Headache

Question 1

Migraine has 2 peaks with regards to presentation in women; when are they?

Answer 1

Teens and 40s.

Question 2

Name some triggers for migraines (CHOCOLATE)

Answer 2

• Chocolate
• Hangovers
• Orgasms
• Cheese
• Oral contraceptives
• Lie-ins
• Alcohol
• Tumult (state of confusion/disorder)
• Exercise

Question 3

What is the distribution of the headache in migraine?

Answer 3

Unilateral

Question 4

When should you consider someone for migraine prophylaxis?

Answer 4

> 3 attacks per month or very severe migraines

Question 5

Where do cluster headaches typically arise and who is most likely to suffer from them?

Answer 5

Around the eye on one side; males in their 30-40s.

Question 6

What drug is used as prophylaxis in cluster headaches?

Answer 6

Verapamil

Question 7

Why is it called cluster headache?

Answer 7

Because of the nature of the frequency of the attacks; during the course of weeks/months patients will experience up to 8 attacks per day (each lasting 15-60min) before a period of respite ensues.

Question 8

Describe trigeminal neuralgia

Answer 8

Facial pain syndrome in the distribution of 1 or more divisions of the trigeminal nerve.

Question 9

What is the primary cause of trigeminal neuralgia?

Answer 9

Focal demyelination of the trigeminal nerve.

Question 10

What is the most common type of headache?

Answer 10

Tension headache