1. Headache Flashcards
describe tension headache symptoms?
bilateral pressing quality (not-pulsating)
pathophysiologic cause of migraine?
abnormal instability of certain cells in the brainstem which spread peripherally and stimulate trigeminal system
describe basilar migraine?
type of migrain with aura and neuro symptoms (diplopia, atxia, etc.)
cause of hereditary motor and sensory neuropathies?
mutations in genes w formation and maintenance of myelin
hw to diagnose IIH w papilledema?
MRI
hw to diagnose Giant cell arteritis? definitive/
ESR or CRP. temporal artery biopsy is definitive
prophylactic med for cluster headaches? when to start?
Steroids
only start at onset of cluster
hw is classic migraine different from common migraine?
classic has aura
condition with papilledema?
IIH
Are tension headaches associated with nausea and vomiting?
No, but migraines are
where are cluster headaches derived?
hypothalamus
ligament and nerve causing carpal tunnel syndrome?
median nerve. transverse carpal ligament
3 diagnostic criteria of migraine?
5 attacks
- lasting 4-72 hours untreated
- 2 of the following: unilateral, pulsating, moderate-severe pain, aggravated by routine activity
- 1 of the following: nausea, vomiting, photophobia, phonophobia
tx of choice for IIH?
weight loss
Most prevelant headache syndrome?
Tension headache
In wt people is idiopathic intracranial hypertension seen?
Women, mostly overweight
cause of giant cell arteritis?
cell-mediated immunitiy
When should daily migraine prophylactic therapies be considered?
migraines causing functional impairment at least 3 times per month
Clinical features of cluster headache?
Severe unilateral stabbing periorbital or temporal pain.
Most effective abortive agent for cluster headache?
Oxygen
headache associated w ptosis?
cluster headache
Where is pain in cluster headaches?
periorbital or temporal
