Différences entre versions de « Céphalées »
De médecine.top
| Ligne 27 : | Ligne 27 : | ||
* Headache triggered by exertion, sexual activity, or Valsalva maneuver | * Headache triggered by exertion, sexual activity, or Valsalva maneuver | ||
| − | == Thrombose d'un sinus intra-crânien == | + | === Céphalées en coup de tonnerre === |
| + | ==== Hémorragie sous-arachnoïdienne ==== | ||
| + | ==== Thrombose d'un sinus intra-crânien ==== | ||
* Treatment with low-molecular-weight heparin results in lower hospital mortality than treatment with unfractionated heparin. Anticoagulation with warfarin is generally continued for a minimum of 3 to 6 months. Extended anticoagulation should be considered in those with severe hypercoagulable states, myeloproliferative disorders, or recurrence and perhaps in those with idiopathic thrombosis. | * Treatment with low-molecular-weight heparin results in lower hospital mortality than treatment with unfractionated heparin. Anticoagulation with warfarin is generally continued for a minimum of 3 to 6 months. Extended anticoagulation should be considered in those with severe hypercoagulable states, myeloproliferative disorders, or recurrence and perhaps in those with idiopathic thrombosis. | ||
Version du 12 mai 2020 à 10:43
Céphalées primaires
Migraine
- Unilatérale, pulsatile
- (Assez) sévère
- Symptômes végétatifs ++
- Anorexie, vomissements
- Photo/phonophobie
- Augmentation des douleurs avec mouvements de la tête
- Patient veut se retirer dans l’isolement
- Formes épisodiques vs chronique
- 20% avec «aura»: symptômes neurologiques focaux progressifs sur 5-20 min.[1]
Céphalées de tension
Cluster headache
Névralgie du trijumeau
Céphalées secondaires
Red flags
- First or worst headache
- Abrupt-onset or thunderclap attack
- Progression or fundamental change in headache pattern
- Abnormal physical examination findings
- Neurologic symptoms lasting longer than 1 hour
- New headache in persons younger than 5 years or older than 50 years
- New headache in patients with malignancy, coagulopathy, immunosuppression, or pregnancy
- Association with alteration in or loss of consciousness
- Headache triggered by exertion, sexual activity, or Valsalva maneuver
Céphalées en coup de tonnerre
Hémorragie sous-arachnoïdienne
Thrombose d'un sinus intra-crânien
- Treatment with low-molecular-weight heparin results in lower hospital mortality than treatment with unfractionated heparin. Anticoagulation with warfarin is generally continued for a minimum of 3 to 6 months. Extended anticoagulation should be considered in those with severe hypercoagulable states, myeloproliferative disorders, or recurrence and perhaps in those with idiopathic thrombosis.
Références
- ↑ Cours médecine Prof Philippe Ryvlin et Patrik Michel, UNIL CHUV
