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BRAIN BATTACK > CH09: Headache and Craniofacial Pain > Flashcards

CH09: Headache and Craniofacial Pain Flashcards

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1
Q

Pain from distention of the middle meningeal artery (p. 183)

A

Back of eye and temporal area

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2
Q

Pain from ICA, ACA and proximal areas radiated to (p. 183)

A

Eye and orbital regions

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3
Q

Dental or TMJ pain carried by what nerves (p. 183)

A

Second and third divisions of trigeminal nerve

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4
Q

Location of pain from ICP (p. 183)

A

Bifrontal and bioccipital

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5
Q

Headache incresed by compression of the jugular vein but unaffected by digital obliteration of the carotid artery (p. 184)

A

LP hedache, spontaneous low CSF presure headache

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6
Q

How many percent of migraines are bilateral (p. 185)

A

1/3

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7
Q

Most characteristic feature of migraine (p. 185)

A

Hemicranial and throbbing

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8
Q

Migraine tends to cease in how many percent of women during pregnancy (p. 186)

A

75% to 80% in second to third trimester

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9
Q

component of food linked with incidence of migraine (p. 186)

A

Tyramine

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10
Q

dazzling zigzag lines arranged like the battlements ofa castle

A

fortification spectra

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11
Q

transient third- nerve palsy with ptosis with or without involvement of pupil in ophthalmoplegic migraine (p. 190)

A

TRUE

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12
Q

most common gene locus in familial hemiplegic migraine (p. 190)

A

CACNA1A

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13
Q

second locus of gene in familal hemiplegic migraine (p. 190)

A

ATP1A2

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14
Q

rare locus of gene in familial hemiplegic migraine (p. 190)

A

SCNA1

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15
Q

cut off time for status migranosus (p. 191)

A

72 hours

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16
Q

pathogenesis of migraine (p. 193)

A

cortical spreading depression, trigeminal hyperexcitability

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17
Q

CGRP haven been investigated as medication for migraine but removed due to this toxicity (p. 196)

A

liver toxicity

18
Q

Methysergide treatment rare but serious side effect/ complication (p. 197)

A

Retroperitoneal and pulmonary fibroses

19
Q

eponym histamine cephalalgia (p. 197)

A

Horton’s headache

20
Q

average length of cluster headache attack (p. 198)

A

45 minutes

21
Q

cluster type headache lasting for about 4 minutes; unilateral neuroalgia with conjunctival injection (p. 198)

A

SUNCT

22
Q

treatment of cluster type headache (p. 199)

A

Verapamil 80mg QID

23
Q

most common variety of headache(p. 199)

A

Tension- type headache

24
Q

peculiarity of tension type headache (p. 199)

A

Only headache to be present almost throughout the day

25
Q

Ergotamine and propanlol effective for tension type headache (p. 200)

A

FALSE

26
Q

treatment for hypnic headache (p. 200)

A

Lithium carbonate 300mg or Indamethacin 75mg

27
Q

deep seated, dull, steady, mainly unilateral and maybe accompanied by drowsiness or confusion (p. 201)

A

Headache from subdural headache

28
Q

Tentorial hematoma featuer: pain radiating to the (p. 201)

A

Eye

29
Q

demarcation of pain of supratentorial and infratentorial tumor headache (p. 201)

A

Interauricular conference

30
Q

most sensitive laboratyr indicator of temporal arteritis (p. 202)

A

CRP

31
Q

most sensitive imaging for temporal arteritis (p. 202)

A

Arteriography of external carotid artery

32
Q

treatment of temporal arteritis (p. 202)

A

Prednisone 45mg to 60mg/ day

33
Q

incidence of spinal puncure headache (p. 202)

A

5%

34
Q

treatment for catamenial headache (p. 203)

A

NSAID, sumatriptan, zomitriptan 3 days before menses

35
Q

Drop of estradiol in this period associated with catamenial headache (p. 203)

A

late luteal phase of ovulation

36
Q

Treatment fir exertional headache (p. 203)

A

Indomethacin

37
Q

headache with flushing of face and hands, numbeness of fingers (p. 204)

A

Erythrocyanotic headache

38
Q

Differentials for erythrocyanotic headache (p. 204)

A

Mastocytosis, carcinoid tumors, tumors w pancreatic islet, pheochromocytoma

39
Q

Value of BP when pheochromocytoma is most prominent (p. 205)

A

Pheochromocytoma correlates with rate of increase than absolute value

40
Q

physical examination to elicit trochlear headache (p. 207)

A

Look down and then up

41
Q

a hint to this disease is inability to feel food in the mouth (p. 209)

A

Sjogren disease

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