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Neurology Week 2 > Headaches > Flashcards

Headaches Flashcards

1
Q

Tension HA

A

Usually starts in back of head
Steady, vice-like, non-throbbing, pain in neck
No aura, no GI sx, exacerbated by stress
Lasts for a long period of time

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2
Q

Meds for tension HA

A

NSAIDS
Midol?
Robaxin (muscle relaxant)

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3
Q

Tension HA prophylaxis

A

Amitriptyline

Topirimate

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4
Q

Migraine HA

A

Characterized by neuro, GI, autonomic changes
Migraine w/ or w/o aura
Caused by spasm of vertebral vessels
Pain caused by dilation of extracranial arteries

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5
Q

What causes the aura?

A

Diminished cerebral perfusion

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6
Q

Common Migraine

A

Migraine w/o aura

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7
Q

Classic migraine

A

Migraine with aura, scintillating scotoma

onset within 60 minutes of aura

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8
Q

Opthalmoplegic Migraine

A

Lateralized pain, N/V, diploplia
INvolves CN III, VI
Headache lasting more than a couple of days

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9
Q

Basilar Migraine

A

Bilateral visual disturbance
Ataxia
Dysarthrias

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10
Q

Triptans

A

First-line for moderate to severe migraine
Rizatriptan
Zolmitriptan
Sumatriptan

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11
Q

Triptan CI

A

Coronary vasospasm
Ischemic heart dz
CVD
age >65

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12
Q

Tx for Migraine HA

A 
Propranolol
TCA's
SSRI's
CCB's
Topirimate
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13
Q

Cluster HA

A 
Less common, more severe
Come in clusters
More common in men 50-60
Smoking is big risk factor (but quitting doesnt help)
ETOH provokes attacks
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14
Q

Cluster HA S/S

A

Pain around one eye, drooping of the lid
Tearing and congestion on same side as pain
Steady, stabbing deep eye pain
Attacks often occur within 2-3 hrs of falling asleep
Injected eye, unilateral

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15
Q

Horner’s syndrome

A

Miosis
Ptosis
Associated with cluster HA

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16
Q

Cluster HA acute tx

A

Oxygen and Triptan

17
Q

Cluster HA prophylaxis

A

Verapamil (CCB)

18
Q

Thunderclap HA =?

A

Subarachnoid hemorrhage

19
Q

Idiopathic Intracranial HTN (IIH)

A 
AKA pseudomotor cerebri
Syndrome of elevated ICP
Ages 15 - 45, obese women
Papilledema w/ transient visual sx
Pulsatile tinnitus
20
Q

IIH Dx

A

LP

MRI/CT

21
Q

IIH Tx

A

Acetazolamide
Monitor
Treat cause

22
Q

Temporal arteritis tx

A

Steroids

Neurology Week 2 (7 decks)

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