Neurology · UKMLA & AKT
Migraine
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise migraine — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Migraine unfolds across four phases - not every patient experiences all four.
- Prodrome - hours before: mood change, yawning, food cravings
- Aura (migraine with aura only) - visual fortification spectra / scotoma, sensory march, dysphasia; builds over 5-60 min; caused by cortical spreading depression (CSD)
- Headache - unilateral, throbbing, moderate-severe, worsened by activity, nausea/vomiting, photophobia, phonophobia; 4-72 hours
- Postdrome - fatigue, cognitive slowing after headache resolves
COCP is contraindicated in migraine with aura due to synergistically increased stroke risk.
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