Headache Flashcards
What are the general types of headache?
Primary
Secondary
What are some primary types of headache?
Tension type headache
Cluster headache
Migraine
What are some secondary types of headache?
Tumour Meningitis Vascular disease Systemic infection Head injury Drug induced
What is the commonest type of headache?
Primary
What is the most frequent type of primary headache but is NOT disabling?
Tension type headache
What is the presentation of tension type headache?
Mild Bilateral headache
Not limiting
How long does infrequent ETTH occur?
<1 day/ month
How often down frequent ETTH last?
1-14 days /month
How long does CTTH last for?
> 15 days
Wha abortive treatment can be given for TTH?
Aspirin
Paracetamol
NSAIDs
(limit to 10 days/ month or 2 days/ week)
What preventative treatment can be given for TTH?
TCAs
What is the most frequent DISABLING headache?
Migraine
What is a migraine?
A chronic disorder with episodic attacks
What symptoms are observed during attack?
Headache
Nausea
Photophobia
Functional disability
What are some of the triggers of migraine?
Stress Dehydration Hunger Hormone Diet Sleep disturbance Environmental stimuli
What symptoms may be observed in a premonitory phase of migraine?
Mood change -irratibility
Fatiguw
muscle change
What symptoms are observed in aura?
Visual, sensory, motor or speech symptoms
What other condition can an aura/ migraine be confused with?
TIA
How long does a chronic migraine last for?
> 15 days of headache of which > 8 days have been migraine, for more than 3 months
What can exacerbate chronic headaches?
Medication overuse
How many days should meds be used in treatment of headache?
<10 days/month
What can be used in the treatment of migraine?
Aspirin
NSAIDs
Triptans
What prophylactic treatment can be given for migraines?
Propanolol
Anti-epileptics
TCAs
What type of migraine gets bettie in pregnancy?
Migraine without aura
Which medication is contraindicated in women with active migraine with aura?
OCT pill
What medications should be avoided as prophylactic meds for migraine in young women?
Anti-epileptics
