HA Flashcards
Tension headaches
band-like and associated with cervical or occipital tenderness
Cluster headaches
sharp, stabbing, often unilateral, and occur in groups
Trigeminal neuralgia
trigeminal distribution and is described as unbearable, rather than mild allodynia.
Catamenial migraine
evolve from childhood headache with migrainous features at puberty
rebound headaches
headaches that are present on ≥ 15 days per month with headaches developing or markedly worsening during medication overuse, and resolving or reverting to its previous pattern within 2 months after discontinuation of overused medication. regular overuse for > 3 months
40 yr old male complains of sharp, stabbing intermittent headaches around one of his eyes and can last from 15 minutes to 3 hours.
His eye is crying and his nose is dripping. He has mitosis and pitosis of the eye. The patient is restless and agitated as he walks
around the room, he is unable to lay down during his headache.
What is the diagnosis and treatment?
Cluster headache, which most common transient autonomic cephalgias (TCA).
Abortive Treatment=O2; preventive=verapamil (Ca2+ block)
Types of transient autonomic cephalgias (TCA)
Cluster,
at least 5 recurrent severe HA attacks each lasting more than 4 hours, with light and sound sensitivity and nausea. The person’s preference is to lie down in a dark quiet room during the attack. Diagnosis and treatment?
Migraine- primary HA
Abortive treatment: sumatriptan(Agonist of Serotonin 5HT- 1B and 5HT-1D receptors, don’t use if ischemic heart disease, risk serotonin syndrome)
Preventative treatment: propranolol, amitriptyline, Topiramate (weight loss, kidney stones)
Patient presents with a dull headache that wraps around the whole head. is not affected by light or sound. Lasts a few hours.
Tension HA, most common primary HA
A woman presents with continuous trigeminal face pain headache. What is her diagnosis and treatment?
Hemicrania continua (Type TCA), treatment=indomethacin (abortive)
