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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...
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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
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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...
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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
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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)
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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
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 10
21. Migraine Pathophyisology
22. How Migraine Works
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 11
23. Migraine Pathophysiology: Phases
24. Protective Factors
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 13
27. Triggers: Environment or Diet
28. Triggers: Mental
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 15
31. Migraine without Aura
32. Migraine with Aura
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 16
33. Migraine Aura
34. Tension-Type Headache
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 18
37. Cluster Headache
38. Paroxysmal Hemicrania
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 19
39. Chronic Daily Headache
40. Chronic Daily Headache
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 22
45. Pharmacotherapy for Migraine
46. Headache Treatments
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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...
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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...
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 27
55. Pharmacological Therapy
56. Acute (Abortive) Medication Therapy
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 28
57. DHE
58. Acute Therapy for Migraine
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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
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 32
65. Triptans
66. Preventive Therapies for Migraine
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 35
71. Topical Agents
72. Magnesium
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 36
73. Magnesium for Headache
74. MigraHealth and MigraLief
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 37
75. Vitamin B2 (Riboflavin)
76. Vitamin B2 (Riboflavin)
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 38
77. Coenzyme Q 10 (ubiquinone)
78. CoQ 10
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 39
79. Feverfew
80. Feverfew
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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)
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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...
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 43
87. Pregnancy and Headache
88. Menopause and Migraine
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 45
91. BTX-A
92. BTX-A
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 46
93. Side Effects
94. Antibody Formation & Resistance
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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??
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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??
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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??
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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)
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 51
103. Other Common Uses
104. Chronic Headaches
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 53
107. Botulinum Toxin
108. Botulinium Toxin and EMG
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 54
109. Botulinum Toxin Type A
110. Botulinum Toxin
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 55
111. Botulinum Toxin, cont.
112. Botulinum Toxin, cont.
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 56
113. Botox CDH
114. Botox CDH, cont.
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 58
117. Trigeminal Neuralgia
118. Characteristics of Patients
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 59
119. Classification of TN
120. Etiology??
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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
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 63
127. Pharmacological Therapy
128. Surgical Interventions
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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
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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
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 68
137. Pain Management
138. Voltaire’s Cynicism
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 69
139. Prudent Polypharmacy!!!
140. Pharmacological Therapy
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 70
141. Pharmacological Therapy
142. NMDA-Receptor Antagonists
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 71
143. Topical Agents
144. Advances in Neuropathic Pain
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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)
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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
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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
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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
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 76
153. Superficial Temporal Artery
154. Temporal Ateritis
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 77
155. Temporal Arteritis
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Headache and Craniofacial Pain Disorders I
OCW: Introduction to Clinical Pain Problems (S. Scrivani) Page - 78