Neurology Exam Prep Podcast Episode 4 - Headache
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Jan 17, 2020 Join Dr. Chris Gottschalk, a leading expert in headache medicine, as he delves into the fascinating world of headache disorders. He discusses the intricacies of migraines, including their diagnosis, latest treatments, and the evolving role of CGRP medications. Learn about innovative neurostimulation devices and the complexities of secondary headaches like intracranial pressure issues. Dr. Gottschalk also shares key insights on temporal arteritis and the genetic connections of Catacil, making this a must-listen for anyone interested in neurology!
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Migraine Prevalence and Features
- Migraine is the most common cause of recurrent headaches causing impairment in clinical practice.
- The typical features are variable, with migraine sometimes bilateral or non-throbbing but still qualifying as migraine.
Understanding Migraine Aura
- Migraine aura evolves gradually with symptoms spreading over time due to cortical spreading depression.
- Aura can include visual, sensory, and language disturbances, representing migraine manifestations, not separate complicated migraine.
Cortical Spreading Depression Explains Aura
- Cortical spreading depression spreads slowly across the brain explaining aura progression and typical symptom timing.
- True migraine weakness is rare; perceived weakness is usually heaviness related to non-motor symptoms.