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Neurological Conditions > Headache > Flashcards

Headache Flashcards

1
Q

Aetiologies of tension type headache?

A

Triggers include stress, noise, prolonged concentration, anxiety, depression, refractive errors, analgesic overuse, hypertension

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2
Q

Aetiologies of migraine?

A

Hypersensitivity to triggers: stress, hormones, hunger, food cravings, sleep disturbance, dehydration, environmental stimuli

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3
Q

Aetiologies of Cluster headache?

A

Sporadic

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4
Q

Aetiologies of SUNCT?

A

Sporadic

Triggers: wind, touch, cold

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5
Q

Aetiologies of thunderclap headache?

A 
Primary headaches
SAH
TIA/stroke 
ICH
Vertebral artery dissection 
Meningitis
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6
Q

Aetiologies of Giant cell arteritis?

A

Unknown cause

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7
Q

Pathology of tension type headache?

A

Generated by neuromuscular irritation with pain referred to scalp

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8
Q

Pathology of migraine?

A

Complex changes in brain which hypersensitive the trigeminal ganglion

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9
Q

Pathology of cluster headache?

A

Hyperactivity of the trigeminal autonomic systems due to usually unsinister stimuli

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10
Q

Pathology of giant cell arteritis?

A

Inflammation of the large arteries in the brain resulting in granulomatous deposits

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11
Q

Signs and symptoms of tension type headache?

A

Tight band sensation
Pressure behind the eyes
Throbbing sensation

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12
Q

Signs and symptoms of migraine?

A

Prodrome - mood change, yawning
Aura - Visual cascade, motor dysarthria
Headache - very severe, photophobia, phonophobia, nausea and vomiting

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13
Q

Signs and symptoms of cluster headache?

A

Excruciating, unilateral pain in bouts lasting months but then remitting for months
Associated with orbital/temporal pain, lacrimation, ptosis
Pain ceases rapidly

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14
Q

Signs and symptoms of SUNCT?

A

As cluster headache but with 10s-4min duration up to 200 times a day
Associated symptoms include - conjunctival injection and lacrimation

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15
Q

Signs and symptoms of thunderclap headache?

A

Highly intense headache with sudden onset which reaches maximum within 1 min
Settles instantaneously

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16
Q

Signs and symptoms of giant cell arteritis?

A 
Diffuse headache 
Systemic unwell
Jaw claudication 
Visual disturbance 
Beaded temporal artery
17
Q

Investigation and findings of headaches?

A

If suspicious presentation admit for an MRI/CT brain

18
Q

Investigation and findings of giant cell arteritis?

A

FBC - CRP and ESR elevated, high platelets
Biochem
U+Es

19
Q

Management of migraine?

A

Triptans
NSAIDs
Prophylaxis

20
Q

Management of cluster headache

A

100% O2
Triptans
Short course steroids

21
Q

Management of SUNCT?

A

Symptomatic relief
Analgesics
Anti epileptics

22
Q

Management of thunderclap headache?

A

Treat cause

23
Q

Management of giant cell arteritis?

A

High dose prednisolone

Neurological Conditions (28 decks)

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