Headache

Question 1

Management of Migraine

Answer 1

. Non pharmacological
. Pharmacological
+ abortive
+ preventive

Question 2

What are the drugs yhat are contraindicated in Migraine

Answer 2

Opioids and mixed analgesics

Question 3

Abortive tx of Migraine

Answer 3

-non specific: paracetamol, NSAIDS
- specific
=Triptans: sumatriptan
=ergotamine

Question 4

Management of tension type headache

Answer 4

. Abortive: simple analgesics :paracetamol, NSAIDS

. Preventive: amytriptyline

Question 5

Management of cluster headache

Answer 5

Subcutaneous Sumatriptan 6mg
+100% Oxygen

Question 6

Management of trigeminal neuralgia

Answer 6

. Medical: carbamazepine
. Surgical: microvascular decompression

Question 7

Management of idiopathic intracranial hypertension

Answer 7

1) Weight loss
2) Acetazolamide, topiramate (carbonic anhydrase inhibitor), furosemide
3) Repeated LP (removing 15-25 mL of CSF)
4) CSF Shunting may be necessary if vision threatened

Question 8

Treatment of giant cell arteritis

Answer 8

Long term oral steroids (1 mg/Kg). ESR: to monitor the disease
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