Primary headaches

v.djabatey
Mind Map by , created almost 6 years ago

paeds-neurology Mind Map on Primary headaches, created by v.djabatey on 01/11/2014.

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v.djabatey
Created by v.djabatey almost 6 years ago
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Primary headaches
1 tension-type headache
1.1 features
1.1.1 symmetrical
1.1.2 onset
1.1.2.1 gradual
1.1.3 description
1.1.3.1 tightness
1.1.3.2 a band
1.1.3.3 pressure
2 migraine w/o aura
2.1 accounts for 90%
2.2 episodes may last 1-72h
2.3 often bilateral
2.3.1 but may be unilat
2.4 site
2.4.1 temporal or frontal area
2.5 assoc sx
2.5.1 unpleasant GI disturbance
2.5.1.1 nausea
2.5.1.2 vomiting
2.5.1.3 abdominal pain
2.5.1.4 photophobia
2.5.1.5 phonophobia
2.6 exacerbating factors
2.6.1 physical activity
3 migraine w/ aura
3.1 10% of migraine
3.2 headache preceded by an aura
3.2.1 visual
3.2.1.1 commonest aura
3.2.1.2 -ve phenomena
3.2.1.2.1 hemianopia
3.2.1.2.1.1 loss of half the visual field
3.2.1.2.2 scotoma
3.2.1.2.2.1 small areas of visual loss
3.2.1.3 +ve phenomena
3.2.1.3.1 e.g. fortification spectra
3.2.1.3.1.1 seeing zigzag lines
3.2.2 sensory
3.2.3 motor
3.3 features
3.3.1 absence of probs btw episodes
3.3.2 freq presence of premonitory sx
3.3.2.1 tiredness
3.3.2.2 difficulty concentrating
3.3.2.3 autonomic features
3.3.3 duration
3.3.3.1 few hours
3.3.3.1.1 spent lying down in a quiet, dark place
3.3.4 relieving features
3.3.4.1 sleep
3.4 unilat sensory or motor sx
3.4.1 rare
4 sx of tension-type headache or a migraine often overlap
4.1 probably part of same pathophysiological continuum
4.1.1 evidence suggests they both come from primary neuronal dysfuncn
4.1.1.1 incl channelopathies
4.1.1.2 w/ vascular phenomena as secondary events
4.1.2 genetic predisposition
4.1.2.1 1st & 2nd degree relatives often affected
4.1.3 triggers
4.1.3.1 disturbance of biorhythms
4.1.3.1.1 late nights
4.1.3.1.2 early rises
4.1.3.1.3 stress
4.1.3.1.4 winding down after stress at home or school
4.1.3.2 food
4.1.3.2.1 cheese
4.1.3.2.2 chocolate
4.1.3.2.3 caffeine
4.1.3.2.4 rarely a trigger
4.1.3.3 in girls
4.1.3.3.1 menstruation
4.1.3.3.2 oral contraceptive pill
5 uncommon forms of migraine
5.1 familial
5.1.1 linked to Ca2+ channel defect
5.1.2 dominantly inherited
5.2 sporadic hemiplegic migraine
5.3 basilar-type
5.3.1 vomiting w/ nystagmus
5.3.1.1 and/or
5.3.1.1.1 cerebellar signs
5.4 periodic syndromes
5.4.1 often precursors of migraine
5.4.2 cyclical vomiting
5.4.2.1 recurrent stereotyped episodes of vomiting
5.4.2.2 intense nausea
5.4.2.2.1 assoc w/ pallor or nausea
5.4.3 abdominal migraine
5.4.3.1 idiopathic recurrent disorder
5.4.3.2 episodic midline abdo pain
5.4.3.2.1 bouts lasting 1-72h
5.4.3.2.2 moderate to severe intensity
5.4.3.2.3 assoc sx
5.4.3.2.3.1 vasomotor sx
5.4.3.2.3.2 nausea
5.4.3.2.3.3 vomiting
5.4.3.3 child well in btw episodes
5.4.4 benign paroxysmal vertigo of childhood
5.4.4.1 heterogeneous disorder
5.4.4.2 brief episodes of vertigo
5.4.4.2.1 occur w/o warning
5.4.4.2.2 resolving spontaneously in otherwise healthy kids
5.4.4.3 btw episodes neuro examn, audiometric & vestibular funcn are normal

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