Headache

Question 1

Treatment options for IIH?

Answer 1

Weight loss

Acetazolamide

Loop diuretics

Prednisolone

CSF Shunting/Optic nerve sheath fenestration (to help vision)

Question 2

How do you treat temporal arteritis?

Answer 2

High dose prednisolone

Question 3

What are two red flag questions to ask about for headache?

Answer 3

Is the headache present upon waking before moving

Is the headache associated with vomiting

Question 4

What is the triad of signs in idiopathic intracranial hypertension?

Answer 4

Headache

Visual signs

Audible whoosing sound in intracranially

Question 5

What are some causes of chronic daily headache?

Answer 5

Chronic migraine headache

Chronic tension-type headache

Medication overuse headache

Hemicrania continua (pain on one side of the face)

New daily persistent headache

Question 6

What are some causes of chronic headache that can’t be missed?

Answer 6

Mass lesion

Chronic meiningitis

Vasculitis

Idiopathic intracranial hypertension

Chronic venous sinus thrombosis

Question 7

What is the most common group of people to get IIH?

Answer 7

Overweight

Young

Females

Question 8

What are some red flags in headache?

Answer 8

PHx of malignancy

>50 years

Hx of trauma

Hard neurology - eg seizures

Associated meningeal symptoms

Rapid onset

Associated with morning sickness

Recent travel

Question 9

What associated features do you get with SAH?

Answer 9

Nausea

Photo/phonophobia