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Neurología > Cefalea De Horton > Flashcards

Cefalea De Horton Flashcards

1
Q

Características de cefalea de horton

A 
Unilateral
Pulsatil
En región orbitaria o frontal
Duración de 15 min a 180 min
\+ síntomas autonómicos
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2
Q

Síntomas autonómicos

A 
Lagrimeo
Inyección conjuntival
Congestión nasal
Rinorrea
Congestión óptica
Anhidrosis
Ptosis
Miosis
Edema palpebral
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3
Q

Tratamiento profiláctico:

A

prednisona 60 mg/día
Verapamilo 240-950mg/día
Carbonató de Litio 600-900 mg/día
Antiepilepticos topiramato 25-100

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4
Q

Tratamiento de la crisis de enfermedad de horton

A

Sumatriptan

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5
Q

Dosis de sumatriptan subcutáneo

A

6mg

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6
Q

Irradiación del dolor en enfermedad de H.

A 
Cien
Encías
Dientes
Cuello 
*ipsilateral
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7
Q

Forma crónica de enf de Horton

A 
Puede evolucionar de una episódica o una de inicio crónico
No evoluciona en racimos 
Dolor no tan intenso
No hay periodos de remisión 
Déficit terapeutico
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8
Q

Tratamiento de crisis exclusivamente nocturnas de enf de Horton

A

Triptan

Ergotamina

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Neurología (16 decks)

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