Headache

Question 1

Ddx for head ache in pase sar

Answer 1

Tension headache
Rise of intracranial pressure ( tumor , pseudotumor )
Inflammatory lesions ( myofacitis )
Upper cervical lesion ( arthritis)

Question 2

Ddx for acute head ache

Question 3

Ddx for subacute headache

Question 4

Ddx for chronic headache

Question 5

Agrrevating factors of IIH?

Answer 5

Fatness
Hormonal diseases ( pco , thyroid , lh , fsh , corticosteroids)
Vit A , D , retinoic acid
Nalidixic acid
Cotrimoxasol
Tetracycline, mynocycline
Corotone use

Question 6

Treatment for IIH

Answer 6

1. Reduce weight
2. Repeating LP
3. Acetasolamide ( carbonic anhydrase inhibitor )

Question 7

Treatment for trigeminal neuraligia?

Answer 7

1. First line : anti epileptic ( cabamazepine , gabapentin , baclofen , phenytoin )
2. Chronic : RF , neurosurgery

Question 8

Treatment for cytotoxic edema of brain ( intra cranial pressure rise ) ?

Answer 8

Anti coagulant
Anti platelets
RTPA

Question 9

Treatment for vasogenic and interstitial edema of brain?

Answer 9

Corticosteroid m

Question 10

General treatment for reducing CSF pressure ?

Answer 10

1. Elevate head
2. If intubated -> hyperventilate ( to reduce co2 -> cause vasoconstriction)
3. Low-dose phenobarbital
4. If seizure -> anti-epileptic drugs
5. If prone to herniation -> surgery

Question 11

Normal pressure hydrocephalus triad?

Answer 11

1. Gait disorder
2. Memory disorder
3. Loss of urine control

Question 12

NPH treatment ?

Answer 12

Lp ( 2-3 times )
If gait and memory got better -> shant
If not -> there is no treatment ( cause patient is in chronic phase