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Neuro > Headache > Flashcards

Headache Flashcards

1
Q

Cranial structures not sensitive to pain (4)

A
  • ventricles
  • choroid
  • parenchyma (-midbrain)
  • small veins
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2
Q

Part of midbrain sensitive to pain

A

dorsal raphe nucleus

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3
Q

Three main headache groups

A
  • primary
  • secondary
  • cranial neuralgia
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4
Q

Migraine pathophysiology: l

A
  • begin in brainstem
  • trigeminal system activation
  • activation of chemoreceptors and autonomic nervous system
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5
Q

How common is aura in migraine?

A

-60-70% of migraines

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6
Q

Describe complicated migraine

A

-long dramatic aura, may mimic stroke

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7
Q

Basilar migraine:

  • location
  • assc symptoms
A
  • occipital throbbing pain

- vertigo, dysarthria, ataxia

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8
Q

Contrast bickerstaffs migraine and simple basilar migraine

A

-bickerstaffs begins with total blindness

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9
Q

List four abortive therapies for migraines

A
  • NSAIDs
  • Triptans
  • DOPA antagonists
  • Combos
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10
Q

Which triptan is short acting? long acting?

A
  • sumatriptan: short
  • zolmi: intermediate
  • frova: long
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11
Q

List the two dopa antagonists for migraines

A
  • metoclopramide (reglan)

- prochlorperazine (Compazine)

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12
Q

When is migraine prophylaxis needed?

A
  • migraines 3+ times per month

- functional impairment

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13
Q

List five drug classes used for migraine prophylaxis

A
  • BBers
  • CCBs
  • TCAs
  • Anticonvulsants
  • Serotonergic Drugs
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14
Q

List the four anticonvulsant drugs for migraine prophylaxis:

A
  • keppra: leviteracetam
  • Depakote: valproic acid
  • Topamax: topiramate
  • Neurontin: gabapentin
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15
Q

Describe cluster headache

A

severe unilateral stabbing periorbital/ temporal pain

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16
Q

Pathway involved in cluster headache pathogenesis:

A

-trigeminal-hypothalamic pathway

17
Q

How is O2 administered for cluster H/A?

A

-12L/min for 15 mins

18
Q

Prophylactis for cluster HA

A
  • steroids

- CCBs

19
Q

1 HA disorder

A

tension headache

20
Q

Tension H/A never includes:

A

-N/V

21
Q

Abortive therapy tension HA

A
  • Acetaminophen

- NSAIDs

22
Q

Prophylaxis tension HA

A
  • TCA

- gabapentin

23
Q

Drugs assc with idiopathic intracranial hypertension

A
  • TCN
  • OCPs
  • vitamin A
24
Q

How should LP be done in IIH?

A

-lateral decubitus position

25
Q

Two treatments for IIH (drug)

A
  • acetazolamide

- topiramate

26
Q

Warning signs for headache:

-three types

A
  • worst ever
  • first severe
  • subacute worsening
27
Q

Warning signs for headache:

-five assc symptoms

A
  • abnormal exam
  • fever
  • vomiting
  • worsening with bending/lifting/coughing
  • disturbs sleep
28
Q

Warning signs for headache:

age

A

-55+

Neuro (15 decks)

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