Overview
Definition
Primary headache disorder characterized by recurrent throbbing headaches.
Epidemiology
Affects ~15% of the population, more common in females.
Etiology & Risk Factors
- Cortical spreading depression
- Trigeminovascular system activation
Clinical Symptoms
- Unilateral throbbing pain
- Photophobia
- Phonophobia
- Nausea/Vomiting
- Aura
Clinical Approach
Diagnosis
- Clinical diagnosis (ICHD-3 criteria)
Management
- Abortive: Triptans, NSAIDs
- Preventive: Propranolol, Topiramate, CGRP antagonists
Complications
- Chronic migraine
- Medication overuse headache