ECR Table Headaches

Question 1

What are three types of primary headaches

Answer 1

Cluster
Tension
Migraine

Question 2

Which type of primary headaches have aura?

Answer 2

Migraines have with aura, without aura, or variaents

Question 3

What is the process of MIGRAINES?
What is its possbile origin?
What does it lead do?

Answer 3

primary neuronal dysfunction

possibility of brainstem origin

Causing imbalance of excitatory and inhibitory NT and affecting carniovascular modulation

Question 4

What is the location of migraines

Answer 4

unilateral in 70%

Bifrontal or global in 30%

Question 5

What is the quality and severity of migraines

Answer 5

Throbbing or aching

variable in severity

Question 6

What is the timing of migraines
Onset / Peak?
Duration?
Course?

Answer 6

Onset: fairly rapid, reachin peak in 1-2 hours

Duration: 4-72 hours

Course:Peak incidence early to mid-adolescensce;

Question 7

Prevelance of migraines

Answer 7

6% in men
15% in women

recurrent–usualy monthy but weekly in 10%

Question 8

Associated factors or migraine

Answer 8

Nausea, vomiting, photophobia, phonoboia, viaul auras flickering (zigzagging lines), motor auras affecting ahdn or arm, sensory auras (umbness, tingling usualy precede atack)

Question 9

Factors that aggravate or provoke Migraine

Answer 9

Alochol
Certain foods
tension may provoke

More common premenstrually; aggravated by noise adn bright light

Question 10

Factors that relieve Migraine

Answer 10

Quiet, dark room; sleepl

soetimes transient relef from pressure on involved artery if early in the course

Question 11

Process of TENSION headache

Answer 11

unclear–muscle contraction or vasoconstriction unlikely

Question 12

Location of tension headache

Answer 12

Usually bilateral

May be generalized or localized to BCK of HEAD and upper neck or FRONTOTEMPORAL AREA
or to frontotemporal area

Question 13

Quality and severity of Tension Headache

Answer 13

Pressing or tigthetning pain; ild to moderate intensity

Question 14

Timing of tension headache
Onset?
Duration?
Course?

Answer 14

Onset:gradual
Duration: minutes to days

Course: often recurrent of persistent over long periods;

annual prevelance ~40

Question 15

Ass Factors with Tension Headache

Answer 15

Sometimes photoboia, phonoboia,

NO NAUSEA

Question 16

Factors that aggravate or promote TENSION HEAACHE

Answer 16

Sustained muscle tension, as in driving or typing

Question 17

Factors that REleive Tension Headaches

Answer 17

Possibly massage

Relaxation

Question 18

What is process of CLuster Headache

Answer 18

Unclear

Possibly extracranial vasodilation from neural dysfunction with trigeminovascular pain

Question 19

What is analgesic Rebound?

Answer 19

Withdrawal of medication

Question 20

Factors that aggravate analgesic rebound

Answer 20

Fever
CO
Hypoxia
Withdrawal of caffine
other headache triggers

Question 21

What are headaches from eye disorders? (2)

Answer 21

Errors of Refraction (farsightedness and astigmatism, but not nearsigtedness)

Acute glaucoma

Question 22

What is process of Error of Refraction

Answer 22

Probably sustained contraction of extraocular muscles, and possible frontal, temproal and occipital muscles

Question 23

Location of headaches caused by Errors of refraction

Answer 23

yep