4-2 International Headache

Question 1

3 types of probable migraine

Answer 1

1 Probable migraine without aura
2 Probable migraine with aura
5 Probable chronic migraine

Question 2

chronic migraine duration

Answer 2

> =15 d/mo for >3 mo

Question 3

types of tension type headaches

Answer 3

infrequent episodic
frequent episodic
chronic
probable

Question 4

Headache has 2 of the following characteristics:

1. bilateral location
2. pressing/tightening (non-pulsating) quality
3. mild or moderate intensity
4. not aggravated by routine physical activity

NO PHOTOPHOBIA/PHONOPHOBIA

Answer 4

Infrequent episodic TTH

Question 5

Same as infrequent episodic but (>=12 and <180 d/y)

Answer 5

FREQUENT episodic TTH

Question 6

Tension type criteria but with duration >180 d/y for >3 mo; no pulsating

Answer 6

Chronic TTH

Question 7

1. ipsilateral conjunctival injection and/or lacrimation
2. ipsilateral nasal congestion and/or rhinorrhoea
3. ipsilateral eyelid oedema
4. ipsilateral forehead and facial sweating
5. ipsilateral miosis and/or ptosis
6. a sense of restlessness or agitation

Answer 7

Cluster Headache

Question 8

Severe or very severe unilateral orbital, supraorbital

and/or temporal pain lasting 15-180 min if untreated

Answer 8

Cluster Headache

Question 9

exception

Answer 9

TACs (trigeminal autonomic cephalalgias)

Question 10

same with Cluster Headache but with Attacks are prevented completely by therapeutic doses
of indomethacin

Answer 10

PAROXYSMAL hemicrania

Question 11

ONLY: Pain is accompanied by ipsilateral conjunctival

injection and lacrimation; 5-240 s ATTACKS

Answer 11

Short-lasting Unilateral

Neuralgiform headache

Question 12

Primary headache

associated with sexual activity

Answer 12

PREORGASMIC

ORGASMIC

Question 13

(“explosive”) headache, OCCURS at orgasm

Answer 13

orgasmic headache

Question 14

Dull ache in the head; Occurs during sexual activity and increases with
sexual excitement

Answer 14

Preorgasmic headache

Question 15

headache Develops only during sleep, and awakens patient

Answer 15

Hypnic headache

Question 16

Severe head pain; Does not recur regularly; sudden onset

Answer 16

Primary thunderclap

headache

Question 17

daily and continuous, without pain-free periods; ; Complete response to therapeutic doses of indomethacin

Answer 17

hemicrania continua

Question 18

Headache develops within 7 d after head trauma or

after regaining consciousness following head trauma

Answer 18

Acute post traumatic

Question 19

sudden and significant

acceleration/deceleration movement of the neck)

Answer 19

Acute Headache a/t whiplash injury

Question 20

swollen tender scalp artery

Answer 20

a/t giant cell arteritis

Question 21

white matter changes on MRI T2WI

Answer 21

CADASIL

Question 22

Headache improves after withdrawal of CSF; aggravated by coughing or straining

Answer 22

a/t IIH