Headache and migraine: theory, practice, and challenges

Published on October 31, 2023   33 min
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0:00
Hello. Thank you for this opportunity to speak about migraine. This is a series of 16 or so lectures about migraine. It's a little different from the usual textbook presentation. We're going to do a much deeper dive into migraine and headache from the perspective of how best to understand the phenomenon, how to manage it, and how to deal with those unusual patients that are outside the parameters of the usual treatment guidelines. My name is Rob Cowan. I'm a Higgins Professor of Neurology and Neurosciences at Stanford University and the founding director of the headache program there. The title of my presentation is Migraine from 30,000 feet.
0:46
I have no relevant disclosures, but my other activities are listed here.
0:52
We're going to begin by thinking of this as a thought experiment. In this talk, I won't be going through diagnostic criteria or treatment options, rather we are going to think about migraine and head pain from a philosophical perspective. I think it'll be very instructive to frame the challenges that we see in clinical practice with headaches.
1:15
There is a difference between theory and practice. A wonderful definition comes from Bertrand Russell that "Science is what you know. Philosophy is what you don't know." Theory is everything exclusive of the technical precepts and practical arts. Other talks will go through treatment strategies, treatment options, and things like that. We're going to talk about the philosophy of migraine, to begin with. I think there's a few things that we all,
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Headache and migraine: theory, practice, and challenges

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