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Acute & Preventative Treatment of Migraine - Miguel Cortel-Leblanc, MD, MHA, FRCPC

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Session Resources

Robblee, J., Minen, M. T., Friedman, B. W., Cortel-LeBlanc, M. A., Cortel-LeBlanc, A., & Orr, S. L. (2026). 2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies. Headache, 66(1), 53–76. https://doi.org/10.1111/head.70016

https://pubmed.ncbi.nlm.nih.gov/41321235/

Pozo-Rosich, P., Caronna, E., Sacco, S., Peres, M. F. P., Ashina, S., Özge, A., Ahmed, F., Velez-Jimenez, M. K., Jenkins, B., Wang, S. J., Schwedt, T. J., Sakai, F., Levin, M., Burstein, R., Terwindt, G. M., & Tassorelli, C. (2025). Early treatment in migraine - A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society. Cephalalgia : an international journal of headache, 45(10), 3331024251387721. https://doi.org/10.1177/03331024251387721

https://pubmed.ncbi.nlm.nih.gov/41134822/

Medrea, I., Cooper, P., Langman, M., Sandoe, C. H., Amoozegar, F., Hussain, W. M., Bradi, A. C., Dawe, J., Guay, M., Perreault, F., Reid, S., Todd, C., Skidmore, B., & Christie, S. N. (2024). Updated Canadian Headache Society Migraine Prevention Guideline with Systematic Review and Meta-analysis. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1–23. Advance online publication. https://doi.org/10.1017/cjn.2024.285

https://pubmed.ncbi.nlm.nih.gov/39506371/

Medrea, I., Cooper, P., Lagman-Bartolome, A. M., Sandoe, C. H., Amoozegar, F., Hussain, W. M., Bradi, A. C., Dawe, J., Guay, M., Perreault, F., Reid, S., Todd, C., Skidmore, B., & Christie, S. N. (2025). Updated Canadian Headache Society Migraine Prevention Guideline with Systematic Review and Meta-analysis - CORRIGENDUM. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1. Advance online publication. https://doi.org/10.1017/cjn.2025.10381

https://pubmed.ncbi.nlm.nih.gov/40842385/

Øie, L. R., Wergeland, T., Salvesen, Ø., Gravdahl, G. R. B., Aschehoug, I., Gulati, S., Bj Rk, M. H., Lundqvist, C., Alstadhaug, K. B. R., Winsvold, B. S., Aamodt, A. H., Larsen, I. C., B E, M. G., Braschinsky, M., Müller, B., Vetvik, K. G. T., Müller, K. I., Aaseth, K., Khanevski, A. N., Øvrevik, A. B., … Tronvik, E. (2025). Candesartan versus placebo for migraine prevention in patients with episodic migraine: a randomised, triple-blind, placebo-controlled, phase 2 trial. The Lancet. Neurology, 24(10), 817–827. https://doi.org/10.1016/S1474-4422(25)00269-8

https://pubmed.ncbi.nlm.nih.gov/40975098/

Migraine Tracker app - Migraine Canada

Ottawa Headache Centre

SNOOP Mnemonic (Courtesy of Dr. Dan James posted in the chat)

Systemic symptoms including fever
Neoplasm history
Neurologic deficit (including decreased consciousness)
Onset is sudden or abrupt
Older age (onset after age 50 years)
Pattern change or recent onset of new headache
Positional headache
Precipitated by sneezing, coughing, or exercise
Papilledema
Progressive headache and atypical presentations
Pregnancy or puerperium
Painful eye with autonomic features
Post-traumatic onset of headache
Pathology of the immune system such as HIV
Painkiller (analgesic) overuse (eg, medication overuse headache) or new drug at onset of headache

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January 21

Tension Type Headache - Michelle Laneuville, MD, FRCPC

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February 4

Managing Post Concussion Headache - Jason Taddeo, PT