Approach to Headache

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Mechanism• Activating of Trigeminal parasympathatic reflex• Secondary clinical signs of cranial sympathaticdysfunction• Hypothalamic generator
Cluster headacheDiagnostic criteriaA. At least 5 attacks fulfilling criteria B-DB. Severe or very severe unilateral orbital, supraorbital and/ortemporal pain lasting 15-180 minutes if untreatedC. Headache is accompanied by at least one of the following:1. Ipsilateral conjunctival injection and/or lacrimation2. Ipsilateral nasal congestion and/or rhinorrhea3. Ipsilateral eyelid edema4. Ipsilateral forhead and facial sweating5. Ipsilateral miosis or ptosis6. A sense of restlessness or agitationD. Attacks have a frequency from one every other day to 8 perdayE. Not attribute to another disorder
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Approach to HeadacheProf. Kammant P
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Mechanisms of pain• Irritation &
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Sources of pain• Local disease- S
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Localized headache• Maxillary div
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Classification of headache• Prima
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Characters of secondary headache•
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.uperior sagittal sinus thrombus
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Dural AVM
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Intraventricular lesions
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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 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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