Assignment: Migraines and Post-Concussive Syndrome
Walker- Migraine Headache and Tension Headache
Week 1 Part 1: Due Wednesday by 1159PM MT MN
You will research the two areas of content assigned to you and compare
and contrast them in discussion post. NOTE: A comparison and contrast
assignment is not about listing the info regarding each disease separately
but rather looking at each disease side by side and discussing the
similarities and differences given the categories below. Consider how each
patient would actually present to the office. Consider how their history
would affect their diagnosis, etc. Evaluation of mastery is focused on the
student's ability to demonstrate specific understanding of how the
diagnoses differ and relate to one another. Address the following topics
below in your own words:
Presentation
Pathophysiology
Assessment
Diagnosis
Treatment
Dr. Ameri and class,
Walker- Migraines and Tension headaches
Presentation:
Migraines in adults are of moderate to severe intensity, unilateral, and described as a throbbing
or pulsating sensation. The patient may complain of nausea, vomiting, an aura, and sensitivity to
light, noise, and/or smells. The patient may feel foggy after a migraine (Moriarty & Mallick-
Searle, 2016). Tension-type headaches is the common headache and usually doesn’t require
seeking medical attention. Tension-type headaches are of mild to moderate pain intensity,
bilateral, described as dull pain or pressure, and do not throb. These patients may suffer from
less than 15 headaches per month and they may last anywhere from 30 minutes to 7 days.
Tension-type headaches are not aggravated by physical activity unlike migraines. Patients
with tension-type headaches won’t have symptoms of nausea or vomiting. Tension-type
headaches may cause a sensitivity to light or noise but not both (Rizzoli & Mullally, 2018). In
all reality, migraines are associated with more severe pain, may be debilitating, and may
require medical management to improve quality of life (Moriarty & Mallick-Searle, 2016).
Pathophysiology:
Migraines are a multi-factorial, recurrent, and hereditary headache disorder. Migraines may
have prodromes or auras that exhibit several hours before the migraine occurs (Burstein, Noseda,
, & Borsook, 2015). Auras are correlated to four different aspects of the brain: hypothalamus,
brainstem, cortex, or limbic system. It is believed that migraines begin in areas of the brain
capable of initiating an aura, but the headache occurs from the consequential activation of