Headache Flashcards
Is the disease by it self, does not have a secondary cause:
Primary Headache
Is a part of the clinical presentation:
Secondary Headache
Trigger factors:
Stress, Food, Neck motion and Habit changes
Trigger factors in women:
Menstruation, Ovulation and Hormonal replacement
Classification by the duration:
Sudden, Acute, Subacute and Chronic
Sudden Headache, suggests:
Intracranial hemorrhage, Hypertensive encephalophaty and Meningitis
Acute Headache, suggests:
Migraine, Acute Sinusitis and Glaucoma
Subacute Headache, suggests:
Subdural hematoma, Temporal arteritis, Ophthalmic Herpes zoster, Tumor e Pseudotumor cerebri
Chronic Headache, suggests:
Primary Headache
+50years old, First or Worse, Sudden, Change of the pattern of pain, Headache in a patient with Aids; Fever, nausea and vomiting, Neurologic signs, Papiledema; Triggered by exercise or cough, Trauma, neoplasia and Coagulopathy:
Red flags
pulsatile and disabling headache that lasts about 4-72h, photophobia, phonophobia, nauseas e vomiting that aliviates the pain. Worsened by ativities:
Migraine
Recurrent headache in age -6 years old:
Cranial MRI
Most common in middle-aged men and associated with alcohol consumption:
Cluster Headache
Nightly headache, intense unilateral frontorbitary pain, short duration, associated with nasal congestion, mydriasis, lacrimation and ocular hyperemia:
Cluster Headache
First choice of abortive therapy for Cluster Headache:
Oxygen therapy —> Subcutaneous or Intranasal Triptans
