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Headache in Pregnancy

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181. Migraine Headache (Diagnosis)

by approximately 25%. [ ] Migraines during pregnancy are also linked to stroke and vascular diseases. [ ] A 2017 analysis of the Women's Health Study found that women who experience migraine headaches, particularly migraine without aura, may be at increased risk for hypertension. Compared with women without a history of migraine, those who experienced migraine with aura had about a 9% increased risk for hypertension while those who experienced migraine without aura had about a 21% increased risk. [ ] Migraine (...) -77. . Bushnell CD, Jamison M, James AH. Migraines during pregnancy linked to stroke and vascular diseases: US population based case-control study. BMJ . 2009 Mar 10. 338:b664. . . Anderson, P. Migraine Tied to Hypertension Risk in Women. Medscape Medical News. Available at . April 28, 2017; Accessed: May 9, 2017. Scher AI, Gudmundsson LS, Sigurdsson S, Ghambaryan A, Aspelund T, Eiriksdottir G, et al. Migraine headache in middle age and late-life brain infarcts. JAMA . 2009 Jun 24. 301(24):2563-70

2014 eMedicine.com

182. Migraine Headache: Neuro-Ophthalmic Perspective (Diagnosis)

(common), [ ] pregnancy, and ovulation Stress Excessive or insufficient sleep Medications (eg, vasodilators, oral contraceptives [ ] ) Smoking Exposure to bright or fluorescent lighting Strong odors (eg, perfumes, colognes, petroleum distillates) Head trauma Weather changes Motion sickness Cold stimulus (eg, ice cream headaches) Lack of exercise Fasting or skipping meals Red wine Certain foods and food additives have been suggested as potential precipitants of migraine, including the following (...) infarction by 91% and ischemic stroke by 108% and that migraine without aura raised both risks by approximately 25%. [ ] Migraines during pregnancy are also linked to stroke and vascular diseases. [ ] A 2017 analysis of the Women's Health Study found that women who experience migraine headaches, particularly migraine without aura, may be at increased risk for hypertension. Compared with women without a history of migraine, those who experienced migraine with aura had about a 9% increased risk

2014 eMedicine.com

183. Cluster Headache (Diagnosis)

and treatment. Chicago (IL): National Headache Foundation. 2004. . [Guideline] Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and Treatment of Headache. Institute for Clinical Systems Improvement. Available at . Accessed: March 31, 2014. Calhoun AH, Peterlin BL. Treatment of cluster headache in pregnancy and lactation. Curr Pain Headache Rep . 2010 Apr. 14(2):164-73. . Giraud P, Chauvet S. Cluster headache during pregnancy: case report and literature review. Headache . 2009 Jan. 49(1):136-9. . Tfelt (...) Cluster Headache (Diagnosis) Cluster Headache: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjQ1OS1vdmVydmlldw== processing > Cluster Headache Updated: Apr 25, 2017

2014 eMedicine.com

184. Cluster Headache (Treatment)

of selected preventive medications, which are rated pregnancy category B, should be discussed thoroughly with the patient and her obstetrician. [ ] Non-rebreather oxygen mask with reservoir for the acute treatment of cluster headache. Courtesy of Wikipedia Commons. Next: Pharmacologic Therapy Abortive agents are given to stop or reduce the severity of an acute CH attack, whereas prophylactic agents are used to reduce the frequency and intensity of individual headache exacerbations. In view of the fleeting (...) Headache Foundation. 2004. . [Guideline] Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and Treatment of Headache. Institute for Clinical Systems Improvement. Available at . Accessed: March 31, 2014. Calhoun AH, Peterlin BL. Treatment of cluster headache in pregnancy and lactation. Curr Pain Headache Rep . 2010 Apr. 14(2):164-73. . Giraud P, Chauvet S. Cluster headache during pregnancy: case report and literature review. Headache . 2009 Jan. 49(1):136-9. . Tfelt-Hansen P. Acute pharmacotherapy

2014 eMedicine.com

185. Pathophysiology and Treatment of Migraine and Related Headache (Treatment)

Pathophysiology and Treatment of Migraine and Related Headache (Treatment) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

186. Cluster Headache (Overview)

and treatment. Chicago (IL): National Headache Foundation. 2004. . [Guideline] Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and Treatment of Headache. Institute for Clinical Systems Improvement. Available at . Accessed: March 31, 2014. Calhoun AH, Peterlin BL. Treatment of cluster headache in pregnancy and lactation. Curr Pain Headache Rep . 2010 Apr. 14(2):164-73. . Giraud P, Chauvet S. Cluster headache during pregnancy: case report and literature review. Headache . 2009 Jan. 49(1):136-9. . Tfelt (...) Cluster Headache (Overview) Cluster Headache: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjQ1OS1vdmVydmlldw== processing > Cluster Headache Updated: Apr 25, 2017

2014 eMedicine.com

187. Headache, Migraine (Overview)

by approximately 25%. [ ] Migraines during pregnancy are also linked to stroke and vascular diseases. [ ] A 2017 analysis of the Women's Health Study found that women who experience migraine headaches, particularly migraine without aura, may be at increased risk for hypertension. Compared with women without a history of migraine, those who experienced migraine with aura had about a 9% increased risk for hypertension while those who experienced migraine without aura had about a 21% increased risk. [ ] Migraine (...) -77. . Bushnell CD, Jamison M, James AH. Migraines during pregnancy linked to stroke and vascular diseases: US population based case-control study. BMJ . 2009 Mar 10. 338:b664. . . Anderson, P. Migraine Tied to Hypertension Risk in Women. Medscape Medical News. Available at . April 28, 2017; Accessed: May 9, 2017. Scher AI, Gudmundsson LS, Sigurdsson S, Ghambaryan A, Aspelund T, Eiriksdottir G, et al. Migraine headache in middle age and late-life brain infarcts. JAMA . 2009 Jun 24. 301(24):2563-70

2014 eMedicine.com

188. Migraine Headache (Overview)

by approximately 25%. [ ] Migraines during pregnancy are also linked to stroke and vascular diseases. [ ] A 2017 analysis of the Women's Health Study found that women who experience migraine headaches, particularly migraine without aura, may be at increased risk for hypertension. Compared with women without a history of migraine, those who experienced migraine with aura had about a 9% increased risk for hypertension while those who experienced migraine without aura had about a 21% increased risk. [ ] Migraine (...) -77. . Bushnell CD, Jamison M, James AH. Migraines during pregnancy linked to stroke and vascular diseases: US population based case-control study. BMJ . 2009 Mar 10. 338:b664. . . Anderson, P. Migraine Tied to Hypertension Risk in Women. Medscape Medical News. Available at . April 28, 2017; Accessed: May 9, 2017. Scher AI, Gudmundsson LS, Sigurdsson S, Ghambaryan A, Aspelund T, Eiriksdottir G, et al. Migraine headache in middle age and late-life brain infarcts. JAMA . 2009 Jun 24. 301(24):2563-70

2014 eMedicine.com

189. Migraine Headache: Neuro-Ophthalmic Perspective (Overview)

(common), [ ] pregnancy, and ovulation Stress Excessive or insufficient sleep Medications (eg, vasodilators, oral contraceptives [ ] ) Smoking Exposure to bright or fluorescent lighting Strong odors (eg, perfumes, colognes, petroleum distillates) Head trauma Weather changes Motion sickness Cold stimulus (eg, ice cream headaches) Lack of exercise Fasting or skipping meals Red wine Certain foods and food additives have been suggested as potential precipitants of migraine, including the following (...) infarction by 91% and ischemic stroke by 108% and that migraine without aura raised both risks by approximately 25%. [ ] Migraines during pregnancy are also linked to stroke and vascular diseases. [ ] A 2017 analysis of the Women's Health Study found that women who experience migraine headaches, particularly migraine without aura, may be at increased risk for hypertension. Compared with women without a history of migraine, those who experienced migraine with aura had about a 9% increased risk

2014 eMedicine.com

190. Headache, Migraine (Treatment)

Headache, Migraine (Treatment) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

191. Migraine Headache: Neuro-Ophthalmic Perspective (Treatment)

Migraine Headache: Neuro-Ophthalmic Perspective (Treatment) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

192. Migraine Headache (Treatment)

Migraine Headache (Treatment) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

193. Pathophysiology and Treatment of Migraine and Related Headache (Follow-up)

Pathophysiology and Treatment of Migraine and Related Headache (Follow-up) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

194. Migraine Headache (Follow-up)

Migraine Headache (Follow-up) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

195. Migraine Headache: Neuro-Ophthalmic Perspective (Follow-up)

Migraine Headache: Neuro-Ophthalmic Perspective (Follow-up) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

196. Headache: Pediatric Perspective (Follow-up)

therapy when headaches are frequent enough to interfere with the patient's lifestyle. In deciding to begin prophylactic therapy, consider the risks of long-term drug use against the benefit of potential headache relief. The possibility of pregnancy should also be considered if prophylactic medication is prescribed. As with abortive therapy, several classes of pharmacologic agents are available for prophylactic treatment. In general, the effect of prophylactic therapy is not immediate, often taking (...) Headache: Pediatric Perspective (Follow-up) Pediatric Headache Treatment & Management: Approach Considerations, Treatment of Migraine and Tension-Type Headaches, Treatment of Chronic Daily Headache Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

197. Headache, Children (Follow-up)

therapy when headaches are frequent enough to interfere with the patient's lifestyle. In deciding to begin prophylactic therapy, consider the risks of long-term drug use against the benefit of potential headache relief. The possibility of pregnancy should also be considered if prophylactic medication is prescribed. As with abortive therapy, several classes of pharmacologic agents are available for prophylactic treatment. In general, the effect of prophylactic therapy is not immediate, often taking (...) Headache, Children (Follow-up) Pediatric Headache Treatment & Management: Approach Considerations, Treatment of Migraine and Tension-Type Headaches, Treatment of Chronic Daily Headache Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

198. Headache, Migraine (Follow-up)

Headache, Migraine (Follow-up) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine.com

199. Headache, Cluster (Follow-up)

of selected preventive medications, which are rated pregnancy category B, should be discussed thoroughly with the patient and her obstetrician. [ ] Non-rebreather oxygen mask with reservoir for the acute treatment of cluster headache. Courtesy of Wikipedia Commons. Next: Pharmacologic Therapy Abortive agents are given to stop or reduce the severity of an acute CH attack, whereas prophylactic agents are used to reduce the frequency and intensity of individual headache exacerbations. In view of the fleeting (...) Headache Foundation. 2004. . [Guideline] Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and Treatment of Headache. Institute for Clinical Systems Improvement. Available at . Accessed: March 31, 2014. Calhoun AH, Peterlin BL. Treatment of cluster headache in pregnancy and lactation. Curr Pain Headache Rep . 2010 Apr. 14(2):164-73. . Giraud P, Chauvet S. Cluster headache during pregnancy: case report and literature review. Headache . 2009 Jan. 49(1):136-9. . Tfelt-Hansen P. Acute pharmacotherapy

2014 eMedicine Emergency Medicine

200. Headache, Migraine (Follow-up)

Headache, Migraine (Follow-up) Migraine Headache Treatment & Management: Approach Considerations, Emergency Department Considerations, Reduction of Migraine Triggers Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjU1Ni10cmVhdG1lbnQ= processing > Migraine Headache Treatment & Management Updated: Jan 31, 2019 Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD Share Email Print Feedback Close Sections Sections Migraine Headache Treatment Approach Considerations Migraine treatment involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable. Acute treatment aims to reverse

2014 eMedicine Emergency Medicine

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