1. Differential Diagnosis of Craniofacial Painocw.tufts.edu/data/41/527561.pdfPharmacotherapy for...

Post on 09-Apr-2018

223 views 3 download

Transcript of 1. Differential Diagnosis of Craniofacial Painocw.tufts.edu/data/41/527561.pdfPharmacotherapy for...

1. Differential Diagnosis of Craniofacial Pain

2. International Headache Society

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 1

3. The Primary Headaches

4. The Secondary Headaches

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 2

5. Headache attributed to head and/or neck trauma

6. Headache attributed to cranial or cervical vascular disorder...

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 3

7. Headache attributed to a substance or its withdrawal (8.1-4)...

8. Headache or facial pain attributed to

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 4

9. Cranial neuralgias, central and primary facial pain and othe...

10. Cranial neuralgias, central and primary facial pain and othe...

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 5

11. Unusual Causes of Headache

12. “Red Flags” in the Headache History

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 6

13. “SSNOOPP” for Secondary HA

14. The Primary Headaches (1-4)

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 7

15. What is Migraine?

16. How Migraine Stacks Up Against Other Common Diseases

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 8

17. Most Patients’ Headaches Are Severe or Extremely Sever...

18. Migraine Takes Quality Time Out From Your Life

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 9

19. Migraine Takes Time Out From Your Life

20. Unnecessary Suffering

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 10

21. Migraine Pathophyisology

22. How Migraine Works

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 11

23. Migraine Pathophysiology: Phases

24. Protective Factors

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 12

25. Triggers and Risk Factors

26. Triggers: Changes in Daily Cycles

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 13

27. Triggers: Environment or Diet

28. Triggers: Mental

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 14

29. What You Might Feel Before or During an Attack

30. What You Might Experience During an Attack

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 15

31. Migraine without Aura

32. Migraine with Aura

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 16

33. Migraine Aura

34. Tension-Type Headache

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 17

35. Tension-Type Headache

36. Cluster HA and Other TACs

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 18

37. Cluster Headache

38. Paroxysmal Hemicrania

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 19

39. Chronic Daily Headache

40. Chronic Daily Headache

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 20

41. Chronic Daily Headache

42. Headache Attributed to As Substance or Its /Withdrawal

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 21

43. Analgesic Rebound Headache / Medication-Induced Headache

44. Common Medications Associated with MOH

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 22

45. Pharmacotherapy for Migraine

46. Headache Treatments

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 23

47. Self Treatment Efforts: What You Can Do For Your Migraines...

48. Pharmacologic Management of Headache: Symptomatic Therapies...

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 24

49. Pharmacologic Management of Migraine: Prophylactic Therapies...

50. Pharmacologic Management of Headache: Prophylactic Therapies...

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 25

51. Medicines to Stop a Migraine Attack

52. Other Factors Involved in the Choice of Medication

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 26

53. Fast Relief vs. Long-lasting Relief

54. Options for Preventive Treatment

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 27

55. Pharmacological Therapy

56. Acute (Abortive) Medication Therapy

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 28

57. DHE

58. Acute Therapy for Migraine

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 29

59. Acute Therapy for Migraine

60. Acute Therapy for Migraine

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 30

61. Acute Therapy of Migraine

62. Acute Therapy of Migraine

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 31

63. Triptans

64. Triptans: Efficacy Headache Relief at 2 hours

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 32

65. Triptans

66. Preventive Therapies for Migraine

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 33

67. Daily scheduled opioids for intractable head pain

68. Daily scheduled opioids for intractable head pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 34

69. Nonpharmacologic Management of Headache

70. Other CAM Therapies

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 35

71. Topical Agents

72. Magnesium

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 36

73. Magnesium for Headache

74. MigraHealth and MigraLief

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 37

75. Vitamin B2 (Riboflavin)

76. Vitamin B2 (Riboflavin)

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 38

77. Coenzyme Q 10 (ubiquinone)

78. CoQ 10

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 39

79. Feverfew

80. Feverfew

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 40

81. St. John’s Wort (Hypericum perforatum)

82. Butterbur (Petasites hybridus)

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 41

83. Women’s Issues and Headache

84. Pure Menstrual Migraine & Menstrually Associated Migrain...

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 42

85. Oral Contraceptives and Migraine

86. Pregnancy and Headache

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 43

87. Pregnancy and Headache

88. Menopause and Migraine

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 44

89. Botulinum Toxin – A (BTX-A)

90. Headache and Craniofacial Pain Disorders I: Slide 90

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 45

91. BTX-A

92. BTX-A

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 46

93. Side Effects

94. Antibody Formation & Resistance

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 47

95. Contraindications and Cautions

96. How Does BTX Decrease Pain??

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 48

97. Mechanisms of Analgesic Activity??

98. Mechanisms of Analgesic Activity??

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 49

99. Mechanisms of Analgesic Activity??

100. Mechanisms of Analgesic Activity??

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 50

101. Mechanisms of Analgesic Activity??

102. FDA Approval (1989)

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 51

103. Other Common Uses

104. Chronic Headaches

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 52

105. Chronic Headache (Migraine, Tension-type, CDH)

106. Botulinum Toxin

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 53

107. Botulinum Toxin

108. Botulinium Toxin and EMG

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 54

109. Botulinum Toxin Type A

110. Botulinum Toxin

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 55

111. Botulinum Toxin, cont.

112. Botulinum Toxin, cont.

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 56

113. Botox CDH

114. Botox CDH, cont.

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 57

115. Botox CDH, cont.

116. Differential Diagnosis of Craniofacial Pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 58

117. Trigeminal Neuralgia

118. Characteristics of Patients

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 59

119. Classification of TN

120. Etiology??

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 60

121. Trigeminal Neuralgia Therapeutic Options

122. Headache and Craniofacial Pain Disorders I: Slide 122

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 61

123. Anticonvulsants (AEDs)

124. Pharmacological Effect and Mechanism of Pain Relief

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 62

125. AEDs for TN – RCTs

126. Pharmacological Therapy for Trigeminal Neuralgia

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 63

127. Pharmacological Therapy

128. Surgical Interventions

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 64

129. Acute Therapy

130. Differential Diagnosis of Craniofacial Pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 65

131. Neuropathic Facial Pain “Old & New Names”

132. Persistent Idiopathic Facial Pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 66

133. Chronic Neuropathic Facial Pain

134. CRPS of the Head and Neck

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 67

135. Burning Mouth/Tongue (Oral Burning)

136. Treatment of Neuropathic Craniofacial Pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 68

137. Pain Management

138. Voltaire’s Cynicism

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 69

139. Prudent Polypharmacy!!!

140. Pharmacological Therapy

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 70

141. Pharmacological Therapy

142. NMDA-Receptor Antagonists

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 71

143. Topical Agents

144. Advances in Neuropathic Pain

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 72

145. CAM Use for Headache & Facial Pain

146. Complementary and Alternative Medicine (CAM)

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 73

147. Local Anesthetic Nerve Block Injections

148. Electrical Stimulation

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 74

149. The Spectrum of Pain in Herpes Zoster

150. PHN: Clinical Presentation

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 75

151. Vasculitides with Headache & Facial Pain

152. Temporal Arteritis

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 76

153. Superficial Temporal Artery

154. Temporal Ateritis

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 77

155. Temporal Arteritis

Tufts OpenCourseWare © 2007 Tufts University

Headache and Craniofacial Pain Disorders I

OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 78