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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
Intracranial Hypotension
enhancement of the meninges Bstem sagging tx-autologous blood patch
26
Closed Angle glaucoma- acute angle closure
timolol drops
27
Closed angle glaucoma
10% in us. More common in Asian countries 10% with acute angle closure crisis
28
Acute angle closure crisis
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
\> 15 days a month
Chronic Headache
30
- At least 10 episodes occurring
Episodic Tention Type HA
31
-same criteria as before but \>15 days/mo.
Chronic TTH
32
-New Daily Persistant -World Trade Center HA -Associated with concussion, IC tumor, SDH/SAH -May often be seen in Migraineurs
Secondary HA
33
Unambiguously daily, unremitting from less than 24 hours after onset.
New Daily Persistent HA
34
-1:4 households - Peak 25-55 - F\>M ( esp w. hormones, around puberty)
Migraine
35
-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
Migraine RF
36
-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
Migraine-pathophys
37
one of the following =aura -homonymous visual disturbance -u/l paresthesias and/or numbness -u/l weakness -Aphasia or unclassified speech difficulty
Migraine-Aura
38
olfaction, hearing, physiological functions ( food and sleep deprivation), emotion, hormonal secretions
Superior Salivatory Nucleus
39
-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
Migraine Diagnostic Criteria
40
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
Cluster HA
41
-100% oxygen
Cluster HA TX
42
-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
Idiopathic IC HTN
43
- LP-to decrease pressure and also document pressure -Acetazolamide-carbonic anhydrase inhibitor -Shunt -Optic nerve fenestration -Weight loss/bariatric surgery
Pseudotumor cerebri TX
44
-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
Temporal Arteritis
45
w.o aura
Common Migraine
46
with aura
Classic Migraine
47
visual disturbances, vertigo, confusion, BStem dysfunction
Basilar migraines
48
AD manifested by hemiparesis during aura. +/- ataxia, changes in level of consciousness
Familial hemiplegic migraine
49
retro-orbital pain and CN3,4,6
Ophthalmic Migraines
50
-abortive-Sumatriptan-Contraindicated in coronary artery disease
Migraine TX
51
-\>2 month or disturbing to work - tx- antiepeleptics, tricyclics, riboflavin (B2), CCb, beta-blockers. -Topimarate most common
Migraine -prophylaxis
52
-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
Headache Red Flags
53
enhancement of the meninges Bstem sagging tx-autologous blood patch
Intracranial Hypotension
54
timolol drops
Closed Angle glaucoma- acute angle closure
55
10% in us. More common in Asian countries 10% with acute angle closure crisis
Closed angle glaucoma
56
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
Acute angle closure crisis

Neuro (12 decks)

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