33 results
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
experience more than 3 ... migraine headaches ... or at least 8 headache ... appropriate acute treatment ... Pharmacology #Management #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
Causes of Primary Headaches - Differential Diagnosis Algorithm
Unilateral
 • Migraine (Throbbing/Pulsating)
Bilateral
 • Tension/Stress Headache (Tightening, Band-Like,
Causes of Primary Headaches ... Differential Diagnosis Algorithm ... Unilateral • Migraine ... #Neurology #Differential ... #Diagnosis #Algorithm
POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
for Diagnosis of Migraine ... Headache P Is ... features LR 24 3 ... features LR 0.41 #Migraine ... #PrimaryCare #Neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Sx change Migraine ... Dark • 4h – 3 ... • 15 min – 3 ... secondary #management #neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
Migraine Prevention ... treatments • ... • Melatonin 3- ... #treatment #prevention ... #prophylaxis #neurology
Migraine without Aura
Diagnostic Criteria (ICHD-3):
A) At least 5 attacks fulfilling criteria B-D:
B) Headache attacks lasting 4-72
Migraine without ... Criteria (ICHD-3) ... by another ICHD-3 ... neudrawlogy #Migraine ... diagnosis #criteria #neurology
Stages of Migraine
 • Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Stages of Migraine ... Brainstem → • Headache ... criteria (ICDH-3) ... Stages #diagnosis #neurology ... #headache #ICHD3
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... light-headedness, headache ... Stroke - Atypical migraine ... Postictal state #Algorithm ... Seizure #management #Neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Preventative Therapy Algorithm ... 20 mg/min -> Neurology ... • Melatonin 3- ... #management #algorithm ... #treatment #prevention