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Headache - Coggle Diagram

- - - - disturbed biorhythms e.g. late night, early morning
      - stress/after stress
      - rarely food e.g. cheese, chocolate, caffeine
      - menstruation
      - OCP
    - - often 1st + 2nd degree relatives
  - - - prochlorperazine
      - metoclopramide
  - - - can cause weight gain + sleepiness
    - - CIed in asthma
- - - - with aura
      - without aura
    - - symm
      - gradual onset
      - tightness/band/pressure
      - usually no other sx
    - - cough headache
      - exertional headache
  - - - idiopathic intracranial HTN (IICH)
      - worse when lying down
      - morning vomitting
      - waking @ night with it (different from having it on waking, which is quite common in migraines)
      - other suggestive features
        
        look for personality change, mood change, decreased educational performance, confusion
        
        visual field defects e.g. craniopharyngioma pressing on optic pathways
        
        cranial N abnormalities
        
        diplopia
        
        new onset squint
        
        facial N palsy
        
        VI (abducens) has long intracranial course so is often affected
        
        squint, diplopia, inability to abduct eye beyond midline
        
        false localising sign
        
        pontine lesions may affect CNVII + cause facial N palsy
        
        abnormal gait
        
        torticollis, head tilting
        
        growth failure (in craniopharyngioma/hypothal lesion
        
        papilloedema on fundoscopy = late feature
        
        cerebellar signs (poor coordination)
        
        bradycardia
    - - AVM
        
        cranial bruits may be heard
        
        rare
      - haemorrhage
    - - meningitis
      - encephalitis
      - Sinusitis
    - - hypercapnia
      - HTN