Approach to Neuro Complaints

Question 1

Describe Tension headaches.

Answer 1

• Lasts minutes to days
• Pressure waxes and wanes and it is bilateral and starts at posterior head and radiates anteriorly

Question 2

Migraine Headaches

Answer 2

• 4-72 hours
• Unilateral in adults, kids can have bilateral
• May have aura gradual onset with increassing pain, pulsatile and severe

Question 3

Cluster Headaches

Answer 3

• 15 min to 3 hours
• Typically involves eye and or temple region always unilateral
• Quick onset, sharp stabbing pain high intensity, tearing of eye, ice pick headache

Question 4

What is SNOOP

Answer 4

• Systemic symptoms illness or conditions
• Neur symptorms or abnormal signs
• Older onset Particularly 50 yrs older
• Onset sudden (thunderclap)
• Papilledema, Precipitated by valsalva, Positional provocation, Progression or change in HA history

Question 5

What is Benign Paroxysmal Positional Vertigo?

Answer 5

• Transient symptoms of vertigo due to canalith movement in the semicicrular canals
• Better with no movement

Question 6

What is Menier’s Disease?

Answer 6

• Sponataneous vertigo symptoms associated with unilateral hearing loss caused by increased endolymphatic pressure in inner ear

Question 7

Otosclerosis?

Answer 7

• Bony overgrowth of stapes resulting in spontaneous vertigo and conductive hearing loss

Question 8

Vestibular migraine?

Answer 8

• Vertigo symptoms associated with migraines

Question 9

Cerebrovascular disease>

Answer 9

Vertigo symptoms associated with arterial occlusion

Question 10

Mass at cerebellopontine angle?

Answer 10

• Schwannoma, brainstem glioma, medulloblastoma, neurofibromatosis

Question 11

What is TiTrATE evaluation of dizziness?

Answer 11

• Timing of symptom O and D
• Triggers
• And a Targeted Exam

Question 12

What is Dix Hallpike Maneuver

Answer 12

Testing to see if there is dizziness with positional changes, testing for Meniers disease