Types of Headaches | Primary vs. Secondary | Migraine, Cluster, Tension Headaches

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  • Опубликовано: 27 июл 2024
  • Official Ninja Nerd Website: ninjanerd.org
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Types of Headaches | Primary vs. Secondary | Migraine, Cluster, Tension Headaches. This lecture will include a detailed and systematic approach to understanding the etiology and pathophysiology on primary and secondary headaches. We differentiate between what a primary and secondary headache is, as well as defining the three types of primary headaches. The primary headaches include migraines, cluster, and tension type headaches. We discuss the clinical features that can help to distinguish between these types of headaches and how these headaches are diagnosed and treated. We hope you enjoy this lecture and be sure to support us below!
    Table of Contents:
    0:00 Lab
    0:08 Types of Headaches Introduction
    0:33 Secondary Headaches
    34:46 Etiology and Pathophysiology of Migraines and Cluster / Tension Headaches
    47:10 Clinical Features of Migraines and Cluster / Tension Headaches
    58:16 Diagnosis of Migraines and Cluster / Tension Headaches
    1:03:15 Treatment of Migraines and Cluster / Tension Headaches
    1:21:59 Outro: As Always, Until Next Time
    1:22:06 Comment, Like, SUBSCRIBE!
    References:
    ● Bickley LS, Szilagyi PG, Hoffman RM, Soriano RP, Bates B. Bates' Guide to Physical Examination and History Taking. Philadelphia: Wolters Kluwer; 2021.
    ● Longmore JM. Mini Oxford Handbook of Clinical Medicine. Oxford: Oxford University Press; 2015.
    ● Sabatine MS. Pocket Medicine: the Massachusetts General Hospital Handbook of Internal Medicine. Philadelphia: Wolters Kluwer; 2020.
    ● Williams DA. Pance Prep Pearls. Middletown, DE: Kindle Direct Publishing Platform; 2020.
    ● Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Harrison's Principles of Internal Medicine. New York etc.: McGraw-Hill Education; 2018.
    ● The Pocket Guide to Neurocritical Care: A Concise Reference for the Evaluation and Management of Neurologic Emergencies. Chicago, IL: Neurocritical Care Society; 2017.
    ● Westover MB, DeCroos EC, Awad KM, Bianchi MT. Pocket Neurology. Philadelphia: Wolters Kluwer; 2016.
    ● Hainer BL, Matheson EM. Approach to acute headache in adults.. Am Fam Physician .2013; 87(10): p.682-7. pmid: 23939446.
    ● Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia .2018; 38(1): p.1-211. doi: 10.1177/0333102417738202.
    ● Rizzoli P, Mullally WJ. Headache. Am J Med .2018; 131(1): p.17-24. doi: 10.1016/j.amjmed.2017.09.005.
    ● Le T, Bhushan V, Sochat M, Chavda Y, Zureick A. First Aid for the USMLE Step 1 2018. New York, NY: McGraw-Hill Medical; 2017
    ● Le T, Bhushan V, Chen V, King M. First Aid for the USMLE Step 2 CK. McGraw-Hill Education; 2015
    ● Felten DL, O'Banion MK, Maida ME. Netter's Atlas of Neuroscience. Amsterdam, The Netherlands: Elsevier Health Sciences; 2015
    ● Point of care medical application: Epocrates. Athenahealth. www.epocrates.com/. Accessed July 29, 2021.
    ● Kolding, L.T., Do, T.P., Ewertsen, C., & Schytz, H. (2018). Muscle stiffness in tension-type headache patients with pericranial tenderness. Cephalalgia Reports, 1.
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    #ninjanerd #headaches #migraine

Комментарии • 628

  • @lisayanase7648
    @lisayanase7648 Год назад +114

    As a longtime medical educator, I should come clean that I discovered your channel when reviewing for my board recertification boards (every 10 years), and was so impressed with your teaching style that I now consider you a mentor. When working on a presentation on a new topic I now look to see if you have done the topic and watch for ideas. You are so organized, knowledgeable and clear. We docs are not taught how to do the teaching that we are expected to do, and Love watching a master in the craft!

    • @kenrickmanswell2492
      @kenrickmanswell2492 Год назад +7

      This is one of the most self aware and honest statements I've heard from a medical educator! Thank you for your honesty and your desire to teach well! That means more to us students than most other things!

    • @Greanestbean
      @Greanestbean 3 месяца назад

      So often the lectures in medical school fell short, most medical students in my class didn't even bother watch the recorded lectures but come straight to outside resources. Lecturers who use this style have always been a favorite for students.

  • @virginiaclark4525
    @virginiaclark4525 2 года назад +32

    The more I watch you videos the more I am amazed of your gifted mind/skills. You make the topics look easy to learn and your humor and enthusiasm invites to learning. Please keep teaching the community like this. We need doctors like you to make medicine career enjoyable. Thank you for your effort and enthusiasm!!!

  • @yashaswanipatwa99
    @yashaswanipatwa99 3 года назад +86

    I Bow for you sir 🙌🙌..my degree belongs to you sir..

    • @ju6284
      @ju6284 10 месяцев назад

      Lol

  • @Biscuits3000
    @Biscuits3000 Год назад +8

    I used to avoid your videos because they were so long but I needed more detail on a subject and it is incredibly in depth. Think I found my favorite new A&P tutorials

  • @marcijohnson1744
    @marcijohnson1744 2 года назад +5

    Doc Ninja! I’m so glad you do these! Your work has saved me so many times now I just go right to your site when I start studying. I’ll put a caveat on my degree for you!

  • @ReallyFunReading
    @ReallyFunReading 2 года назад +51

    non-medical student here to learn more about my own migraines- you rock! thanks for making this fun and digestible! I love all the drawings!!

    • @maricelbasal9378
      @maricelbasal9378 2 года назад +1

      If I have strong headache and migraine the only medication I do is. Fresh he genger like 1/4kg and boil it like half of 1.5 Litter of water. If you target a strong taste of genger, I swear in 5 minutes you will feel how you can feel better. Not only headache I can used it to whole my body pain no need any medicine.😊 the more spicy taste the more better

    • @El-wv1tf
      @El-wv1tf 3 месяца назад

      Monoclonal antibody treatment for migraines had changed my life. Seriously. After having 11 and more migraines per month to having one per two months - I can live again. And yes, nothing else worked.

  • @Pro0osh
    @Pro0osh Год назад +1

    Every time I think Zach couldn’t get any better he proves me wrong...
    Thank you!

  • @francinewintzmbbs4977
    @francinewintzmbbs4977 3 года назад +2

    Aww! I really wanted you to do this topic. It's simple, but you make everything easier to recall. Thank you so much.

  • @shaleen1234
    @shaleen1234 3 года назад +17

    You always knows what your viewers/students needs, in advance!!! thanks for all the sessions especially on Neuroscience. Your time and efforts greatly appreciated.

  • @riajanecarrillo7601
    @riajanecarrillo7601 2 года назад +7

    Ninja Nerd Videos are the best! You are an amazing teacher and if it wasn't for your extraordinary ability to explain topics with such ease and passion- I would have lost interest in my physical therapy training. Keep doing what you do because it helps inspire and motivate!

  • @saphirahacuma5116
    @saphirahacuma5116 2 года назад +3

    Brilliant first time I understood headaches. Have attended many headache conferences none makes it simple to understand . They make is too complex and actually the whole pathophysiology now I get it . Will be more informative to my patients

  • @brentcrabtree9334
    @brentcrabtree9334 Год назад +1

    As usual- you saved the day! Have always dreaded the migraine HA lecture, but you have made it so easy! Thanks!

  • @oyewooluwaseun7762
    @oyewooluwaseun7762 2 года назад +44

    Thanks Zach. You are really gifted in teaching. I have learnt medicine in a much relaxed and funny mode. Keep up the good work sir

  • @nehalsingh4071
    @nehalsingh4071 3 года назад +3

    you are such a saviour.with so deep and fully explained concept you make it easy for us to learn quickly and for longer duration effectively.wish i could meet you in real life because you are an inspiration

  • @beinhispresence2279
    @beinhispresence2279 2 года назад +3

    Your videos are perfect, thanks for sharing such a great knowledge and passion with the entire world. Bless you 👍

  • @rydz101
    @rydz101 2 года назад +3

    Great job simplifying things. Wished i had a teacher like you back then

  • @vychum561
    @vychum561 2 года назад +1

    Thank you for making this clearer then the textbook. You and your teams save me.

  • @letmedream111
    @letmedream111 8 месяцев назад +2

    you helped me understand migraine pathophysiology better in the first 10 seconds than the whole week I've studied it. thank you!

  • @krishnamahabir3333
    @krishnamahabir3333 2 года назад +3

    Headache presentations are often confusing and difficult to recall. Your presentation is simple and easier to memorize. Thanks, you are a gifted teacher and very much appreciated.

  • @tonyhylt
    @tonyhylt 2 года назад +2

    Great drawing of snoop dizzle. I like how you look at different approaches, never thought about secondary causes, just the primary.

  • @niovii
    @niovii 3 года назад +3

    I watch all the ads till the end so I can help you back in a way. You deserve the best, keep going!
    - Love from Lebanon

  • @joshwalker3291
    @joshwalker3291 3 года назад +3

    My lecture at Uni was just on headaches, I can’t wait to watch this video!

  • @madhabendudhar4075
    @madhabendudhar4075 3 года назад +1

    your way of prsentation made it easily comprehensible,thank you so much.

  • @NababshahiHog
    @NababshahiHog 3 месяца назад +2

    Dear Zach
    I'm a practicing physician and a medical scientist. I rip through medical literature for bread and butter. I find your presentation succinct, accurate, attractive and super useful for bedside approach. Thank you and keep up the good teaching! Cheers 🥂

  • @mushfiqulhaq2650
    @mushfiqulhaq2650 3 года назад +4

    Bored out of mind in this Lock down with online classes
    Your energy is contagious
    Thanks

  • @sarahwatkins9864
    @sarahwatkins9864 3 года назад

    Excellent session on headaches. Really helpful that pathophysiology, clinical signs and treatment are in the one place.

  • @ryanh.nguyenmd5357
    @ryanh.nguyenmd5357 3 года назад +2

    Wonderful lecture Doc. I like it so much. Thankfully

  • @zukisatshabalala3198
    @zukisatshabalala3198 3 года назад +4

    Have recommended this to my students as we are busy with neuro! Great job

  • @Cherriohearo
    @Cherriohearo 3 года назад +2

    Thanks for this video as a registered and a sufferer of Sporadic Hemiplegic Migraine this is a fantastic understanding of anatomy physiology. 👏

  • @audreyvanwey4583
    @audreyvanwey4583 Год назад

    I have learned so much from you in several of your videos. Thank you so much!

  • @michellesilver9615
    @michellesilver9615 2 года назад +1

    Thanks so much, very helpful and easy to understand!

  • @zeeprinzess
    @zeeprinzess Год назад +2

    I'm watching this video for my personal education, but your neuro videos are giving me chance to pass Neuro. The service you are providing is invaluable. I feel like it's too common that professor's who are most likely very intelligent, just don't know how to teach. You do, the information actually stays in my head when I listen to you.

  • @francescascarionati113
    @francescascarionati113 Год назад

    You're so passionate!! You are the only one who can make neurology so interesting for me! Thank youuuuu!

  • @user-wu4jw2qn5v
    @user-wu4jw2qn5v 6 месяцев назад +1

    You are very good and well organized. Im a NP student and I follow you to get a better, clear understanding of subject matter. I really appreciate all the work you put into this and it shows. Thank you

  • @hevihewa4459
    @hevihewa4459 2 года назад +1

    I love they way you teach, making medicine look like a fun and too easy to learn new information.. thank you really please do more videos about other diseases that we can’t find videos about.🌸🌸🌸

  • @jyothiuddandravu3835
    @jyothiuddandravu3835 3 года назад +2

    You are the best professor in the whole world to me you are always good in conyeing grief of the subject

  • @usmanburaimoh4044
    @usmanburaimoh4044 2 года назад +5

    I can't find the best word to say "Thank you!" Dr Zach. Your teaching pattern is something that the field of medicine needs for now and the future. Thank you!

  • @drironmom6815
    @drironmom6815 2 года назад

    I only wish you were around when I was in medical school many years ago! God bless you Zach!

  • @drsohailzahir2837
    @drsohailzahir2837 2 года назад +1

    Great lecture... Doc... much appreciated ur outstanding efforts... keep up the great work...!!! ❤❤❤

  • @KT-ki7oo
    @KT-ki7oo 3 года назад +3

    Awesome and fun video as usual Ninja Nerds!

  • @shafiealwasifer1871
    @shafiealwasifer1871 2 года назад +1

    you explained everythings I need to know and more literaly thank you (best of the best) 👏👏

  • @lorim2074
    @lorim2074 Год назад

    Just stumbled on your video. Yep, you guessed it, I'm interested in the source of my own migraines. I feel better prepared. I'm about to get an MRI, but more importantly I'm better prepared to talk with my neurologist.
    I am better when I get up, rarely get relieved by laying down, and I either get up and medicate (immitrex mainly), if it doesn't go away. If I stay in bed, it will absolutely get worse.
    I have no idea where I stand given all those topics, symptoms, etc. But I'm grateful to learn about these red flags. I do get auras, always with out the headache. Even days later. I'm female, 68, obese, and lately hypertensive. I am getting stressed, taking care of my mom, a dementia patient, and work full time. No doubt the cause is somewhere in these symptoms known or unknown.
    Great job you did on this lecture. I am a training manager with about 25 years, and you are a fantastic trainer/educator. Thank you!!!

  • @jaredotumfuo9633
    @jaredotumfuo9633 2 года назад +2

    Great lecture as always, Ninja Nerd!
    I'd like to make a little correction, though: The optic chiasm is located directly above the pituitary gland and so pituitary adenomas, which grow upward from the pituitary stalk, compress the optic nerve from below.

  • @UKLady
    @UKLady 3 года назад +3

    As a person with chronic daily cluster headache, thunderclap headaches and trigeminal neuralgia, I truly appreciate this video.
    Thank you for raising awareness!

    • @margaretpeelen3968
      @margaretpeelen3968 5 месяцев назад

      You poor thing . I also have these . Hope you feel
      A bit better everyday. Take care xxx

    • @theeyeofomnipotent
      @theeyeofomnipotent 4 месяца назад

      hav you mri ur head? (mri is better for soft tissues)

    • @UKLady
      @UKLady 4 месяца назад

      @@theeyeofomnipotent yes many times but thank you

  • @MOAEJ
    @MOAEJ 3 года назад +1

    Zach you are the one from whom i can learn for hours

  • @user-ru3pw3bk2k
    @user-ru3pw3bk2k 3 года назад +1

    Thank u so much lively doctor ever.

  • @walterperrell4898
    @walterperrell4898 2 года назад

    I have once again cited you in my writing. You remain undisputed as a viable source. Thank you.

  • @julietracy7507
    @julietracy7507 3 года назад +12

    You’re the best teacher and help me understand the body. Best review of my classes I’ve taken.

  • @user-sx1pr3zd1f
    @user-sx1pr3zd1f 6 месяцев назад

    You brought clarity to this topic, i"ve been able to understand it well. Thank you.

  • @JT-cq2tu
    @JT-cq2tu Год назад

    Love so much for your kindness and help! The angel is here!

  • @davidkuledjawa8447
    @davidkuledjawa8447 3 года назад +16

    Ninja nerd science Prof Zach and his team never disappoint

  • @helenacappellarokobren9317
    @helenacappellarokobren9317 Месяц назад

    you have been my savior for 3 years and I"ll always come back to your lectures

  • @ianojnpc6446
    @ianojnpc6446 2 года назад

    You have the credit for evry information i know in med school.. You are angels ❤️ !

  • @Kay.95.
    @Kay.95. Год назад +1

    An amazing video, as always, Thanks!

  • @bhrigudutt6876
    @bhrigudutt6876 2 года назад +2

    Content was explained nicely and in the best way 😊

  • @stktttptlt
    @stktttptlt Год назад

    The best teacher ever!
    Thank you sir for your kindness

  • @blackmachar2545
    @blackmachar2545 3 года назад +1

    Really educative, thanks for the videos...I appreciate..

  • @carmenrasquinigrassiotofil1517
    @carmenrasquinigrassiotofil1517 2 года назад

    You are amazing!! Thank u so much for this class.

  • @amazingdiscovery6189
    @amazingdiscovery6189 11 месяцев назад

    Your lectures are informative. You are outstanding. Thank you very much for your presentations.

  • @catherinedavis2782
    @catherinedavis2782 3 года назад +7

    You guys are so awesome! Your lessons are always so thorough. Zach is one of the best educators on RUclips by far.

  • @lisad2895
    @lisad2895 3 года назад +1

    Another great video! Your videos are awesome!!

  • @Soldierdoc
    @Soldierdoc 2 года назад

    Wow! Thank you for doing justice to headaches.

  • @archana_182
    @archana_182 3 года назад +88

    When you want a perfectly explanation of any topic related biology you just wacth videos of ninja nerd..realy sir you explain very perfectly keep it up.. we love you and because of you also loving biology also😅

  • @Rockstarcrazy411
    @Rockstarcrazy411 3 года назад +1

    Thank you!! This is so helpful :)

  • @2002drkrish
    @2002drkrish 2 года назад

    Very nice and comprehensive. Thank you so much.

  • @laurahammill1186
    @laurahammill1186 2 года назад

    I totally love the Ninga Nerd. So easy to follow. I'm dyslexic which makes me visual learner. This webpage is the best for me 😍😍😍

  • @soulprovider2751
    @soulprovider2751 2 года назад

    you are such a blessings for us💗. Keep up the good work. Stay safe& stay blessed💗.

  • @khaoula4586
    @khaoula4586 2 года назад

    thank you so sooo much, your channel is such a gem !!!

  • @katrinahull431
    @katrinahull431 3 года назад +1

    Thank you for another great video

  • @doctormushahid6470
    @doctormushahid6470 3 года назад +39

    I was just wandering here and there I was very much bored from my texts but I want to study ...you Zach and your team never disappoint us I want to be someday teacher like you ♥️🥺 you are real gem

  • @mikegox2275
    @mikegox2275 2 года назад +12

    Studying medicine is really tough but with your help, it really makes it easy. Thank you so much Sir.

  • @farquie1
    @farquie1 2 года назад

    Thank you! You're just absolutely outstanding!!!!! Bravo.....💯💯💯💯💯💯💯💯💯💯💯

  • @sarfrazhussain9816
    @sarfrazhussain9816 5 месяцев назад

    You are best Dr zach thank you for these amazing lectures

  • @lindsayholland6218
    @lindsayholland6218 2 года назад

    You did great in teaching that! Hope to see more content.

  • @faybabe
    @faybabe 2 года назад

    Amazing 🥹
    Thank you Zach!

  • @barbi3499
    @barbi3499 3 года назад +2

    Finally get it on the treatment side. Thank u for making the video n perfct timing. I have finals

  • @kalenced8575
    @kalenced8575 4 месяца назад

    I love your way of teaching. Whenever I feel like I can't study anymore, your videos give me motivation..thank you

  • @euniceazeez8917
    @euniceazeez8917 2 года назад +1

    You are awesome and I thank God for your knowledge, understanding and ability to teach a layman clearly. l thank you! I have been having all kinds of headaches all my life, now l know what to look for...

    • @iamyouare4308
      @iamyouare4308 2 года назад

      I've suffered from headaches all my life aswell I feel your pain 😞

  • @npt0112
    @npt0112 3 года назад +1

    I love your video. Thank you so much.

  • @spj4843
    @spj4843 Год назад

    Amazing lecture! Saving lives as usual

  • @Paracetamol325mg
    @Paracetamol325mg 7 месяцев назад

    My seniors advised me to follow your channel. I’m late, but glad I’m watching them now

  • @MarlboroughAnne
    @MarlboroughAnne 2 года назад

    Thank you. I have watched four of your videos today. Liked, and subscribed.

  • @lilianp5917
    @lilianp5917 2 года назад

    Thank you very much!!! Easy and simple!!!

  • @geetashah3132
    @geetashah3132 Год назад

    your teaching and knowledge is awesome, Thank you for sharing your knowledge it is really helpful. Your writing and drawings are so clear to understand. Thank you.

  • @goldenrose4448
    @goldenrose4448 2 года назад

    Thank you Zach ,,,,
    Such an aMazing explanation

  • @abedakoum53
    @abedakoum53 Год назад

    amazing videos man, you cut down my studying time by 1/3, ninja nerd is a God

  • @Amir-rl6bv
    @Amir-rl6bv 2 года назад

    thank you it was very helpful, Much appreciated.

  • @anzorikvirikashvili6832
    @anzorikvirikashvili6832 Год назад

    Thanks a lot for a comprehensive lecture

  • @reewang7271
    @reewang7271 2 года назад

    Thanks! Excellent explanation

  • @StyleshStorm
    @StyleshStorm Год назад

    One of the most helpful videos I ever did see

  • @parsaaghamohammadi3428
    @parsaaghamohammadi3428 3 года назад +13

    Very useful video and I learned a lot, really nice flow to it. Just had a question about the clinical diagnosis of tension headaches, you mentioned they shouldn't have photo and phono- phobia but then the third point you said they have increased sensitivity to light and sound. How are these different?

  • @davidatinker3975
    @davidatinker3975 5 месяцев назад

    You are a Godsend! Thanks for doing this.

  • @NRJxMaRoKkO91
    @NRJxMaRoKkO91 2 года назад

    incredible video, just thank you from France !

  • @mrsamandabernier
    @mrsamandabernier 3 года назад +3

    Amazing as always 🤩❣️

  • @Sleepyhead54
    @Sleepyhead54 3 года назад +1

    Dude, that sleeve is way nice. Hell of a teacher too. Keep it up!

  • @PurplehlovesM03
    @PurplehlovesM03 Год назад

    Wow. I learned alot. Watching your video. I have been living with migraines since i was 17 I'm now 38. I also had a concussion in 2017.

  • @user-oe2yi6up8x
    @user-oe2yi6up8x 2 года назад +4

    Hello Professor. You teach superbly. Is there any chance you could present a POTS session please?
    Thank you from the UK. Eve

  • @SidneySaint-Hilaire
    @SidneySaint-Hilaire 11 месяцев назад

    Thank you!!! This is amazing

  • @hajaralhajri7482
    @hajaralhajri7482 2 года назад

    one of the best teachers... thank u

  • @wissaleloulji5220
    @wissaleloulji5220 Год назад

    you guys are the best , can't be gratful enough