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Migraine Headaches

Migraine Headaches. Theories of Migraine Headaches. Much about migraines still is not understood. Trigeminal nerve system Brain chemicals. Triggers / Thresholds. Stress, sleep changes, weather patterns Glaring or flickering lights Menstruation, perfumes or chemical fumes

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Migraine Headaches

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  1. Migraine Headaches

  2. Theories of Migraine Headaches • Much about migraines still is not understood. • Trigeminal nerve system • Brain chemicals

  3. Triggers / Thresholds • Stress, sleep changes, weather patterns • Glaring or flickering lights • Menstruation, perfumes or chemical fumes • largely genetically determined

  4. Migraine Features • Pulsating or throbbing head pain • Nausea / Vomiting / Diarrhea • Photophobia (light sensitivity) • Phonophobia (sound sensitivity)

  5. Treatment Pain relieving medications • Nonsteroidal anti-inflammatory drugs: Advil, Motrin, Aspirin, Excedrin (asa & caffeine) • Triptans: Imitrex, Maxalt, Amerge • Anti-nausea medications: Metoclopramide, Prochlorperazine

  6. Treatment Preventative medications • Cardiovascular drugs: Beta blockers, Calcium channel blockers. • Antidepressants: Tricyclic antidepressants • Anti-seizure drugs: Depakote, Topamax

  7. Statistics • Lost productivity - 13 billion dollars/year • 10 million doctor visits/year • 28 million people suffer • 25% - 4 or more attacks/month • 35% - 1 to 4 attacks/month • 40% - less than 1attack/month

  8. Famous migraine suffers • Julius Caesar • Ulysses s. Grant • Thomas Jefferson • Robert E. Lee • Charles Darwin

  9. Resources • Migraine and Other Headaches, William B. Young, MD – Stephen D. Silberstein, MD • www.mayoclinic.com/health/migraine-headache

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