15 results
Migraine without Aura
Diagnostic Criteria (ICHD-3):
A) At least 5 attacks fulfilling criteria B-D:
B) Headache attacks lasting 4-72
criteria B-D: B) Headache ... unsuccessfully treated) C) Headache ... stairs) D) During headache ... #criteria #neurology ... #headache #ICHD3
SNOOP mnemonic may catch potentially life-threatening headaches
Systemic signs and disorders
Neurologic symptoms
Onset new or changed & patient
life-threatening headaches ... Systemic signs ... SNOOP #mnemonic #headaches ... #headache #redflag ... #dangerous #neurology
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 ... #Medications #Table ... #Neurology #PrimaryCare
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Photophobia and Headache ... - Differential Diagnosis ... - Autonomic symptoms ... meningeal irritation signs ... ophthalmology #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 ... #criteria #neurology ... #headache #ICHD3
Stages of Migraine
 • Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Brainstem → • Headache ... days/weeks): No symptoms ... #Stages #diagnosis ... #neurology #headache ... #ICHD3
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Secondary Headaches ... P - Previous Headache ... Headache: • Unilateral ... days Cluster Headache ... #neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
4 significant headaches ... /month • ≥ 8 headache ... Medication-overuse headaches ... #prophylaxis #neurology ... #headache #management
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... thunderclap) of worst headache ... ) • Systemic symptoms ... MatthewHoMD #Headache ... #Algorithm #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