1.
HEADACHES – burden
Headache is a very common problem in both adults and children but continues to be neglected.
Recurrent headaches interferes with normal functioning and can impair family ,social and sex life.
Globally, it has been estimated that prevalence among adults of current headache disorder
(symptomatic at least once within the last year) is about 50%.
In the Global Burden of Disease Study, updated in 2013, headaches were third highest cause of
disability while migraine was found to be the sixth common cause.
Classification
Headaches are classified into primary and secondary
SNOOP pneumonic for identifying life threatening headaches
Systemic symptoms and signs
Neurological symptoms and signs
Onset in thunderclap presentation
Onset after 50 yrs, change in pattern of headache
Papilledema ,precipitated by exercise,Valsalva etc

2.
PRIMARY HEADACHES
Migraine :
Migraine is third most prevalent disease in world affecting every 1 in 7 persons.
Stages of migraine

3.
Triggers :
A trigger is any event, change, external stimulus or physical act which seems to result in migraine.
Triggers are different in each patient and may also vary from time to time in same person. Triggers
can be identified by maintaining migraine dairy. Common triggers include
Management of migraine:
Migraine is not curable, but headaches are manageable.
Treatment includes LIFESTYLE MODIFICATION
AVOIDING MIGRAINE TRIGGERS
MAINTAINING MIGRAINE DAIRY
COMPLIANCE TO MEDICATIONS
MEDICATIONS – ACUTE AND PREVENTIVE CARE.