41 results
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
• In migraines ... : • Migraine: ... - Autonomic symptoms ... meningeal irritation signs ... ophthalmology #Neurology
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... BrighamChiefs #Migraine ... #Treatment #management ... #neurology #headache
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
headaches per month ... or at least 8 headache ... severe debilitating headaches ... appropriate acute treatment ... Pharmacology #Management #Neurology
SNOOP mnemonic may catch potentially life-threatening headaches
Systemic signs and disorders
Neurologic symptoms
Onset new or changed & patient
life-threatening headaches ... Systemic signs ... and disorders Neurologic ... symptoms Onset ... redflag #dangerous #neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
Migraine Prevention ... treatments • ... Severe/DisabIing symptoms ... #treatment #prevention ... #prophylaxis #neurology
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
Migraine with Aura ... 60 minutes, by headache ... neudrawlogy #Migraine ... diagnosis #criteria #neurology ... #headache #ICHD3
Stages of Migraine
 • Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Stages of Migraine ... Brainstem → • Headache ... days/weeks): No symptoms ... Stages #diagnosis #neurology ... #headache #ICHD3
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
medication-overuse headache ... #Management #treatment ... #neurology #pharmacology ... #selection #headache ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
with significant neurologic ... family history of migraine ... attacks with varying neurologic ... signs or symptoms ... differential #diagnosis #neurology
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
of additional symptoms ... light-headedness, headache ... Stroke - Atypical migraine ... Seizure #management #Neurology