(GP)

Overview

• Chronic, episodic neurological disorder that has a strong genetic component and usually presents in early-to-mid life
• Primary headache characterized by recurrent episodes of unilateral, localized pain
• F>>>M (3:1)
• Usually occurs in adolescence & early adulthood
• Risk Factors → family history of migraine, female sex, menstruation, stress, obesity, sleep disorders, medication overuse, COCP, foods (caffeine, chocolate, cheese), exercise
• Causes of Migraines (CHOCOLATE)
• Amboss

Making Diagnosis

Clinical Features:

• Prolonged Unilateral Headache → lasts 4-72 hrs, recurrent episodes (may be up to several times per month)
• Throbbing / Pulsatile Pain
• Nausea → most common associated symptom
• May get aura beforehand → flashing lights, tingling
• Sensitivity to light (Photophobia) & sound (Phonophobia) → may have to lie down in quiet, dark room