Headache

Question 1

Recurrent attacks lasting 4-72 hours
Vascular disturbance
Commonly in woman

Answer 1

Migraine headache

Question 2

Cause in older population reaching it greatest incidence in those older than 70 years. Inflammation if the cranial arteries characterized by severe headache localize in the region of the temple arteries
• fatigue, malaise, weight loss, and fever. Associated with inflammations, hear redness swelling, tenderness or pain

Answer 2

Cranial arteritis

Question 3

Symptoms associated with the organic cause such as brain tumor aneurysm

Answer 3

Secondary headache

Question 4

Triggered by menstrual cycles
Bright lights stress depression sleep deprivation fatigue over use a certain medication certain foods containing tyramine MSG nitrates or milk products

Answer 4

Migraine

Question 5

Emotional and physical stress cause contraction of muscles of the neck and scalp
• steady constant feeling that usually behind in the forehead temple it back if neck.

Answer 5

Tension headache

Question 6

Prodrome phase
Aura phase
headache phase
recovery phase

Answer 6

Migraine

Question 7

Occurs hours to days before migraine symptoms may include depression irritability feeling cold food cravings anorexia change in activity level increased urination diarrhea or constipation

Answer 7

Prodrome phase

Question 8

Characterized by focal neurological symptoms visual disturbances such as flashes of bright lights and spots

Answer 8

Aura phase

Question 9

Vasodilation and the kind of serotonin levels are occur a throbbing headache intensifies over several hours a headache and severe incapacitating often associated photophobia nausea and vomiting
ranges from 42 to 72 hours

Answer 9

Headache phase

Question 10

Pain gradually subsides muscle attraction in the neck and scalp is common associate with muscles of it and localized tenderness exhaustion and will changes and physical exertion exacerbates the headache pain during this phase patients may sleep for extended periods

Answer 10

Recovery phase

Question 11

Detailed physical and history complete neuro exam

past medical history

Answer 11

Assessment

Question 12

No organic cause can be found
Migraine
Tension type
Clusters

Answer 12

Primary headache

Question 13

o Irritation to trigeminal nerve
o Causes excruciating, severe pain, can be felt on one side of face 9 out of 10 (0-10 painscale)
o It lasts 4 or 5 min and then comes again in 10 min - like labor
o Tend to get it again and again - look for triggers, one drug to treat à Tegretol.

Answer 13

Trigeminal Neuralgia:

Question 14

Unilateral and come in clusters of 1-8 daily with excuritsting laid localized to the eye and orbit radiating to the facial and temporal regions

Answer 14

Cluster headaches