population and are characterized by recurrent attacks of headache that vary in intensity and duration.
- Triggers include disturbed sleep, hormones, drugs, exertion, and sensory or weather stimuli. Attacks progress through prodrome, aura, headache, and postdrome phases.
- Treatment involves avoiding triggers, acute abortive medications like triptans for pain relief, and preventive medications if attacks are frequent or debilitating to reduce severity and frequency.
- Both pharmacological and non-pharmacological approaches are used to manage migraines, establish diagnoses, educate patients, and improve quality of life
Headache
This document discusses headache disorders and their evaluation and classification. It notes that headaches are among the most common neurological disorders, affecting around 47% of adults annually. The most common types of benign headaches are migraine, tension-type, and cluster headaches. A thorough patient history is the most important part of the evaluation, to help identify headache type and risk factors for underlying conditions. Physical examination may include neurological and general examination, with attention to danger signs in the history that suggest further investigation is needed.
Complicated Migraine
This document discusses several types of complicated migraine syndromes including hemiplegic migraine, alternating hemiplegia of childhood, migraine with brainstem aura, retinal migraine, ophthalmoplegic migraine, and Alice in Wonderland syndrome. It provides details on symptoms, diagnostic criteria, potential causes or genetic factors, differential diagnoses, and treatment approaches for each type.
Headache other than migraine
This document provides an overview of headaches other than migraines. It begins by defining headaches and outlining pain-sensitive and pain-insensitive cranial structures. It describes the mechanisms of referred pain and important aspects to cover in a headache history and examination. The document then discusses the diagnostic steps for headaches, including excluding secondary headaches and determining the primary headache type. Several primary headache types are defined in detail, including tension-type headache, cluster headache, and trigeminal autonomic cephalalgias such as cluster headache, paroxysmal hemicrania and SUNCT. Treatment approaches for various headache types are also summarized.
MIGRAINE
Migraine is a common type of primary headache in children. It can significantly impact a child's life by decreasing school performance and causing social withdrawal. Migraine prevalence increases with age and is more common in females during adolescence. Migraines are classified into different types based on the presence of aura. Common childhood periodic syndromes like cyclic vomiting and abdominal migraine are often precursors to migraine. Treatment involves acute, preventive and behavioral strategies. Acute treatments include NSAIDs and triptans. Preventive medications include calcium channel blockers, antiepileptics and antidepressants. Biobehavioral therapy focuses on lifestyle modification. A thorough history and exam are important to rule out secondary causes and neuroimaging may be needed
Migrane
This document provides information on the management of migraines. It defines migraines and discusses their prevalence, burden, triggers, phases, and classification. It also covers the pathophysiology of migraines and outlines approaches to diagnosis, abortive treatment, and preventive treatment including medications like propranolol. Propranolol is positioned as the gold standard preventive treatment and its mechanisms of action, formulations, efficacy, dosage, and advantages over immediate-release versions are detailed.
Neurological lectures...Headaches
This document summarizes the classification and treatment of headaches. Headaches are classified as either primary/idiopathic or secondary/symptomatic. Primary headaches include tension headaches, migraines, and cluster headaches and have no underlying cause, while secondary headaches are a symptom of another condition like hypertension or meningitis. The document outlines diagnostic criteria and treatment approaches for different headache types, including acute treatment with medications and preventative treatment.
More Related Content
What's hot
Migraine
- Migraine is a recurrent headache disorder that is one of the most common complaints in medicine. It is classified into migraine with aura and without aura.
- The pathophysiology involves complex vascular and neural mechanisms including cortical spreading depression, trigeminal nerve activation, and release of vasoactive substances. Genetic and environmental factors can also play a role in migraine triggers and risk.
- Diagnosis is based on criteria involving recurrent attacks of moderate to severe pulsating headache, photophobia, phonophobia, and possibly nausea. Physical exam is typically normal but may reveal associated neurological symptoms.
Headache management
This document provides an overview of headache management in family practice. It discusses evaluating and treating common headache types like migraine, tension headache, and cluster headache. It covers diagnostic testing, acute and preventive treatment options, and considerations for headache in special populations like pregnancy, menopause, and the elderly.
Migraine
Migraine is a primary headache disorder characterized by recurrent headaches that can range from moderate to severe in intensity. It typically affects one half of the head and is pulsating in nature, lasting between 2 to 72 hours. Associated symptoms include nausea, vomiting, and sensitivity to light, sound or smell. Migraines are thought to be caused by a combination of genetic and environmental factors. They often run in families and can be triggered by changes in hormone levels, stress, hunger, or certain foods and drinks. Diagnosis is based on signs and symptoms according to established diagnostic criteria. Treatment involves lifestyle modifications, medications for prevention or acute attacks, and avoiding triggers.
Migraine and types
Migraine is a neurological disorder characterized by recurrent headaches that are often severe and pulsating in nature. It is estimated to affect 10% of the worldwide population. There are two main types - migraine with aura, which involves neurological symptoms before or during the headache, and migraine without aura, which involves headaches without preceding neurological symptoms. Potential triggers include hormonal changes, stress, foods, and environmental factors like light and noise. Management involves lifestyle modifications and medications to abort acute attacks or prevent future attacks. Preventive medications include beta blockers, antidepressants, and anti-seizure drugs, while acute treatments include analgesics, triptans, and anti-nausea drugs.
Headache
This document discusses approaches to evaluating and treating headaches in children. It begins by outlining common causes of chronic and severe headaches in children, including tension-type headaches, cluster headaches, and migraines. It then provides details on evaluating patients with headaches and classifying different headache types based on international standards. The rest of the document elaborates on diagnostic criteria and treatment strategies for recurrent headache types like tension headaches, cluster headaches, and migraines. It describes treating acute migraine attacks with analgesics and triptans and providing migraine prophylaxis for frequent or disabling attacks.
Migraine
Migraine is a severe headache that causes throbbing pain, nausea, vomiting, and extreme sensitivity to light and sound. It typically affects one side of the head and can last for hours or days. Some people experience aura, sensory disturbances such as flashes of light, before the headache starts. Migraine often begins in childhood or early adulthood and involves four stages - prodrome, aura, attack, and postdrome - though not everyone experiences all stages. Triggers can include hormonal changes, foods, stress, sensory stimuli, sleep patterns, and medications. Treatment involves both pain relievers during attacks and preventive medications taken daily. Self-care like stress reduction, avoiding triggers, and getting enough sleep can also help
Headache types & management
definition - types of headaches
symptoms & signs
Pathophysiology
-diagnosis and treatment of primary headache syndromes
Headache Feb 2016
Dr Gina Kennedy provides an overview of headache diagnosis and management. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. It is important to identify red flags and consider secondary causes. Treatment involves lifestyle modifications, acute medications, and preventive medications. Medication overuse headache is common and requires addressing overuse before initiating preventive treatment. Referral is indicated for atypical presentations or lack of response to treatment.
Headache
This document summarizes different types of headaches:
- Tension headaches are the most common and cause dull, tight pressure that worsens through the day. Treatment includes amitriptyline, physiotherapy, and reassurance.
- Migraines disproportionately affect women and can cause severe throbbing pain with aura, photophobia, and vomiting. Treatment includes avoiding triggers and using triptans or prophylaxis.
- Medication overuse headaches result from overusing compounds like codeine or triptans more than 10-15 days per month and require medication withdrawal.
- Cluster headaches cause brief but severe unilateral pain and autonomic symptoms in periodic episodes. Treatment includes sumatriptan injections or
Migraine (VK)
Migraine is characterized by episodic headaches that are typically unilateral and associated with symptoms like nausea, visual disturbances, photophobia, and phonophobia. It is believed to originate from changes in brain nerve cell activity and blood flow which can cause visual symptoms prior to headache onset. Treatment involves identifying and avoiding triggers, using over-the-counter pain relievers during attacks, and preventive medications if attacks occur frequently. Triptans and ergotamine are prescribed for acute attacks while beta-blockers and antidepressants are common preventive options.
Tension Type Headache (TTH)
Tension type headache is characterized by bilateral tight, bandlike discomfort that builds slowly and may persist continuously for many days. It can be episodic or chronic. The headache lacks features of migraine such as nausea, vomiting, or sensitivity to light or sound. While tension type headache and migraine can be difficult to distinguish, tension type headache involves a primary disorder of central nervous system pain modulation alone, unlike migraine which involves a more general disturbance of sensory modulation. Chronic tension type headache can be effectively managed with amitriptyline, while simple analgesics and behavioral relaxation are also used to treat pain.
Migraine
This document discusses migraine, a neurological disorder characterized by recurrent headaches. It notes that migraines significantly impact quality of life, with over 25% missing at least a day of work/school and over 30% reducing household productivity. The text describes migraine symptoms like pulsating one-sided headaches along with sensitivity to light and sound. It explains that migraines originate in the brain and involve changes in nerve cell activity and blood flow that can cause visual disturbances and pain. Common types of migraines are also outlined.
Managament Of Migraine
The document discusses the management of migraines. Key points include:
- Migraines are a common cause of recurrent headaches affecting 10-20% of the population. They are often underdiagnosed and undertreated.
- Treatment involves both abortive and preventive therapies. Common abortive medications include NSAIDs, triptans, and ergot alkaloids. Preventive options include beta-blockers like propranolol, antidepressants, anti-seizure medications, and calcium channel blockers.
- Propranolol, especially the extended release formulation, is an effective and well-tolerated option for migraine prevention and reduces attack frequency, severity, and analgesic use
Migraine
Dr. Shafi Ullah Khan presents information on migraine including diagnostic criteria, clinical features, classification, pathophysiology, treatment approaches, and future treatment options. Key points include the diagnostic criteria of recurrent headache lasting 4-72 hours with features of nausea/vomiting/photophobia, classification into types such as migraine with and without aura, the trigeminovascular system pathway in migraine pathophysiology, treatment approaches including abortive medications and preventive medications/procedures, and novel emerging treatments under investigation.
Headache for post basic neuroscience course 2015
This document provides information on different types of headaches, including migraine, tension-type headache, cluster headache, and medication overuse headache. It discusses the classification, symptoms, diagnosis, and management of various headaches. For diagnosis, it emphasizes taking a thorough history and physical exam. It outlines red flags that warrant further investigation. Treatment involves acute and preventative medications. The focus is on a personalized approach and lifestyle modifications like keeping a headache diary.
Migrane ppt
This document provides an overview of migraines including:
- Migraines affect 10-20% of the general population and are characterized by recurrent attacks of headache that vary in intensity and duration.
- Triggers include disturbed sleep, hormones, drugs, exertion, and sensory or weather stimuli. Attacks progress through prodrome, aura, headache, and postdrome phases.
- Treatment involves avoiding triggers, acute abortive medications like triptans for pain relief, and preventive medications if attacks are frequent or debilitating to reduce severity and frequency.
- Both pharmacological and non-pharmacological approaches are used to manage migraines, establish diagnoses, educate patients, and improve quality of life
Headache
This document discusses headache disorders and their evaluation and classification. It notes that headaches are among the most common neurological disorders, affecting around 47% of adults annually. The most common types of benign headaches are migraine, tension-type, and cluster headaches. A thorough patient history is the most important part of the evaluation, to help identify headache type and risk factors for underlying conditions. Physical examination may include neurological and general examination, with attention to danger signs in the history that suggest further investigation is needed.
Complicated Migraine
This document discusses several types of complicated migraine syndromes including hemiplegic migraine, alternating hemiplegia of childhood, migraine with brainstem aura, retinal migraine, ophthalmoplegic migraine, and Alice in Wonderland syndrome. It provides details on symptoms, diagnostic criteria, potential causes or genetic factors, differential diagnoses, and treatment approaches for each type.
Headache other than migraine
This document provides an overview of headaches other than migraines. It begins by defining headaches and outlining pain-sensitive and pain-insensitive cranial structures. It describes the mechanisms of referred pain and important aspects to cover in a headache history and examination. The document then discusses the diagnostic steps for headaches, including excluding secondary headaches and determining the primary headache type. Several primary headache types are defined in detail, including tension-type headache, cluster headache, and trigeminal autonomic cephalalgias such as cluster headache, paroxysmal hemicrania and SUNCT. Treatment approaches for various headache types are also summarized.
MIGRAINE
Migraine is a common type of primary headache in children. It can significantly impact a child's life by decreasing school performance and causing social withdrawal. Migraine prevalence increases with age and is more common in females during adolescence. Migraines are classified into different types based on the presence of aura. Common childhood periodic syndromes like cyclic vomiting and abdominal migraine are often precursors to migraine. Treatment involves acute, preventive and behavioral strategies. Acute treatments include NSAIDs and triptans. Preventive medications include calcium channel blockers, antiepileptics and antidepressants. Biobehavioral therapy focuses on lifestyle modification. A thorough history and exam are important to rule out secondary causes and neuroimaging may be needed
What's hot (20)
Similar to Neurological lectures...Headaches
Migrane
This document provides information on the management of migraines. It defines migraines and discusses their prevalence, burden, triggers, phases, and classification. It also covers the pathophysiology of migraines and outlines approaches to diagnosis, abortive treatment, and preventive treatment including medications like propranolol. Propranolol is positioned as the gold standard preventive treatment and its mechanisms of action, formulations, efficacy, dosage, and advantages over immediate-release versions are detailed.
Neurological lectures...Headaches
This document summarizes the classification and treatment of headaches. Headaches are classified as either primary/idiopathic or secondary/symptomatic. Primary headaches include tension headaches, migraines, and cluster headaches and have no underlying cause, while secondary headaches are a symptom of another condition like hypertension or meningitis. The document outlines diagnostic criteria and treatment approaches for different headache types, including acute treatment with medications and preventative treatment.
Headache
This document provides an overview of headaches, including their definition, epidemiology, classifications, causes, clinical features, management, and prognosis. It focuses specifically on tension headaches and migraines. Some key points:
- Headaches are very common, with about 7 in 10 people experiencing at least one per year. Migraines affect 15-20% of women and 5-10% of men.
- Headaches are classified as primary (not caused by an underlying condition) or secondary (caused by underlying issues). Migraines and tension headaches are examples of primary headaches.
- Migraines involve severe throbbing pain that is often accompanied by nausea, sensitivity to light and sound. Tension
4. Headache & Migraine drugs
Migraine, tension, and cluster headaches have distinct characteristics but share some common treatment approaches. Acute migraine is treated with analgesics, anti-inflammatories, vasoconstrictors, and serotonin agonists to control pain, nausea, and vascular changes. Prophylactically, medications aim to stabilize neuronal membranes, modulate serotonin levels, and affect neuroinflammation. Cluster headaches are treated acutely with oxygen and lidocaine and preventatively with verapamil, lithium, and prednisone.
Getting ahead of headaches
The document discusses headaches, their prevalence, types, symptoms, evaluation, treatment and management. It notes that 90% of individuals experience at least one headache per year, with 40% experiencing severe headaches. It describes the most common primary headache types as migraine (16%), tension-type (69%) and cluster (0.1%). Secondary headaches are often caused by infection, injury or vascular issues. Evaluation of headaches involves considering quality, severity, location, duration and time course. Serious underlying causes may present with worst-ever headaches, new headaches in older patients, or symptoms like fever or neurological issues. Treatment involves identifying and avoiding triggers, managing symptoms, and using medications like triptans, NSAIDs or preventive drugs.
Headache Syndromes presentation Dr. Tarek .pptx
The document provides diagnostic criteria and treatment guidelines for various headache conditions including migraine without aura, cluster headaches, chronic daily headaches, and trigeminal neuralgia. It discusses diagnostic features, first-line and alternative treatment options involving medications like triptans, topiramate, propranolol, verapamil, and carbamazepine. It also notes risk factors, complications, and when to consider specialist referral for certain headache conditions.
Headache
This document provides information on evaluating and managing different types of headaches. It discusses taking a thorough history including red flags. Red flags for headaches include new onset headaches, worsening headaches, headaches associated with seizures, meningismus, or neurological deficits. It also summarizes migraine headaches, including diagnostic criteria, triggers, and acute and preventive treatment options. Additional headache types covered include tension headaches, cluster headaches, trigeminal neuralgia, glaucoma, medication overuse headaches, increased intracranial pressure, and acute sinusitis.
Primary headache kuliah fk uwks
1. A 75-year-old woman presented to the emergency department with sudden onset of left-sided weakness and headache, consistent with symptoms of a stroke.
2. A 15-year-old boy developed worsening headache and seizures hours after being hit in the temple with a baseball bat during a game, suggesting a possible head injury or intracranial bleed.
3. A 40-year-old businessman reported a 2-month history of intermittent headaches, fever, diarrhea, and mouth sores, with a history of drug use, raising concerns for an infectious etiology like meningitis given his symptoms.
Status epilapticus
Status epilepticus is a medical emergency that requires prompt treatment to prevent neurological damage or death. It is defined as continuous seizure activity lasting more than five minutes or two or more discrete seizures between which there is incomplete recovery of consciousness. The document discusses the definition, causes, pathophysiology, treatment approach, and medications used to treat status epilepticus in children. Treatment involves stabilizing the patient, administering rapid-acting anticonvulsants like lorazepam followed by long-acting medications like fosphenytoin if seizures persist, with progression to anesthetic treatments in refractory cases to stop seizures.
Headache ; dr jayesh
This document outlines a presentation on headache classification, clinical features, and management. It begins with an introduction and outline separating headaches into primary and secondary types. Common primary headaches like migraine, tension-type headache, and trigeminal autonomic cephalgias are discussed in detail, covering classification, clinical features, pathophysiology, and treatment approaches. Case scenarios are also provided to demonstrate clinical applications of headache diagnosis and management.
Triageminal Neurolagea
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal or 5th cranial nerve, causing extreme, sporadic, sudden facial pain. It most often affects people over 50 but can occur at any age. Treatment options include medications like anticonvulsants, surgery, and complementary approaches. The National Institute of Neurological Disorders and Stroke funds research into better understanding the mechanisms of chronic pain like trigeminal neuralgia as well as developing new diagnostic methods and treatments.
Right therapeutic approach for migraine
Migraine is a common disease and about 15-20% of population suffers from it. Every physician needs to know the principles of migraine management. The current article describes the diagnostic criteria and treatment of migraine.
Primary Headache.pdf
These are slides of headache ,mainly primary headaches ,which is a topic of neurology and neurosurgery for medical students
Status epilapticus
Status epilepticus is a medical emergency that requires prompt treatment to reduce risks of mortality and morbidity. It can present in different forms depending on age and cause. The document discusses the definition, causes, pathophysiology, treatment approach, and management of status epilepticus. The initial focus is on stabilization, airway protection, intravenous access, and rapid-acting anticonvulsants like benzodiazepines. If seizures continue, long-acting anticonvulsants such as phenytoin, fosphenytoin, or phenobarbital are administered. Refractory status may require further aggressive treatment with anesthetic medications. Delayed or ineffective treatment can increase neurological risks.
5 headache neromedicine
This document discusses different types of headaches including migraine, tension-type headache, cluster headache, trigeminal neuralgia, and new daily persistent headache. It describes the clinical features, pathophysiology, diagnosis and treatment strategies for each type. Primary headache syndromes like migraine and tension-type headache are more common than secondary headaches which can be caused by underlying conditions.
Migraine
Migraines are severe headaches often preceded by sensory warning signs like flashes of light and nausea. They have been documented for over 7,000 years and theories about their cause have evolved from humors rising in the body to increased blood flow in the brain. Migraines involve four phases - prodrome, aura, headache, and postdrome. Current theories suggest they are caused by cortical spreading depression leading to neurogenic inflammation and vascular changes in the brain. Treatment involves avoiding triggers, medications like triptans to abort attacks, and preventative medications like beta blockers, antidepressants, or anti-seizure drugs to reduce frequency.
Ha1migrainetensioncluster2021resident
This patient likely has chronic tension-type headache. The key features are bilateral, pressing quality pain not worsened by activity and no associated nausea, visual changes or neurologic deficits. Stress is a common trigger. Naproxen provides relief indicating an inflammatory component. Preventive options include amitriptyline or tizanidine.
Symptom analysis - HEADACHE
This document provides an overview of headache symptoms, classification, and management. It discusses the main types of primary headaches like migraine and tension-type headaches. Secondary headaches are attributed to underlying causes like head trauma, vascular disorders, or substance withdrawal. A headache history and examination can help differentiate primary from secondary headaches. Investigations may include imaging or lumbar puncture. Treatment involves acute medications like triptans for migraines or prophylactic drugs. Factors like chronicity and medication overuse are important to consider in management.
Presentation on heADCAHE AND FACIAL PAIN.pptx
This document discusses various types of headache and facial pain, including their causes, symptoms, diagnosis and treatment. It covers sinogenic pain caused by sinus issues, as well as non-sinogenic pain such as migraines, tension headaches and neuralgias. Migraines are described as severe pulsing headaches that may be preceded by aura. Tension headaches feel like tightness or pressure across the forehead. Cluster headaches are very painful and associated with autonomic symptoms like tearing. Trigeminal neuralgias cause sharp, electric shock-like facial pain. Causes, diagnostic criteria and management options are provided for each type of headache and facial pain.
5-25-17-Migraines-PowerPoint.pptx
Migraine is a common neurological disorder that affects over 36 million people in the United States. It is more prevalent in females and peaks between the ages of 25-55. Migraine has significant individual and societal burden. It is characterized by recurrent episodes of moderate to severe headache with associated symptoms like nausea, sensitivity to light and sound. The pathophysiology involves changes in the brain and involves neurovascular mechanisms. Treatment involves acute treatments to stop individual attacks as well as preventive treatments to reduce attack frequency. Lifestyle modifications and avoidance of triggers can also help control migraine.
Similar to Neurological lectures...Headaches (20)
More from Professor Yasser Metwally
The Egyptian Zoo in Cairo 2015
The document discusses the benefits of exercise for mental health. It states that regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illness.
End of the great nile river in Ras Elbar
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The Lion and The tiger in Egypt
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The monkeys in Egypt
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The Snake, the Scorpion, the turtle in Egypt
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The Egyptian Pelican
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The Flamingo bird in Egypt
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like depression and anxiety.
Egyptian Cats
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Radiological pathology of epileptic disorders
This document discusses the radiological pathology of seizure disorders. It describes various developmental anomalies, neoplasms, infections, immune-mediated disorders, cerebrovascular diseases, and trauma that can cause seizures. Specific conditions mentioned include cortical dysplasia, tuberous sclerosis, Sturge-Weber syndrome, neuronal migration disorders, vascular malformations, infections, and immune-mediated Rasmussen's encephalitis. The document provides detailed descriptions of the histopathological findings and MRI/CT appearances of different lesions that can underlie seizure disorders.
Radiological pathology of cerebrovascular disorders
Radiological pathology of cerebrovascular disorders
http://yassermetwally.com
http://yassermetwally.net
Radiological pathology of spontaneous cerebral hemorrhage
This document discusses cerebral haemorrhage (ICH), which accounts for 10-15% of strokes. ICH can result from several mechanisms, including hypertension (47-66% of cases), cerebral amyloid angiopathy (CAA), and vascular malformations. CAA typically affects the elderly and causes lobar ICH that is often recurrent or involves multiple simultaneous haemorrhages. Vascular malformations like arteriovenous malformations (AVMs) and cavernous angiomas are a common cause of ICH in young, non-hypertensive patients. Imaging techniques like CT and MRI can identify vascular malformations and help determine the underlying cause of ICH.
Radiological pathology of cerebral amyloid angiography
Cerebral amyloid angiopathy (CAA) refers to the deposition of β-amyloid in the arteries of the cerebral cortex. It is commonly seen in Alzheimer's disease but can also occur in healthy elderly individuals. CAA can cause intracerebral hemorrhage, dementia, or transient neurological symptoms. The deposition damages blood vessels and increases the risk of hemorrhage. Imaging such as CT scans can detect hemorrhages characteristic of CAA, which are often lobar and cortical. Genetic factors like the ApoE genotype can influence the severity and presentation of CAA.
Radiological pathology of cerebral microbleeds
Cerebral microbleeds are small brain hemorrhages detected by MRI that are caused by leakage of blood from damaged small vessel walls. They are increasingly recognized in patients with cerebrovascular disease, Alzheimer's disease, vascular cognitive impairment, and normal elderly populations. Microbleeds in lobar regions may indicate cerebral amyloid angiopathy and link vascular and amyloid neuropathologies, while deep or infratentorial microbleeds often reflect hypertensive vasculopathy. Detection of microbleeds provides insight into cerebral small vessel disease and its relationship to cognitive impairment and dementia.
Progressive multifocal leukoencephalopathy
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Progressive multifocal leukoencephalopathy
A 57-year-old male patient presented with left lower limb weakness that had progressed over three months. MRI images showed bilateral, symmetrical lesions in the posterior parieto-occipital white matter, which had scalloped margins and did not enhance or cause mass effect. Based on the clinical presentation and MRI findings, the patient was diagnosed with progressive multifocal leukoencephalopathy (PML), a demyelinating disease caused by JC virus reactivation that predominantly affects immunocompromised individuals. PML lesions are typically multifocal and located in the white matter of the brain, most often in the parieto-occipital region.
Issues in radiological pathology: Radiological pathology of watershed infarct...
Issues in radiological pathology: Radiological pathology of watershed infarct...Professor Yasser Metwally
The document discusses border zone or watershed infarcts, which occur at the junction between two main arterial territories and constitute approximately 10% of all brain infarcts. There are two types - external (cortical) and internal (subcortical). External infarcts are often embolic in nature while internal infarcts are mainly caused by hemodynamic compromise. Advanced imaging can help identify areas of low perfusion and distinguish the two types. The document then examines the classification, imaging appearance, causal mechanisms, and clinical course of both external and internal border zone infarcts in more detail.Radiological pathology of cortical laminar necrosis
Radiological pathology of cortical laminar necrosis
http://yassermetwally.com
http://yassermetwally.net
More from Professor Yasser Metwally (20)
Radiological pathology of cerebrovascular disorders
Radiological pathology of cerebrovascular disorders
Radiological pathology of spontaneous cerebral hemorrhage
Radiological pathology of spontaneous cerebral hemorrhage
Radiological pathology of cerebral amyloid angiography
Radiological pathology of cerebral amyloid angiography
Issues in radiological pathology: Radiological pathology of watershed infarct...
Issues in radiological pathology: Radiological pathology of watershed infarct...
Radiological pathology of cortical laminar necrosis
Radiological pathology of cortical laminar necrosis
Recently uploaded
Leveraging Generative AI to Drive Nonprofit Innovation
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingExcellence Foundation for South Sudan
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
How to deliver Powerpoint Presentations.pptx
"How to make and deliver dynamic presentations by making it more interactive to captivate your audience attention"
The History of Stoke Newington Street Names
Presented at the Stoke Newington Literary Festival on 9th June 2024
www.StokeNewingtonHistory.com
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...Nguyen Thanh Tu Collection
https://app.box.com/s/y977uz6bpd3af4qsebv7r9b7s21935vdBÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...Nguyen Thanh Tu Collection
https://app.box.com/s/qhtvq32h4ybf9t49ku85x0n3xl4jhr15BBR 2024 Summer Sessions Interview Training
Qualitative research interview training by Professor Katrina Pritchard and Dr Helen Williams
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptx
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Aberdeen
Walmart Business+ and Spark Good for Nonprofits.pdf
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
clinical examination of hip joint (1).pdf
described clinical examination all orthopeadic conditions .
Hindi varnamala | hindi alphabet PPT.pdf
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Recently uploaded (20)
Leveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit Innovation
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptx
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptx
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
IGCSE Biology Chapter 14- Reproduction in Plants.pdf
IGCSE Biology Chapter 14- Reproduction in Plants.pdf
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
Neurological lectures...Headaches
- 13. Migraine classification 1.1 migraine without aura 1.2 migraine with aura 1.3 periodic syndromes in childhood 1.4 retinal migraine 1.5 migraine complications 1.6 probable migraine
- 23. Treatment of migraine attack V. Triptans
- 30. Beta-receptor-blockers (propranolol 2x20-40 mg) Calcium channel blockers (flunarizine, 10 mg every evening) Side effects: provokes depression, increases appetite, cause sleepiness Tricyclic antidepressants (amitryptiline, 10-75 mg every evening) Antiepileptics (valproic acid, 2x300-500 mg) Use: hypertension, tachycardia Do not use: hypotension, bradicardia, heart conduction disturbances Do not use: obesity, maior depression in the history Use: if tension type of headache is present besides migraine Do not use: see above Few side effects, but Pregnancy should be avoided