BotMed
Calculator
DDX
Topics
Conditions
Conditions by Topic
Cases
About
Log in
Condition Info
ConditionName
Migraine headache
ConditionDescription
Symptoms
Headache history; Can last days; Unilateral - 50%; Pulsating; Nausea/vomiting; Photo/phonophobia; With “aura” (classical): visual disturbance, flashes of light, blind spots and other vision changes or tingling in your hand or face.
PhysicalFindings
Can have symptoms of vertebrobasilar vascular abnormalities; Rare cases: aphasia, numbness, dysarthria, weakness;
ClinicalTests
none
RiskFactors
Food; Menses; Precipitated by emotions; Younger female; Usage of oral contraceptives;
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
TreatmentOptions
Prophylactic therapy: >3 migraines/m; Avoid triggers!
PharmOptions
Abortive therapy (CI: coronary dz, HTP); NSAIDS; CCB; TCA; SSRIs; Gabapentin; Botulinum toxin injections;
WebLink
https://www.merckmanuals.com/professional/neurologic-disorders/headache/migraine?query=Migraine
Back to Conditions