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




5. Headache attributed to head and/or neck trauma

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




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

8. Headache or facial pain attributed to




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

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




11. Unusual Causes of Headache

12. “Red Flags” in the Headache History




13. “SSNOOPP” for Secondary HA

14. The Primary Headaches (1-4)




15. What is Migraine?

16. How Migraine Stacks Up Against Other Common Diseases




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

18. Migraine Takes Quality Time Out From Your Life




19. Migraine Takes Time Out From Your Life

20. Unnecessary Suffering




21. Migraine Pathophyisology

22. How Migraine Works




23. Migraine Pathophysiology: Phases

24. Protective Factors




25. Triggers and Risk Factors

26. Triggers: Changes in Daily Cycles




27. Triggers: Environment or Diet

28. Triggers: Mental




29. What You Might Feel Before or During an Attack

30. What You Might Experience During an Attack




31. Migraine without Aura

32. Migraine with Aura




33. Migraine Aura

34. Tension-Type Headache




35. Tension-Type Headache

36. Cluster HA and Other TACs




37. Cluster Headache

38. Paroxysmal Hemicrania




39. Chronic Daily Headache






42. Headache Attributed to As Substance or Its /Withdrawal




43. Analgesic Rebound Headache / Medication-Induced Headache

44. Common Medications Associated with MOH




45. Pharmacotherapy for Migraine

46. Headache Treatments




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

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




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

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




51. Medicines to Stop a Migraine Attack

52. Other Factors Involved in the Choice of Medication




53. Fast Relief vs. Long-lasting Relief

54. Options for Preventive Treatment




55. Pharmacological Therapy

56. Acute (Abortive) Medication Therapy




57. DHE

58. Acute Therapy for Migraine




61. Acute Therapy of Migraine

62. Acute Therapy of Migraine




63. Triptans

64. Triptans: Efficacy Headache Relief at 2 hours




65. Triptans

66. Preventive Therapies for Migraine




67. Daily scheduled opioids for intractable head pain

68. Daily scheduled opioids for intractable head pain




69. Nonpharmacologic Management of Headache

70. Other CAM Therapies




71. Topical Agents

72. Magnesium




73. Magnesium for Headache

74. MigraHealth and MigraLief




75. Vitamin B2 (Riboflavin)

76. Vitamin B2 (Riboflavin)




77. Coenzyme Q 10 (ubiquinone)

78. CoQ 10




79. Feverfew

80. Feverfew




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

82. Butterbur (Petasites hybridus)




83. Women’s Issues and Headache

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




85. Oral Contraceptives and Migraine

86. Pregnancy and Headache




87. Pregnancy and Headache

88. Menopause and Migraine




89. Botulinum Toxin – A (BTX-A)

90. Headache and Craniofacial Pain Disorders I: Slide 90




91. BTX-A

92. BTX-A




93. Side Effects

94. Antibody Formation & Resistance




95. Contraindications and Cautions

96. How Does BTX Decrease Pain??




97. Mechanisms of Analgesic Activity??






102. FDA Approval (1989)




103. Other Common Uses

104. Chronic Headaches




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

106. Botulinum Toxin





108. Botulinium Toxin and EMG




109. Botulinum Toxin Type A





111. Botulinum Toxin, cont.

112. Botulinum Toxin, cont.




113. Botox CDH

114. Botox CDH, cont.




115. Botox CDH, cont.





117. Trigeminal Neuralgia

118. Characteristics of Patients




119. Classification of TN

120. Etiology??




121. Trigeminal Neuralgia Therapeutic Options

122. Headache and Craniofacial Pain Disorders I: Slide 122




123. Anticonvulsants (AEDs)

124. Pharmacological Effect and Mechanism of Pain Relief




125. AEDs for TN – RCTs

126. Pharmacological Therapy for Trigeminal Neuralgia





128. Surgical Interventions




129. Acute Therapy





131. Neuropathic Facial Pain “Old & New Names”

132. Persistent Idiopathic Facial Pain




133. Chronic Neuropathic Facial Pain

134. CRPS of the Head and Neck




135. Burning Mouth/Tongue (Oral Burning)

136. Treatment of Neuropathic Craniofacial Pain




137. Pain Management

138. Voltaire’s Cynicism




139. Prudent Polypharmacy!!!






142. NMDA-Receptor Antagonists




143. Topical Agents

144. Advances in Neuropathic Pain




145. CAM Use for Headache & Facial Pain

146. Complementary and Alternative Medicine (CAM)




147. Local Anesthetic Nerve Block Injections

148. Electrical Stimulation




149. The Spectrum of Pain in Herpes Zoster

150. PHN: Clinical Presentation




151. Vasculitides with Headache & Facial Pain

152. Temporal Arteritis




153. Superficial Temporal Artery

154. Temporal Ateritis




155. Temporal Arteritis




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

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