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Neuro PT > Headaches > Flashcards

Headaches Flashcards

1
Q

Pain sensitive structures of the head

A

Scalp
Ms of head and neck
Sinuses
Extracranial and intracranial BV
Dura mater

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2
Q

Is when the areas of the brain interpreting the pain
becomes more sensitive

A

Central sensitization

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3
Q

A symptom of a dse

A

Serious headaches

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4
Q

Dse on itself

A

Benign headaches

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5
Q

Danger signs of headaches

A

Severe, progressive headache
Alteration of consciousness
Fever, neck rigidity
Double vision
Papilledema
Other focal neurological deficits

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6
Q

Types of headaches

A

Tension-type
Cluster
Migraine c aura
Migraine s aura

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7
Q

Tension-type headaches symptoms

A

Pressing or tightening pain
Mild or moderate intensity
Pain in both sides
No aggravation of pain by physical activity

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8
Q

Parameters of tension-type headaches

A

10 or more attacks between 30 minutes to 7 days

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9
Q

Presentations of a person c tension-type headache

A

No nausea or vomiting.
May be either photophobia or phonophobia

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10
Q

Muscle contraction in tension-type headache is caused by

A

Stress

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11
Q

Pain creates more..

A

Ms spasm

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12
Q

Treatments for tension-type headaches

A

Analgesics
Identify MPS
Ms relaxants
Anxiolytics/Anti-depressants

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13
Q

Most common type of migraine

A

Migraine s aura

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14
Q

Criteria for classifying migraine s aura

A

@ least 5 attacks in the last 4 - 72 hrs

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15
Q

Symptoms of migraine s aura

A

Pulsating pain
Unilateral
Moderate to severe pain
Aggravation by physical activity
Nausea
Phonophobia/Photophobia

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16
Q

Migraine s aura pt must have no Hx of

A

Trauma
CVA
Neoplasms
Substance withdrawal
CNS infection

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17
Q

Criteria for classifying migraine c aura

A

Similar to migraine s aura but must have @ least 2 attacks

18
Q

Aura criteria

A

Visual/Sensory numbness
Must be before the headache for < 60 mins
Headache should follow aura w/in 60 mins
Fully reversible

19
Q

Several attacks during a day in a period of weeks or
months, then months to years of no attack; then
cluster headaches daily

A

Cluster headache

20
Q

Shooting paroxysmal pain on the muscles of the
face

A

Trigeminal neuralgia

21
Q

Progressive headache that worsens with time

A

Intracranial lesion

22
Q

Type of pain exhibited in tension-type headaches.

A

Squeezing or pressing

23
Q

Type of pain exhibited in migraines.

A

Pulsating

24
Q

Frequent migraine

A

Chronic/Transformed Migraine

25
Q

Timetable for chronic migraines

A

Daily or almost daily (>/= 15 days/month)
Head pain (>/= 4 hrs/day)

26
Q

Criteria for classifying chronic migraine

A

History of episodic migraine
History of increasing headache frequency with
decreasing severity of migrainous features
Current headache meets HIS migraine criteria

27
Q

Criteria for Basilar-type Migraine

A

Fulfills IHS criteria for migraine c aura

28
Q

Symptoms present in Basilar-type Migraine

A

Dysarthria
↓ Hearing
↓ LOC
Double Vision
Ataxia
Bilat Paresthesia

29
Q

Neurologic deficits persist after the headache

A

Complicated Migraines

30
Q

present with hemiplegia

A

Hemiplegic migraine

31
Q

Either of the eyes’ movement is paralyzed

A

Opthalmoplegic migraine

32
Q

Cranial nerves affected in ophthalmoplegic migraine

A

3, 4, 6

33
Q

Criteria for classifying ophthalmoplegic mirgraine

A

Headache overlapping with paresis of one or more CN III, IV, or VI
Parasellar lesion
May have isolated dilated pupil or tadpole pupil

34
Q

Clinical features of eye headaches

A

Asthenopia - eye strain
do not occur instantaneously with a visual challenge
Computer eye syndrome

35
Q

Criteria for cluster headaches

A

At least 5 attacks of severe pain lasting 15-180 minutes
Attacks occur up to 8 times a day lasting for weeks to months
Pain localizes in the eyes or temples on one side of the head

36
Q

Treatments for cluster headaches

A

Oxygen (8-10 mL/min)
Ergotamines (for attacks)
Propanol 40-160 mg
Topiramate
Indomethacin 25-50 mg TID

36
Q

Seen c acute sinusitis

A

Sinus headaches

37
Q

Sinus headaches clinical presentation

A

Dull pressure
Bilateral, pre-orbital
Radiating to ears
Usually worse in the morning
Not associated c nausea, vomiting, or visual disturbances

38
Q

Presents c purulent discharge

A

Acute sinus headache

39
Q

Managing migraines

A

Fight or avoid triggers
Abort the pain ASAP
Prevent frequent attacks

40
Q

Common migraine triggers by rank

A

1 - stress
2 - hormones
3 - strong odor

41
Q
A

Neuro PT (12 decks)

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