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– Headaches are a common symptom of a variety of neurologic and non-neurologic disorders- Three most common headaches are migraine headaches, cluster headaches and tension headaches.- Ct. are encouraged to have a headache diary.

Migraine Headache

A migraine headache, is an episodal familial disorder manifested by unilateral, frontotemporal, throbbing painin the head which is often worse behind one eye or ear.  It is often accompanied by a sensitive scalp, anorexiaor photopobia (sensitivity to lighta), and nausea with or without vommiting.

– Migraine headaches are mediated via the trigeminal vascular systems.- platelets clump together and serotonin, a vasoconstrictor, is released, arteries dilate and triggersthe release of prostaglandins, chemicals that cause swelling, and substances increase sensitivity to pain.

– falls into three categories

1. migraines with aura

2. migraines without aura

3. atypical migraines

Aura- is a sensation that signals the onset of a headache or a seizure.- in a migraine, the aura occurs immediately before the migraine episode.- most headaches are migraines without aura.v



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