Tuesday, November 11, 2008

serotonergic disorder? a type of headache

MIGRAINE WITHOUT AURA

-Recurrent headache 
-Manifesting in attacks lasting 4–72 hours
-Characteristics:-
1) unilateral location, 
2) pulsating quality, 
3) moderate or severe intensity, 
4) aggravation by routine physical activity 
5) nausea 
6) photophobia /phonophobia.


Diagnostic criteria:
A. At least five attacks fulfilling criteria B-D
B. Headache attacks lasting 4-72 hours [when untreated]
C. Headache has at least two of the following characteristics:
1. unilateral location
2. pulsating quality
3. moderate or severe pain intensity
4. aggravation by or causing avoidance of routine physical activity...
D. During the headache at least one of the following:
1. Nausea and/or vomiting
2. Photophobia and phonophobia
E. Not attributed to another disorder


Signs & symptoms vary from one patient to another.
It is divided into 4 phases : - 


1) Prodromal  phase 
2) May be associated with aura
3) PAINFUL phase
4) Postdromal phase

reference:-
Headache Classification Subcommittee of the International Headache Society (2004). "The International Classification of Headache Disorders: 2nd edition". Cephalalgia : an international journal of headache 24 Suppl 1: 9–160.

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