Headache

Question 1

Respond to indomethacin

Answer 1

Hemicrania continua and paroxysmal hemicrania
Primary cough HA
Primary stabbing HA

Question 2

Last 2-30 minutes

Answer 2

paroxysmal hemicrania
more women than men
need:
- severe unilateral temporal, orbital and/or supraorbital pain lasting 2-30 min
-At least 1 autonomic sign or symptom on side of HA
-More than 5 attacks per day
-respond completely to indomethacin

Differentiate from cluster HA due to shorter lasting and more frequent attacks and complete response to indomethacin

Question 3

Preventative medications for cluster HA

Answer 3

1-verapamil

Other: VPA, lithium, melatonin

Question 4

Last 15-180 minutes

Frequency of one every other day to 8 per day

Answer 4

cluster HA
more men than women

To make dx:
-Agitation or restlessness
-at least one autonomic sign or symptom on the side of the headaches
-

Question 5

Last 1-600 seconds and may occur as single or series of stabs. Must have at least once daily for more than 50%of the time but usually attacks occur in very high daily frequency when disease is active

Answer 5

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)

Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA)

Question 6

One-sided HA for at least 3 months with an autonomic symptom

Answer 6

hemicrania continua

To make the dx, the patient must respond completely to indomethacin