41 Headaches

Secondary Causes

  • secondary headache causes
  • lack of papilledema key finding of secondary headaches

Primary Causes

Tension

Migraine

Symptoms

  • lie in quiet dark room

  • keep diary

Pathogenesis

  • used to be believed vasodilation is cause because vasoconstrictors help
  • trigeminal nerve involved

Treatment

  • abortive: ends migraine

Abortive

  • vasoconstrictors, thus CI in CAD, angina

  • ischemia to digits
  • if used too much can have overuse headaches

Preventive

  • either blocking NA in nerves or increase GABA

  • diabetics: if hypoglycemic, can be masked

Pregnancy and Migraines

  • usually stop preventative therapies

Cluster