Control CS5 headache

Question 1

What percentage of people will have a headache in their lifetime?

Answer 1

95%

Question 2

What percentage of people get migraines?

Answer 2

30%

Question 3

What are some primary headache syndromes?

Answer 3

Migraine
Tension headache
Cluster headache
Primary exercise headache
Stabbing headache
Primary headache associated with sexual activity
Hypnic headache

Question 4

What are some secondary headache syndromes?

Answer 4

Subarachnoid haemorrhage
Intra-cerebral haemorrhage/stroke
Meningocephalitis
Cerebral venous thrombosis
Giant cell arteritis
Tumour with raised ICP
Cervicogenic headache
Idiopathic intracranial hypertension

Question 5

What is the difference between secondary and primary headache syndromes?

Answer 5

Secondary headache syndromes need investigating in secondary care setting and most primary headache syndromes don’t

Question 6

What are red flag symptoms with a headache?

Answer 6

Cognitive effects e.g. photophobia
Seizures
Fever
Visual disturbances
Vomiting
Weight Loss

Question 7

How do we feel pain from a headache?

Answer 7

If a headache is affecting the intracranial vessels and meninges, or pressure increases in the brain then the trigeminal axons supplying it will send the pain signal leading to a headache. The same happens with extracranial vessels which are innervated by the sensory cervical rami (C2-C4)

Question 8

What mneumonic can be used to identify red flag symptoms of headaches?

Answer 8

SNOOP4

Question 9

What does the mneumonic SNOOP4 stand for?

Answer 9

S = systemic symptoms e.g. fever, weight loss, night sweats etc..
N = neurological symptoms like change in mental status or level of consciousness
O = onset is sudden
O = onset after 50 years of age
P = pattern change