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A stroke that occurs along with a migraine headache affects more commonly younger women. Overdose of Ergotamine and dihydroergotamine, high dose Oral contraceptives Pills, propranolol, and serotonergic medications are among the most common precipitating factors. The patient should meet the ICHD criteria for migrainous infarction for the diagnosis.
Hemiplegic migraine is a rare form of migraine with aura. Hemiplegia in hemiplegic migraine is an aura symptom i.e. patients experience unilateral weakness in addition to the migraine headache attack
Debilitating and unremitting migraine headache which lasts at least 72 hours and has been refractory to typical abortive therapy
It is a type of headache that occurs on ≥15 days per month for more than 3 months, and has the features of migraine on at least 8 days per month
Recurrent migraine significantly impairs the quality of life and the patient's functionality, despite prompt treatment of acute attacks demands prophylactic treatment to be provided to the patients. Medication should be started on a low dose with adequate monitoring for 2-3 months. The safest drug to use in pregnant is metoprolol. This chapter emphasizes prophylactic treatment in migraine patients and also gives insight into preferred drugs to be used
Tension-type headache is characterized as a diffuse, dull pain or tightness around the forehead also called muscle contraction headache or stress headache. ICHD diagnostic criteria should be used to categorize the headache. Chronic tension-type headache at baseline, coexisting migraine disorder, and sleep disorders are associated with poor outcomes. A physician needs proper insight into provoking and preventing factors to best educate the patients.
Cluster headache, also called trigeminal autonomic cephalgia is defined as a sudden onset, extremely painful, unilateral headache with at least one autonomic symptom ipsilateral to the headache. Verapamil, starting dose 240 mg with increments of 80mg is considered to be first-line treatment for this headache.
Whenever a person experiences a headache, the first step involved is to categorize the type of headache by the neurologist. A great majority of headaches arise due to benign conditions. ICHD-3 criteria should be used to recognize the type of headache a patient is experiencing. This chapter will not just give you insight into diagnostic criteria but also the management of each type of headache.
Idiopathic intracranial hypertension (IIH) is also referred to as pseudotumor cerebri. Elevated intracranial pressure with unknown pathogenesis. Syndrome of intracranial hypertension without structural brain or CSF abnormalities and without identifiable cause.