Neurology · UKMLA & AKT
Migraine
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
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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