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HA Type 1
Charateristics
Term | Definition |
---|---|
Tension-Type | 2 or more of the following: pressing non-pulsing pain mild to moderate intensity usually bilateral location If more than 1 of the following suspect migraine: N/V, photophobia, phonophobia |
Migraine w/o Aura 1/2 | 2 or more of the following: Usually Unilateral (some Bilateral) Pulsating, throbbing quality moderate to severe intensity aggravated by normal activity i.e. walking - causing avoidance of normal activities during HA, 1 or more of the following |
Migraine w/o Aura 2/2 | N/V, photophobia, phonophobia female:male ratio 3:1 Positive family history in 70-90% |
Migraine w/ Aura | Aura symptoms may be: Visual - zigzag line, kaleidoscope, etc. Auditory - sound distortion, hallucinations Other - altered smell, body sensation, anxiety, perception e.g. deja vu' Positive family history in 70-90% |
Cluster 1/2 | Often males excruciating pain, on one side of head lacinating/drilling, "hotpoker" pain behind eye or in temple, may radiate to neck 1-8 episodes per day, at some time |
Cluster 2/2 | Ipsilateral autonomic signs: lacrimation, conjunctival infection, nasal stuffiness or rhinorrhea, eye lid edema, ptosis (which may be permanent), miosis, facial sweating Patient may pace, walk, sit and rock |
Miscellaneous (8) | Vascular leisons - temporal arteritis non-vascular inreacranial disorders - neoplasm trauma - impact injury substance withdrawal - caffeine non-cephalic - infection metabolic - hypoglycemia cranial/facial disorder - sinus neuralgias - trigeminal |