Thread by @headsUPmigraine

Med Schools offer almost no instruction in the world's #1 cause of working-age disability. It'd be like Dental Schools not covering cavities.

7 words diagnose most #migraine: Recurrent #pain w/ hypersensitivity &/or nausea. 60% of patients go undiagnosed. #MedicalTwitter #PCP

#Migraine is PROGRESSIVE. A 40% diagnostic rate condemns some to lifelong #disability: Late diagnosis & ineffective treatment of acute #migraine are leading risks for continuous migraine. #PCP #MedicalTwitter mdedge.com/jcomjournal/ar…

🔴HOW DOES THIS CHILD GO 8 YEARS WITHOUT A DIAGNOSIS? She has textbook ICHD-3 #migraine! 1>sudden hypersensitivity (smell) 2>throbbing #pain 3>nausea 4>need for bedrest

She might've avoided #disability w/ early diagnosis & treatment. #PCP blogs.webmd.com/my-experience/…

🟡#SinusHeadache is accompanied by symptoms of infection like fever or pus. 90% of people who think they have sinus #headache have #migraine. 40% of people DIAGNOSED w/ sinus headache have migraine.

Recurrent #pain accompanied by hypersensitivity &/or nausea is likely migraine.

.@WHO used objective metrics to determine the #disability classes used in the Annual Global Burden of Disease Reports. Severe #migraine ranks in the highest class alongside active psychosis & terminal-stage #cancer. Early diagnosis & effective treatment can protect people.

#Headache is #migraine's most common symptom, but it's a highly variable neurological disease, & people who don't have headaches can be disabled by migraine. ICHD-3 notes this, but still classifies the disease as a headache disorder. See the APPENDIX, too. ichd-3.org/1-migraine/

.@PeterGoadsby et al's "Pathophysiology of #Migraine: a Disorder of Sensory Processing" (2017) is a magisterial, accessible review of migraine research. With 883 references, it's been indispensable in our advocacy. ncbi.nlm.nih.gov/pmc/articles/P…

Goadsby et al: The “most disabling of all neurological disorders," #migraine is "largely accepted to be an inherited tendency for the brain to lose control of its inputs." 1/2

Goadsby et al: "At its core, #migraine is a disorder of the brain caused by a dysfunction in areas ... that alter the perception of sensory inputs & cause other neurological deficits.” 2/2

1 in 7 people worldwide has #migraine. Make protecting us from #disability a priority.

@NitaGhei #tb @JillPiggott #MedicalTwitter #PrimaryCare #PCP #obgyn #neurology #MedSchool
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