41 Headaches
Secondary Causes

secondary headache causes
lack of papilledema key finding of secondary headaches
Primary Causes

Tension

Migraine
Symptoms

lie in quiet dark room


keep diary
Pathogenesis

used to be believed vasodilation is cause because vasoconstrictors help
trigeminal nerve involved
Treatment

abortive: ends migraine
Abortive

vasoconstrictors, thus CI in CAD, angina

ischemia to digits
if used too much can have overuse headaches
Preventive


either blocking NA in nerves or increase GABA


diabetics: if hypoglycemic, can be masked
Pregnancy and Migraines

usually stop preventative therapies
Cluster


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