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Neuro > export_headache > Flashcards

export_headache Flashcards

1
Q

Chronic Headache

A

> 15 days a month

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2
Q

Episodic Tention Type HA

A
  • At least 10 episodes occurring
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3
Q

Chronic TTH

A

-same criteria as before but >15 days/mo.

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4
Q

Secondary HA

A

-New Daily Persistant -World Trade Center HA -Associated with concussion, IC tumor, SDH/SAH -May often be seen in Migraineurs

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5
Q

New Daily Persistent HA

A

Unambiguously daily, unremitting from less than 24 hours after onset.

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6
Q

Migraine

A

-1:4 households - Peak 25-55 - F>M ( esp w. hormones, around puberty)

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7
Q

Migraine RF

A

-mood disorders, allergies, chronic pain, epilepsy -w/aura -> associated with ischemic stroke -Anxiety in childhood associated with development of HA later -Cyclic vomiting.trvael sickness, somnambulism are equivilants in children

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8
Q

Migraine-pathophys

A

-Stress, perfume,light, foods, lack of sleep - Hypothalamus, limbic and cortical areas –> superior salivatory nucleus -Spreading depression in trigeminal nucleus ( vasodilators and make non-noxious chemicals seem noxious) - Also spread back to nucleus

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9
Q

Migraine-Aura

A

one of the following =aura -homonymous visual disturbance -u/l paresthesias and/or numbness -u/l weakness -Aphasia or unclassified speech difficulty

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10
Q

Superior Salivatory Nucleus

A

olfaction, hearing, physiological functions ( food and sleep deprivation), emotion, hormonal secretions

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11
Q

Migraine Diagnostic Criteria

A

-Attacks 4-72 hrs -2/4: u/l, pulsating, moderate-severe, aggravated by/ causing avoidance of physical activity -1/2: n/v or photophobia/phonophobia -Not attributed to other disorder

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12
Q

Cluster HA

A

5 attacks fulfilling following -Severe -very severe u/l orbital, supraorbital, temporal pain ( 15-180 min) -& 1/: ipsi conjunctival injection/lacrimation, nasal congestion/rhinorrhea, eyelid edema, forehead/facial sweating, miosis/ptosis, sense of restlessness/agitation -1-8/day

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13
Q

Cluster HA TX

A

-100% oxygen

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14
Q

Idiopathic IC HTN

A

-Pseudotumor cerebri-classically in young obese women-dec CSF absorption - Associated with excess Vit A -May have papilledema-b/l vision loss is feared -Often sneezing coughing brings out vision loss -Imaging: normal-slit like ventricles ; empty sella

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15
Q

Pseudotumor cerebri TX

A
  • LP-to decrease pressure and also document pressure -Acetazolamide-carbonic anhydrase inhibitor -Shunt -Optic nerve fenestration -Weight loss/bariatric surgery
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16
Q

Temporal Arteritis

A

-Giant cells within blood vessels–extracranial carotid -Can lead to u/l visual loss - Common >60; indolent temple ha -Jaw claudication/ polymyalgia rheumatica - bx to diagnose -TX: prednisone

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17
Q

Common Migraine

A

w.o aura

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18
Q

Classic Migraine

A

with aura

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19
Q

Basilar migraines

A

visual disturbances, vertigo, confusion, BStem dysfunction

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20
Q

Familial hemiplegic migraine

A

AD manifested by hemiparesis during aura. +/- ataxia, changes in level of consciousness

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21
Q

Ophthalmic Migraines

A

retro-orbital pain and CN3,4,6

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22
Q

Migraine TX

A

-abortive-Sumatriptan-Contraindicated in coronary artery disease

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23
Q

Migraine -prophylaxis

A

->2 month or disturbing to work - tx- antiepeleptics, tricyclics, riboflavin (B2), CCb, beta-blockers. -Topimarate most common

24
Q

Headache Red Flags

A

-older person w/o history -Anything with focal neurologic defects/personality changes - HA in IC person -Worse in the morning -Associated with signs of systemic disease-fever, weight loss etc

25
Q

Intracranial Hypotension

A

enhancement of the meninges Bstem sagging tx-autologous blood patch

26
Q

Closed Angle glaucoma- acute angle closure

A

timolol drops

27
Q

Closed angle glaucoma

A

10% in us. More common in Asian countries 10% with acute angle closure crisis

28
Q

Acute angle closure crisis

A

Emergency Sudden ocular pain, halos around lights, red eye, very high interoccular pressure (>30 mmHg) Nausea, vomiting, suddenly decreased vision, fixed, mid- dilated pupil. Sometimes oval pupil

29
Q

> 15 days a month

A

Chronic Headache

30
Q
  • At least 10 episodes occurring
A

Episodic Tention Type HA

31
Q

-same criteria as before but >15 days/mo.

A

Chronic TTH

32
Q

-New Daily Persistant -World Trade Center HA -Associated with concussion, IC tumor, SDH/SAH -May often be seen in Migraineurs

A

Secondary HA

33
Q

Unambiguously daily, unremitting from less than 24 hours after onset.

A

New Daily Persistent HA

34
Q

-1:4 households - Peak 25-55 - F>M ( esp w. hormones, around puberty)

A

Migraine

35
Q

-mood disorders, allergies, chronic pain, epilepsy -w/aura -> associated with ischemic stroke -Anxiety in childhood associated with development of HA later -Cyclic vomiting.trvael sickness, somnambulism are equivilants in children

A

Migraine RF

36
Q

-Stress, perfume,light, foods, lack of sleep - Hypothalamus, limbic and cortical areas –> superior salivatory nucleus -Spreading depression in trigeminal nucleus ( vasodilators and make non-noxious chemicals seem noxious) - Also spread back to nucleus

A

Migraine-pathophys

37
Q

one of the following =aura -homonymous visual disturbance -u/l paresthesias and/or numbness -u/l weakness -Aphasia or unclassified speech difficulty

A

Migraine-Aura

38
Q

olfaction, hearing, physiological functions ( food and sleep deprivation), emotion, hormonal secretions

A

Superior Salivatory Nucleus

39
Q

-Attacks 4-72 hrs -2/4: u/l, pulsating, moderate-severe, aggravated by/ causing avoidance of physical activity -1/2: n/v or photophobia/phonophobia -Not attributed to other disorder

A

Migraine Diagnostic Criteria

40
Q

5 attacks fulfilling following -Severe -very severe u/l orbital, supraorbital, temporal pain ( 15-180 min) -& 1/: ipsi conjunctival injection/lacrimation, nasal congestion/rhinorrhea, eyelid edema, forehead/facial sweating, miosis/ptosis, sense of restlessness/agitation -1-8/day

A

Cluster HA

41
Q

-100% oxygen

A

Cluster HA TX

42
Q

-Pseudotumor cerebri-classically in young obese women-dec CSF absorption - Associated with excess Vit A -May have papilledema-b/l vision loss is feared -Often sneezing coughing brings out vision loss -Imaging: normal-slit like ventricles ; empty sella

A

Idiopathic IC HTN

43
Q
  • LP-to decrease pressure and also document pressure -Acetazolamide-carbonic anhydrase inhibitor -Shunt -Optic nerve fenestration -Weight loss/bariatric surgery
A

Pseudotumor cerebri TX

44
Q

-Giant cells within blood vessels–extracranial carotid -Can lead to u/l visual loss - Common >60; indolent temple ha -Jaw claudication/ polymyalgia rheumatica - bx to diagnose -TX: prednisone

A

Temporal Arteritis

45
Q

w.o aura

A

Common Migraine

46
Q

with aura

A

Classic Migraine

47
Q

visual disturbances, vertigo, confusion, BStem dysfunction

A

Basilar migraines

48
Q

AD manifested by hemiparesis during aura. +/- ataxia, changes in level of consciousness

A

Familial hemiplegic migraine

49
Q

retro-orbital pain and CN3,4,6

A

Ophthalmic Migraines

50
Q

-abortive-Sumatriptan-Contraindicated in coronary artery disease

A

Migraine TX

51
Q

->2 month or disturbing to work - tx- antiepeleptics, tricyclics, riboflavin (B2), CCb, beta-blockers. -Topimarate most common

A

Migraine -prophylaxis

52
Q

-older person w/o history -Anything with focal neurologic defects/personality changes - HA in IC person -Worse in the morning -Associated with signs of systemic disease-fever, weight loss etc

A

Headache Red Flags

53
Q

enhancement of the meninges Bstem sagging tx-autologous blood patch

A

Intracranial Hypotension

54
Q

timolol drops

A

Closed Angle glaucoma- acute angle closure

55
Q

10% in us. More common in Asian countries 10% with acute angle closure crisis

A

Closed angle glaucoma

56
Q

Emergency Sudden ocular pain, halos around lights, red eye, very high interoccular pressure (>30 mmHg) Nausea, vomiting, suddenly decreased vision, fixed, mid- dilated pupil. Sometimes oval pupil

A

Acute angle closure crisis

Neuro (12 decks)

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