Approach to Headache

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Mechanisms of pain• Irritation & inflammation of pain sensitive structures• Traction of pain sensitive structures– Mass– Intracranial hypertension– Intracranial hypotension• Vascular pain– Collateral circulation– Venous pressure– Toxic vascular cause
Mechanisms of pain• Pressure in paracranial structures:– sinus, intraocular pressure• Neuralgic pain• Neuronal hyperexcitibility• Other mechanisms– Muscle-joint mechanism– Iatrogenic mechanism– Psychogenic mechanism
Page 1: Approach to HeadacheProf. Kammant P
Page 6 and 7: Sources of pain• Local disease- S
Page 8 and 9: Localized headache• Maxillary div
Page 10 and 11: Classification of headache• Prima
Page 12 and 13: Characters of secondary headache•
Page 14 and 15: .uperior sagittal sinus thrombus
Page 16 and 17: Dural AVM
Page 18 and 19: Intraventricular lesions
Page 20 and 21: Evaluation of headache• History
Page 22 and 23: History• Severity of pain• Char
Page 24 and 25: Secondary headache- X-ray - Sinus-C
Page 26 and 27: Eur J Neurol. 2004;11(9):577-81Evid
Page 29 and 30: Migraine Syndrome• Premonitory ph
Page 31 and 32: Premonitory symptoms (prodrome(prod
Page 33 and 34: Scintillation scotoma
Page 35 and 36: Migraine sensory and visualaura
Page 37 and 38: Associated phenomena• Nausea• P
Page 39 and 40: Aggravating factors• Diet- Hunger
Page 41 and 42: Migraine without auraDiagnostic cri
Page 43 and 44: Treatment of Migraine
Page 46 and 47: Target of acute treatment
Page 48 and 49: EFNS guideline on the drug treatmen
Page 50 and 51: New coming agentsClassCompoundStudy
Page 52 and 53: Episodic migraine preventive treatm
Page 54:
Tension-type headache
Page 57 and 58:
General clinical features oftension
Page 59 and 60:
Pericranial tenderness• Frontalis
Page 61 and 62:
Subtypes of tension-typetypeheadach
Page 63 and 64:
Character of tension-typetypeheadac
Page 65 and 66:
Prophylactic therapy treatment ofep
Page 68 and 69:
Trigeminal autonomic cephalalgia•
Page 70 and 71:
Mechanism of Trigeminal autonomicce
Page 72 and 73:
Mechanism• Activating of Trigemin
Page 74 and 75:
Differential diagnosis for clusterh
Page 76 and 77:
Prophylactic treatment ofepisodic c
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Approach to Headache

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