Which headache type

________________ is most common headache for which patient’s seek medical attention, but it is still underdiagnosed (estimated that only 38% of __________ are every diagnosed)

Which headache type

Most common between 25-35 years old

Begins by age 40

Which headache type has

Prevalence:

Affects females more than males 3:1

Which headache type has Pain described like

Throbbing/stabbing, moderate to severe,

worse w/ exertion

Which headache type has Pain described like

Dull and band like tightness, waxes and wanes

Which headache type is the

Most common primary headache

Which headache type

Often begins in the early 20s

Lifetime prevalence 80%

Which headache type

Occurs predominantly in patients >30 yrs (30 or older)

Which headache type

Prevalence 0.1%

Which headache type

Affects males more than females 6:1

Which headache type has Pain described like

Abrupt onset, deep, continuous, excruciating, explosive, stabbing quality usually near one eye.

Which headache type has a location of

60-70% unilateral

Often in frontotemporal region

Which headache type has a location of

Bilateral

Which headache type has a location of

Unilateral facial pain, orbital, supraorbital or temporal pain

Which headache type has a duration of

4-72 hr

Which headache type has a duration of

Variable

Attacks of ≥15 days/month are chronic tension HA

Which headache type has a duration of

0.5-3 hr, many per day

Which headache type has associated symptoms of

Photo/phono-phobia, N/V, aura,

sensitivity to movement

Which headache type has associated symptoms of

None; no N/V

Which headache type has associated symptoms of

Tearing, nasal congestion, lacrimation, miosis, ptosis, eyelid edema, rhinorrhea, pallor, facial sweating

Which headache type has a Typical Patient Appearance of

Resting in quiet dark room; young female

Which headache type has a Typical Patient Appearance of

Remains active or prefers to rest

is not usually disabling and doesn’t affect productivity (there are exceptions!)

Which headache type has a Typical Patient Appearance of

Male, smoker

Restless, finds relief from hot shower

Migraine Sub-Types

(less than 15) <15 headache days per month

Migraine Sub-Types

•Some may be migraines, some may be tension/other headache types

Migraine Sub-Types

•Hormone related 2 days before or first 2 days of menses

Migraine Sub-Types

•More severe, frequent and resistant to therapy

Migraine Sub-Types

(more than 15) >15 headache days per month, for at least 3 months, (tension type and/or migraine headache)

Migraine Sub-Types

(headache's)HAs lasting 4-72 hours

Migraine Sub-Types

(headache's)HAs have features of migraine without aura for ≥8 days/month (8 or more)

Migraine Sub-Types

•Transition from episodic to chronic

Migraine Sub-Types

•Analgesic or triptan overuse

Migraine Sub-Types

•Unresponsive to prevention medications

Migraine Sub-Types

Causative agents

Analgesics especially combination products with caffeine

Migraine Sub-Types

Causative agents

Barbiturates, Ergotamines, Opioids, Triptans