Brain Injury

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Complementary Integrative Rehabilitation Medicine

Migraines

Friday, September 24, 2021

4:50 PM – 5:40 PM ET

Presenter(s)

Miriam Segal, MD

Program Director, Brain Injury Medicine Fellowship
MossRehab, Albert Einstein Medical Center
Elkins Park, Pennsylvania

Presentation Slides Play Presentation

In this instructional course, learners will understand the framework for diagnosing and treating various headache endotypes resulting from traumatic head and neck injuries. Multiple speakers will be discussing the pathophysiology and treatment of the following headache endotypes: 1. Tension-type headaches, 2. Craniofacial neuralgias, 3. Cervicogenic headaches, and 4. Migraines. We will be discussing treatment options, well-known and newer treatment options, both pharmacologic and non-pharmacologic. For example, we will review in-depth a relatively novel class of medications, the CGRP-antagonists. We will demonstrate procedures and identify anatomy on a head and neck model for procedures during the breakout group.

Learning Objectives:

Understand the classification and diagnostic criteria for migraine and for post traumatic headache.
Appreciate the functional impact of migraine headaches in the world.
Utilize a quick screening tool for migraine headache
Recognize factors and mechanisms contributing to a migraine attack as well as their anatomic sites and how they correlate with migraine symptoms. Furthermore, recognize how these might be impacted by TBI.
Discuss various preventative and abortive therapies, including recently emergent treatments and neuromodulation