Headache and Dizziness Flashcards
Hearing loss, tinnitus, and
vertigo ; vestibular neuronitis, labyrithitis,
posttraumatic BS TIa, MS,basilar artery migraine.
Clue: With Vertigo*
Meniere’s disease
Acetazolamide, diuretics, prednisone,
serial lumbar punctures
Benign intracranial hypertension (pseudotumor cerebri)
Preventive: B blockers, Na valproate, gapbapentin Ca channel blockers, NSAIDs
antidepressants, methysergide
Common Migraine
Etiology: Vascular or cardiac not neurologic (hyperventilation, orthostatic
hypotension, vasovagal, micturition)
Syncope and presyncope
Impending loss of
consciousness due to inadequate cerebral
perfguision
Syncope and presyncope
Unilateral throbbing
headache with aura
Classic Migraine
Treatment: Acute headache: ergot alkaloids, serotonin agonists, prochloperazine,
metoclopramide
Common Migraine and Cluster Headache
General mode of action of:
Acetazolamide, diuretics, prednisone,
serial lumbar punctures
Decrease ICP
Subtle, no aura, 80% of
cases
Common Migraine
Disorder of balance system’
dizziness when standing and walking, multiple
possible CNS causes; chronic and common in
elderly.
Disequilibrium
Pathology: compression of CN5, MS
TRIGEMINAL NEURALGIA(TIC DOULOUREUX)
Treatment: Phenytoin, Carbamazepine,
gabapentin, amitriptyline
TRIGEMINAL NEURALGIA(TIC DOULOUREUX)
Preventive: Avoid alcohol, tyramine, chocolate, citrus, onions, nitrite
Common Migraine
Brief episodes of pain in CN5 distribution; Onset after 40, usually women, may coexist with
MS, no sensory impairment
TRIGEMINAL NEURALGIA(TIC DOULOUREUX)
More common among Men, Worse with alcohol and sleep
Cluster Headache
