Neurology Exam Prep Podcast Clerkship Success Series #9 - Headache (Part 2)
Apr 12, 2021
Dr. Jeremy Moeller, a knowledgeable neurologist, joins the discussion on headaches, diving deep into migraine diagnosis and management. He emphasizes the importance of thorough patient assessment and the use of the International Classification of Headache Disorders. The conversation explores migraine pathophysiology, characteristics of auras, and evaluates when imaging tests are necessary. Dr. Moeller also outlines effective strategies for managing both acute and chronic migraines, showcasing how addressing triggers and patient engagement can enhance treatment outcomes.
AI Snips
Chapters
Transcript
Episode notes
Structured Headache History Tips
- Use a structured headache history approach including onset, duration, intensity, character, and triggers.
- Employ criteria such as ICHD-3 for migraines to guide diagnosis accurately.
Migraine Pain Pathway Insight
- Migraine pain involves the trigeminal vascular system and upper cervical spinal cord.
- Migraine headache often affects the forehead and back of the neck due to nerve distributions.
Migraine Aura Characteristics
- Auras in migraine are caused by cortical spreading depression moving slowly across the cortex.
- This slow spread differentiates migraine aura from stroke and seizures which have abrupt onset.