logging in or signing up Migraine ppt charuarora2 Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 2040 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 12, 2009 This Presentation is Public Favorites: 3 Presentation Description No description available. Comments Posting comment... By: dr_ayman_neuro (29 month(s) ago) very nice presentation Saving..... Post Reply Close Saving..... Edit Comment Close By: kimo8305 (51 month(s) ago) great Saving..... Post Reply Close Saving..... Edit Comment Close Premium member 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 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.