Headache Flashcards
Types of headache
Migraine
Cluster
Tension
etiology of headache
intracranial: meningitis, encelphatis, cerebral abcess, increase or decrease intracranial pressure
extracranial: boil, refered pain from ear, eye and sinuse,
neuralgias, tension, hypoglycemia, alkalosis, acidosis
single severe episode of headache cause by?
migraine, subarchanoid hemorrhage, meningitis
causes of recurrent headaches are?
malignant hypertension, sinusitis, migraine, tension, glaucoma
definition of migraine?
migraine is an episodic headache, which is typically, unilateral associated with vomiting and visual disturbance
pathogensis of migraine?
initial vasoconstriction followed by vasodilation
precipating factors of migraine?
high intake of chocolates and cheese diet, alcohol, menopause and pre-menstrual, contraceptives pills
Types of migraine?
Migraine with aura: 80% common migraine headache nausea vomiting
Migraine with aura 20% classic migraine visual aura also presenting
characteristic of pain in migraine?
throbbing pain
management of migraine?
abortive/acute: aspirin2-3 tab, panadol extra 2 tab
anti-emetic along with.
triptans:constrict the blood vessels 25,50,100mg along with fluids.
ergotamine also helpful but contraindicated in pregnancy and ischemic heart disease
preventive and prophylaxis: beta blocker, calcium channel blocker,
anticonvulsant valporic acid, pizotifin serotonin antagonist, TCAd
cluster headache definition?
affect middle age smoker men cause excruciating pain
occur at night during sleep.
associated symptoms of cluster headache?
rinorrhea, lacrimation, congestion, horner syndrome
treatment of cluster headache?
acute attack required 100% oxygen it may constrict the vessels
egrotamine verapamil,lithium carbonate, for 2 weeks then tappered slowly
Type of tension headache?
Tight band-like pressurize pain
For chronic tension headache treatment?
Amitriptyline
