Headache symptoms 0.0 / 5 ? MedicineNeurologyUniversityNone Created by: LaurenSECreated on: 07-10-15 16:35 Tension Headache Tight band, pressure behind eyes, throbbing 1 of 11 Migraine with aura Visual symptoms, hemianopia, flashes (teichopsia), jagged lines (fortification spectra), transient aphasia, nausea, numbess 2 of 11 Migraine without aura Prodromal visual symptoms are vague 3 of 11 Basilar migraine Tongue tingling, vertigo, diplopia (double vision), transient visual disturbance, syncope, dysarthria (slurred speech), ataxia ( unsteady gait) 4 of 11 Hemiplegic migraine Mimics stroke, recovers within 24 hours 5 of 11 Migraine differentials SAH, meningitis, thromboembolic TIA, sensory epilepsy 6 of 11 Cluster headache Unilateral pain, clusters around one eye, vomiting, ipsilateral lacrimation, usually men aged 30-40 7 of 11 Migraine management Paracetamol, metoclopramide (antiemetic), triptans (5HT receptor agonists) 8 of 11 When to consider prophylaxis 2+ attacks per month, increased headache frequency, significant disability, unable to take treatment medication 9 of 11 Migraine prophylaxis Pizotifen (5HT antagonist, antihistamine), propranolol (B blocker), amitriptyline (tricyclics), sodium valproate, SSRIs, verapamil, topiramate, naproxen 10 of 11 Cluster headache management Subcutaneous sumatriptan, verapamil (Ca channel blocker), topiramate, lithium carbonate (antiepileptics) 11 of 11
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