41 Headaches

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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