PowerPoint Presentation MigrainePowerPoint演示文稿的偏头痛.pptVIP

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2017-03-08 发布于上海
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PowerPoint Presentation MigrainePowerPoint演示文稿的偏头痛.ppt

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PowerPoint Presentation MigrainePowerPoint演示文稿的偏头痛

What Type of Headache do I have? David M. Biondi, DO Director, Headache Management Programs Spaulding Rehabilitation Hospital Consultant, Massachusetts General Hospital Instructor in Neurology, Harvard Medical School Boston, MA Headache in the Population 99% of women and 93% of men have had headache during their lifetime 25% of women and 8% of men in the United States have had migraine headache 18% of women and 6% of men have had migraine over the previous year Prevalence is highest between age 25 – 55 years An estimated 30 million have migraine and up to 10 million have chronic daily headache ( 15 headache days per month) in the U.S. Headache History Headache attacks How it begins Precipitating event, illness, injury Headache attack descriptions Frequency and patterns Any significant changes Location Time to peak intensity Duration Quality and intensity Warning symptoms and aura Associated symptoms and level of disability Triggers and aggravating or relieving factors Tension Headache or Migraine? Tension-type Headache or Migraine? Episodic Tension-type Headache Migraine Without Aura Headache lasting from 4 to 72 hours At least 2 of the following Unilateral location Pulsating quality Moderate or severe intensity Aggravation by routine physical activity At least 1 of the following: Nausea and/or vomiting Photophobia and phonophobia At least five attacks fulfilling these criteria No evidence of organic disease Tension-type Headache or Migraine Migraine Aura Positive Neurological Symptoms Reversible brain/neurological symptoms Visual flashes, spots, or zig-zag lines Traveling tingling sensations Gradual development over 4 minutes Resolves within 1 hour Negative Neurological Symptoms Reversible brain/neurological symptoms Visual blind spots Numbness Speech or word finding problems Trouble thinking Resolves within 1 hour “Even My Hair Hurts”(allodynia) Cutaneous allodynia “Hair hurts” Painful when: Shaving Combing hair Touching scalp Resting head on pillow Pulling