Neurology Exam Prep Podcast Episode 4 - Headache
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Jan 17, 2020 Join Dr. Chris Gottschalk, a leading expert in headache medicine, as he delves into the fascinating world of headache disorders. He discusses the intricacies of migraines, including their diagnosis, latest treatments, and the evolving role of CGRP medications. Learn about innovative neurostimulation devices and the complexities of secondary headaches like intracranial pressure issues. Dr. Gottschalk also shares key insights on temporal arteritis and the genetic connections of Catacil, making this a must-listen for anyone interested in neurology!
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Add Antiemetics to Migraine Treatment
- Always add dopamine-blocking antiemetics like metoclopramide to improve migraine medication absorption.
- Anti-emetics enhance treatment efficacy by relieving gastroparesis common in migraine attacks.
Botulinum Toxin for Chronic Migraine
- Use botulinum toxin only for chronic migraine with at least 15 headache days monthly.
- It is ineffective for episodic migraine or tension-type headaches and works beyond muscle relaxation.
CGRP Antibodies: Different Targets
- CGRP monoclonal antibodies target either the receptor or ligand with different clinical responses.
- Switching between these targets may help if one treatment fails.