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 Migraine
• Unilateral
• Throbbing
• Nausea + Vomiting
• Exerbated by :
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• 4-72 hours
• Migraine Form
– Migraine with aura ("classic" migraine)
– Migraine without aura ("common" migraine)
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Migraine
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 Migraine
• Treatment :
– Alleviate : Triptans (Mainstay) , Ergotamin
• Almotriptan
• Eletriptan
• Frovatriptan
– Prophylactic : B-Blocker , Tricyclic Antidepresants
 Tension Type Headche
• Recurrent Attacks
• Bilateral
• Squeezing , Pressing , Tightening Sensation
• Duration : 30 – Several Days

Patfis :
- Muscle Contraction / Spasm
 Tension Type Headche
• Treatment :
– Analgesics : Aspirin , Acetaminophen
Cluster Headche
 Paroxysmal Hemicrania
• Unilateral
• Autonomic Symptoms
• Episode Much Shorter Duration ( 10 – 30 min)
• Greater Frequency (Several – 40 attacks/day)
• Respon to NSAID : Indomethacin
Giant-Cell Arteritis / Temporal Arteritis