Migraine ppt

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Presentation Transcript

Slide 1: 

PROJECT REPORT ON MIGRAINE HEADACHE

INTRODUCTION : 

INTRODUCTION Migraine is a common, often familial disorder. Characterized by unilateral throbbing headache. Onset: Childhood/early adulthood Female-Male ratio:2:1 Family history: 70% cases

FORMS OF MIGRAINE : 

FORMS OF MIGRAINE

Migraine with AURA : 

Migraine with AURA Warning of visual, sensory or motor type followed by headache(throbbing and unilateral) Worsened by bright light Relieved by sleep Associated with nausea and vomitting.

Migraine without AURA : 

Migraine without AURA Common Migraine. Absence of aura. Poorly localized. “Tension” headache.

Characteristics of AURA… : 

Characteristics of AURA… Several forms of aura ; 1.Visual:comprise of flashing lights,zig-zag fortifications, scintillating scotoma. 2.Visual field defects:auras of occipital cortex area. 3.Headache is recurrent, lasting for 2-48 hrs. and rarely occur >2 times/week.

Mechanisms : 

Mechanisms Mutations in mtDNA and Ca channel: familial cases Vascular and neuronal processes and changes in SEROTONIN activity : causes severe attacks.

Types of Migraine with aura : 

Types of Migraine with aura

Detailed descriptions : 

Detailed descriptions 1.)BASILAR: bilateral visual symptoms, vertigo, dysarthria, unsteadiness, affects young females. 2.)HEMIPLEGIC: aura of unilateral paralysis, usually lasts for some days after setting. (When it is familial, Mendelian Dominant Disorder Inheritance is seen.) Recovery is rule.

Contd…. : 

Contd…. 3.)OPTHALMOPLEGIC: Extra ocular nerve palsies, usually IIIrd or rarely VIth. May result from dilatation of ICA within Cavernous sinus. 4.)RETINAL: Monocular visual loss which is reversible and followed by headache. Note: Rarely Migraine can present as an episodic coma, this is called as MIGRAINE COMA.

Precipitating factors : 

Precipitating factors

DIAGNOSIS : 

DIAGNOSIS Clinical History with: 1.) +ve family history 2.) Travel sickness/migraine equivalents in childhood 3.) Onset of adolescence, early adulthood, menopause, etc. Note: ALWAYS distinguish Migraine from AV malformation/ Hypoglycemia/ partial focal epilepsy and aneurysms compressing IIIrd nerve.

MANAGEMENT : 

MANAGEMENT >Identify and avoid precipitating factors. >Prophylaxis is used for frequent and severe attacks. Sometimes Ca antagonists or anti-depressants or anti-Convulsants may be useful. Eg)Topiramate

Contd… : 

Contd…

Slide 15: 

THANK YOU….. Prepared by: Charu Dutt Arora MBBS FIRST TNMC MUMBAI