PHARM417 Lecture Notes - Lecture 23: Migraine, Medication Overuse Headache, Cerebral Venous Sinus Thrombosis

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Classification (international classification of headache disorders, 3rd ed, cephalgia 2013) Primary: migraine, tension-type headache (tth, trigeminal autonomic cephalalgias (including cluster headache, other primary headaches. Painful cranial neuropathies, other facial pains and other headaches: cranial neuralgias and central causes of facial pain, other headache, cranial neuralgia, central or primary facial pain. Epidemiology: age dependent - onset is always below age 50y, reported incidence between 18% in females and 6% in males, strongly associated with family history, ranked by who as #19 among diseases causing disability. Classification: with aura (classic migraines) - 25, without aura (common migraines) - 75% Sensory perception that precedes a migraine attack involves visual or sensory perceptions (e. g. flashing lights, geometric patterns, distorted vision or hearing sounds ) May last 4-60 min, and headache will follow within an hour. Onset: can precipitated by mental stress, smoking, fatigue, altered sleep patterns, hormones, some medications and weather changes.

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