Migraine
Are males or females more likely to develop migraines?
females (by around 3 times)
Who can get tension headaches?
anyone, especially those with stress
Where does the cluster headache occur?
around or behind one eye or on one side of the face at a time
True or false: migraines are sometimes misdiagnosed as sinus headaches
true
True or false: the headaches occur around once per week to twice per week
False: occurs daily or neariy daily
Do migraines run in the family?
yes
true or false: Tension headaches cause severe headaches around the head
False: usually mild to moderate pain, feels like dull/aching sensation sometimes
In how much of the general population does this occur?
0.01%
Where is the pain focused?
in your sinus area and front of head
True or false: Primary medication overuse headaches do not cause permanent disability
true: but could be debilitating temporarily of frequent and severe enough
How many stages are there to migraines?
4 stages: prodrome, aura, attack, post-drome
Name one component to a diagnosis
physical exam
neurological exam
pain description
imaging tests (MRI or CT scan)
name 3 risk factors that contribute to the risk of getting cluster headaches
- more common in the spring and fall
- 3 times more common in men
- Age of more than 30
- Consumption of alcohol
- Prior brain surgery or trauma
- Family history
true or false: the pain worsens when you stand for long periods of time
False (Worsening pain if you bend forward or lie down)
true or false: management of it could range from dietary adjustment to procedures performed by professionals
true
List 5 triggers to migraines
Hormonal changes in women, drinks, stress, sensory stimuli, sleep changes, physical strain, weather changes, medications, food additives
Episodic vs chronic: when do you get headaches more frequently for longer periods of time?
Chronic (>15 days a month)
name 4 triggers to cluster headaches
- Watching television
- Alcohol
- Hot weather
- Stress
- Use of nitroglycerin
- Sexual activity
- Glare
name the components to a diagnosis
- physical exam
- questions about your headaches
- MRI or CT scan
list 3 symptoms
- nausea
- restlessness
- irritability
- trouble concentrating
- memory problems
Pain relieving medication vs preventative medication. What do they each do?
- Pain relieving medications–known as acute or abortive treatment designed to be taken during migraine attacks to stop symptoms
- Preventive medications–taken regularly/daily to reduce the severity or frequency of migraines
list 3 difference between tension headaches and migraines
- does not experience visual disturbances (eg, flashing lights)
- physical activity does not affect/ make worse tension-type headache
- usually does not experience nausea or vomiting
- usually does not experience nausea or vomiting
- sensitivity to light or sound is uncommon
name one preventative treatment
suboccipital blockade, electrical stimulation, Verapamil, Glucocorticoids, lithium, valproic acid, melatonin, and intranasal capsaicin.
what are 3 things you can do to be more prepared and manage things
-Be aware of pre-appointment restrictions
-Write down any symptoms you're experiencing
-Write down key personal information
- Make a list of all medications, vitamins and supplements you're taking
-Write down questions to ask
name two of the most common medications taken by patients with medication overuse headache
Opioids
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Analgesics that contain butalbital
Aspirin or acetaminophen taken with caffeine
Ergotamine
Triptans