CH09: Headache and Craniofacial Pain Flashcards
Pain from distention of the middle meningeal artery (p. 183)
Back of eye and temporal area
Pain from ICA, ACA and proximal areas radiated to (p. 183)
Eye and orbital regions
Dental or TMJ pain carried by what nerves (p. 183)
Second and third divisions of trigeminal nerve
Location of pain from ICP (p. 183)
Bifrontal and bioccipital
Headache incresed by compression of the jugular vein but unaffected by digital obliteration of the carotid artery (p. 184)
LP hedache, spontaneous low CSF presure headache
How many percent of migraines are bilateral (p. 185)
1/3
Most characteristic feature of migraine (p. 185)
Hemicranial and throbbing
Migraine tends to cease in how many percent of women during pregnancy (p. 186)
75% to 80% in second to third trimester
component of food linked with incidence of migraine (p. 186)
Tyramine
dazzling zigzag lines arranged like the battlements ofa castle
fortification spectra
transient third- nerve palsy with ptosis with or without involvement of pupil in ophthalmoplegic migraine (p. 190)
TRUE
most common gene locus in familial hemiplegic migraine (p. 190)
CACNA1A
second locus of gene in familal hemiplegic migraine (p. 190)
ATP1A2
rare locus of gene in familial hemiplegic migraine (p. 190)
SCNA1
cut off time for status migranosus (p. 191)
72 hours
pathogenesis of migraine (p. 193)
cortical spreading depression, trigeminal hyperexcitability
CGRP haven been investigated as medication for migraine but removed due to this toxicity (p. 196)
liver toxicity
Methysergide treatment rare but serious side effect/ complication (p. 197)
Retroperitoneal and pulmonary fibroses
eponym histamine cephalalgia (p. 197)
Horton’s headache
average length of cluster headache attack (p. 198)
45 minutes
cluster type headache lasting for about 4 minutes; unilateral neuroalgia with conjunctival injection (p. 198)
SUNCT
treatment of cluster type headache (p. 199)
Verapamil 80mg QID
most common variety of headache(p. 199)
Tension- type headache
peculiarity of tension type headache (p. 199)
Only headache to be present almost throughout the day
Ergotamine and propanlol effective for tension type headache (p. 200)
FALSE
treatment for hypnic headache (p. 200)
Lithium carbonate 300mg or Indamethacin 75mg
deep seated, dull, steady, mainly unilateral and maybe accompanied by drowsiness or confusion (p. 201)
Headache from subdural headache
Tentorial hematoma featuer: pain radiating to the (p. 201)
Eye
demarcation of pain of supratentorial and infratentorial tumor headache (p. 201)
Interauricular conference
most sensitive laboratyr indicator of temporal arteritis (p. 202)
CRP
most sensitive imaging for temporal arteritis (p. 202)
Arteriography of external carotid artery
treatment of temporal arteritis (p. 202)
Prednisone 45mg to 60mg/ day
incidence of spinal puncure headache (p. 202)
5%
treatment for catamenial headache (p. 203)
NSAID, sumatriptan, zomitriptan 3 days before menses
Drop of estradiol in this period associated with catamenial headache (p. 203)
late luteal phase of ovulation
Treatment fir exertional headache (p. 203)
Indomethacin
headache with flushing of face and hands, numbeness of fingers (p. 204)
Erythrocyanotic headache
Differentials for erythrocyanotic headache (p. 204)
Mastocytosis, carcinoid tumors, tumors w pancreatic islet, pheochromocytoma
Value of BP when pheochromocytoma is most prominent (p. 205)
Pheochromocytoma correlates with rate of increase than absolute value
physical examination to elicit trochlear headache (p. 207)
Look down and then up
a hint to this disease is inability to feel food in the mouth (p. 209)
Sjogren disease
