PPT-Migraine: Past, Current and Future

Kevin M Kapadia MD Meriter Medical Group Neurology Madison WI Objectives Headache Disorders comprise a large portion of inpatient and outpatient primary care pain medicine and neurologic care of which migraine headache disorders are one of the most common. The expanding border is often described as “shimmering” or associated with “zig-zag” lines, “heat waves,” or “sparklers.” While most frequently followed by a Know the Difference to Loosen the Vise. Program Goals. What Is a Migraine?. How Does Migraine Affect Quality of Life?. Episodic vs Chronic Migraine. Profiles of Episodic vs Chronic Migraine. Abbreviations. 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. Remedy: Acupuncture and Herbs. Time: 1-2 weeks the Migraine is away.. Cost: $380CAD. Success Rate: >85%.. Offer Herbs for prevention. . Migraine. A headache with throbbing pain that is usually worse on one side of the head. . 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. David Watson, MD. Director, WVU Headache Center. EPIDEMIOLOGY . AND IMPACT. Resolving barriers to care requires several interventions. Migraine is . a common, often disabling disease of the nervous system. Gaston. Migraines. Chief Complaint. : “ I’ve . been having really bad headaches that won’t go away.”. HPI. : Patient . L.R. . . is a . 28 . year old Caucasian . female . that presents to the clinic with complaints . AMG334 /Aimovig™ . Goadsby. PJ, Reuter U, . Hallström. Y, . Broessner. G, Bonner JH, Zhang F, . Sapra. S, Picard H, . Mikol. DD, Lenz RA. N . Engl. J Med 2017; 377:2123-2132 November 30, 2017. Jafari. Headache Department, Iranian Center of Neurological Research, . Tehran . University of Medical Sciences, Tehran, Iran.. . Migraine is . 3 times more . prevalent in women than in . men by the age . 1. Migraine. Migraine epidemiology. An estimated 1.3 billion individuals across the globe were estimated to have migraine in 2017. 1. In the WHO Global Burden of Disease study, ‘headache disorders’ has consistently been the 2. Stress, anxiety, excitement, and tension may all lead to a migraine attack. 1. Moreover, some people report reduction or relief of stress as a trigger – so-called ‘weekend’, or ‘let-down’ headaches. 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. *p<0.05, **p<0.01, ***p≤0.001; values shown in black are odds ratios comparing chronic migraine and episodic migraine. AMPP=American Migraine Prevalence and Prevention; COPD=chronic obstructive pulmonary disease; PHQ-9=Patient Health Questionnaire – 9 items. An electronic diary study followed 62 people with migraine over 3 months. 1. The most the frequent trigger factors on headache days were . stress. , . fatigue. , and . sleep deprivation. 1. Headaches with trigger factors were more severe than those without trigger factors.