PPT-1 Migraine Course, natural history and prognosis

Migraine without aura 5 attacks lasting 472 hours when untreated 2 of the following Unilateral location Pulsating quality Moderatetosevere pain Aggravation by physical activity. The expanding border is often described as “shimmering” or associated with “zig-zag” lines, “heat waves,” or “sparklers.” While most frequently followed by a Learning objectives . Gain organised knowledge in the subject area of headache. Be able to take a headache history. Know and apply the relevant evidence and/or guidelines . Be . aware of common . errors in . My head doth ake . O Sappho! Take . Thy fillit, . And bind the paine; . Or bring some bane . To kill it.. Robert Herrick (1591–1674). The Head-ake. History. Migraines described by Egyptians as early as 1200 BCE. Quelques concepts pratico-pratiques. Dr Elizabeth Leroux, . MD . FRCPC . Neurologue, CHUM. Congrès de l’Association des Gynécologues-Obstétriciens du Québec . Gatineau. Mai 2016 . Conflits d’intérêt. Staff Neurologist. s. arah.d.hodges3.mil@mail.mil. I have no disclosures. A 34-year-old woman came to the office complaining of severe, left-sided throbbing headaches that last about 12–24 hours. She has had these headaches once a week for several months. During an episode, she is sensitive to both bright lights and loud sounds and feels nauseous. Sleep seemed to help her headaches. Neurological examination was normal.. 10-12% of general population are active migraineurs (at least one attack in last year).. > 5% have at least 18 migraine days per year.. Female: Male ratio 3:1 – this ratio rises from menarche, peaks at 42, then declines.. Major Depressive Disorder (MDD). Depression. Depression is a broad and heterogeneous diagnosis. . 1,2,3,4. Commonly. . used. . diagnostic. manuals . include. the . World Health Organization’s ICD-10 classification system. Types of Natural History Collections. Natural History Museums. Plants. Animals. Skeletons. Preserved . Fossils. Anthropology Collections. Geological collections. Botanical Gardens. Zoological Parks. Plant Garden at the Museum of Natural History, Paris. Migraine. 1. Migraine through history. Migraine comes from the Greek word ‘. hemicrania. ’, which referred to pain occurring on one side of the head (‘half skull’). 1. The earliest descriptions of migraine are said to be from 3,000 BC. CLINICAL CONDITIONS . IN WHICH 5-HT . PLAYS A ROLE . (. carcinoid syndrome and pulmonary . hypertension. .). The . most common types of headaches . are: . migraine, tension-type, . and cluster . headaches.. Homocystinura. Harvey L. Levy, M.D. . Boston Children’s Hospital . Harvard Medical School . Boston, Massachusetts USA. Facts of Life. Phenotypic variability in all inborn errors. Some due to biochemical variation. A person may experience migraine both with and without aura, and the aura experience varies between and within individuals. 1. Compared with migraine without aura, migraine with aura appears to have:. Migraine. Migraine through history. Migraine comes from the Greek word ‘. hemicrania. ’, which referred to pain occurring on one side of the head (‘half skull’). 1. The earliest descriptions of migraine are said to be from 3,000 BC. Migraine is a chronic neurological disease with episodic attacks of head pain. 1. If caused by another medical condition, the headache is said to be a secondary headache. 2. Migraine is characterised, including by .