headache Flashcards
name some associated symptoms of headache?
nausea and vomiting photophobia phonophobia ptosis miosis nasal stuffiness
what are the RED FLAGS of headache/
new onset of headache of >55 known/previous malignancy immunosuppression early morning headache exacerbation by sneezing or coughing
who tends to get mirgrains the most
young females
name some triggers of migraine
sleep diet e.g chocolate stress hormonal physical exterion
name some abortive therapies for migarine
NSAIDS e.g aspirin,naproxen, ibuprofen
take these as early as possible
Triptans e.g rizatriptan
take as soon as headache begins
when should you consider prophylaxis for migrains?
if > 3 attacks per month or really severe
first line prophylaxis for migraine?
propranolol
second line prophylaxis for mirgraine?
topiramate
3rd line prophylaxis for migraine?
amitryptiline
other you can try are gabepentin, pizotifen and sodium valproate
unilateral headache of the young
migraine
what are trigeminal autonomic cephalgies?
primary headache disorders charachterised by unilateral trigeminal distribution woth associated autonomic ispilateral cranial features e.g ptosis miosis nasal stuffiness n+V teraing swelling of eye lid
what are the 4 main types of trigeminal autonomic cephalgies?
cluster headache
paroxysmal hemicrania
hemicrania continua
SUNCT
what is this?
tends to be in men more than woman
age 30-40s
can have seasonal variation
severe unilater headache lasting 45-90 mins
can get 1-8 a day
may get this for a few weeks and then it stops
cluster headahce
what is this?
age 50-60s
woman tend to get it more than men
severe unilateral headache an dunilater autonomic feastures
last 10-30 mins
1-40 per day
paroxysmal hemicrania
how do you treat paroxysmal hemicrania
indomethicin
