1. Headache Flashcards

1
Q

describe tension headache symptoms?

A

bilateral pressing quality (not-pulsating)

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2
Q

pathophysiologic cause of migraine?

A

abnormal instability of certain cells in the brainstem which spread peripherally and stimulate trigeminal system

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3
Q

describe basilar migraine?

A

type of migrain with aura and neuro symptoms (diplopia, atxia, etc.)

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4
Q

cause of hereditary motor and sensory neuropathies?

A

mutations in genes w formation and maintenance of myelin

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5
Q

hw to diagnose IIH w papilledema?

A

MRI

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6
Q

hw to diagnose Giant cell arteritis? definitive/

A

ESR or CRP. temporal artery biopsy is definitive

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7
Q

prophylactic med for cluster headaches? when to start?

A

Steroids

only start at onset of cluster

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8
Q

hw is classic migraine different from common migraine?

A

classic has aura

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9
Q

condition with papilledema?

A

IIH

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10
Q

Are tension headaches associated with nausea and vomiting?

A

No, but migraines are

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11
Q

where are cluster headaches derived?

A

hypothalamus

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12
Q

ligament and nerve causing carpal tunnel syndrome?

A

median nerve. transverse carpal ligament

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13
Q

3 diagnostic criteria of migraine?

A

5 attacks

  1. lasting 4-72 hours untreated
  2. 2 of the following: unilateral, pulsating, moderate-severe pain, aggravated by routine activity
  3. 1 of the following: nausea, vomiting, photophobia, phonophobia
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14
Q

tx of choice for IIH?

A

weight loss

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15
Q

Most prevelant headache syndrome?

A

Tension headache

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16
Q

In wt people is idiopathic intracranial hypertension seen?

A

Women, mostly overweight

17
Q

cause of giant cell arteritis?

A

cell-mediated immunitiy

18
Q

When should daily migraine prophylactic therapies be considered?

A

migraines causing functional impairment at least 3 times per month

19
Q

Clinical features of cluster headache?

A

Severe unilateral stabbing periorbital or temporal pain.

20
Q

Most effective abortive agent for cluster headache?

A

Oxygen

21
Q

headache associated w ptosis?

A

cluster headache

22
Q

Where is pain in cluster headaches?

A

periorbital or temporal