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Neurologia Rodri > 5) Cefaleas > Flashcards

5) Cefaleas Flashcards

1
Q

cefalea bifrontal / occipital opresiva

en bincha u HOLOCRANEANA

A

C. Tensional

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2
Q

TTO C. Tensional

A

Aines - Rel Musculares

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3
Q

cefalea pulsatil, intensa y HEMICRANEANA
NAUSEAS Y VOMITOS
FOTO/FONOFOBIA
c/s Aura

A

Migraña

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4
Q

Migraña comun

A

S Aura

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5
Q

Migraña Clasica

A

C aura

Asociada a sintomas focales

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6
Q

Migraña complicada

A

cuando deja secuelas neurologica

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7
Q

Cefalea UNILATERAL DE CORTA DURACION
20-90min
PERIORBITARIA
sintomas AUTONOMICOS

A 
TRIGEMINO AUTONOMICA
RACIMOS
CLUSTER
DE HORTON
EN SALVAS
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8
Q

TTo migraña

A

Aines
Triptanes
Ergotamina

Prev Propanolol
flunarizina
ac valproico

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9
Q

sintomas autonômicos

del cluster

A 
inyección conjuntiva
epifora
congestion nasal 
rinorea
mitosis
ptosis
diaforesis
edema de parpados
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10
Q

cuantos ataques hay en el cluster

A

hasta 8

CICLOS DE 8 A 12 SEMANAS`

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11
Q

TTO DE CLUSTER

A

O2
sumatriptan
ergotamina

Prev
indometacina
ergotamina - corticoides
verapamilo

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12
Q

dolor paroxistico, recurrente de segundo a minutos

Quemante y lacerante

A

Neuralgia del trigemino

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13
Q

tto de la NDT

A

carbamacepina - Gabapentina

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14
Q

fiebre + claudicación mandibular
amaurosis fugaz
tension en musculatura temporal

A

ARTERITIS DE LA TEMPORAL O DE CELULAS GIGANTES

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15
Q

Tto de la arteritis de la temporal

A

Predisona 60mg/dia

descenso 25% semanal

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16
Q

Cefalea en estallido
La peor cefalea de su vida
C/S perdida del estado de conciencia

A

H. Subaracnoidea

17
Q

diagnostico de HSA

A

TC dentro de las 6 hrs
si TC normal PL

GoldStandar Arteriografia digital

18
Q

Clasificación de Hunt y Hess

grado 2

A

Cefalea leve/moderada
rigidez de nuca
sin deficit neurologico focal

19
Q

Clasificación de Hunt y Hess

grado 3

A

Confusion, letargo, deficit neurologico focal lefe

ademas parálisis de Par Craneal

20
Q

Clasificación de Hunt y Hess

grado 4

A

Estupor o Hemiparesia moderada a grave

21
Q

Clasificación de Hunt y Hess

grado 5

A

Coma, aspecto moribundo

22
Q

TTO HSA

A 
ABCD
ANALGESIA > MORFINA?
TTO DE LA CAUSA
normotension
nimodipina durante 21 dias
23
Q

Complicaciones de HSA

A

RESANGRADO
HIDROCEFALIA
CONVULSIONES
VASOESPASMO 46%

24
Q

Vasoespasmo HSA

características

A

Se presenta entre 4-12
factor pronostico

angiografia goldstandard

25
Q

medidas que favorecen la no aparición de vasoespasmo

A

TRIPLE H
hipervolemia
hipertensión
hemodilucion

Neurologia Rodri (12 decks)

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