40 results
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
than 3 migraine headaches ... or at least 8 headache ... severe debilitating headaches ... #Pharmacology #Management ... #Neurology #PrimaryCare
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Secondary Headaches ... P - Previous Headache ... change Migraine Headache ... visuals) Tension Headache ... days Cluster Headache
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Photophobia and Headache ... - Differential ... photophobia and headache ... Primary headaches ... : - Acute angle-closure
Causes of Secondary Headaches (without Red Flag Symptoms) - Differential Diagnosis Algorithm
Acute
 • Sinusitis
 • Dental
Causes of Secondary Headaches ... Brain Injury • Acute ... Analgesic Induced Headache ... #Secondary #Headaches ... #Neurology #Differential
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... papilledema • Horner syndrome ... thunderclap) of worst headache ... arteritis • Acute ... MatthewHoMD #Headache
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... Migraine #Treatment #management ... #neurology #headache
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
With Different Headache ... anemia, febrile headache ... Fever - Febrile headache ... post-traumatic headache ... ), IIH #headache
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
characterized by: • Headache ... mental status • Headache ... Reversible course Differential ... #diagnosis #management ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Posterior Reversible ... Encephalopathy Syndrome ... Generalized > focal) • Headache ... Encephalopathy #Syndrome ... #Diagnosis #Neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
4 significant headaches ... /month • ≥ 8 headache ... Medication-overuse headaches ... Contraindications to acute ... #headache #management