headaches

Question 1

HA that awakens patient from sound sleep

Answer 1

space occupying lesion

Question 2

leading cause of subarachnoid hemorrhage

Answer 2

rupture of cerebral arterial aneurysm

Question 3

most common cause of thunderclap HA

Answer 3

subarachnoid hemorrhage

Question 4

thunderclap variety HA, peaks within 1 min and very intense

Answer 4

reversible cerebral vasoconstriction syndrome

Question 5

multiple intense, 1 min HA multiple times for 1-4 weeks

Answer 5

reversible cerebral vasoconstriction syndrome

Question 6

types of low pressure HA (4)

Answer 6

1. post LP
2. CSF rhinorrhea
3. inappropriate shunt
4. primary intracranial hypotension

Question 7

Leakage of spinal fluid from the nose d/t trauma

Answer 7

CSF rhinorrhea

Question 8

Most of the time it’s due to a small leak in the dura (often due to cervical spondylosis arthritis)

Answer 8

primary intracranial hypotension

Question 9

how to work up primary intracranial hypotension

Answer 9

MR with contrast

Question 10

types of high pressure HA (2)

Answer 10

1. acute hydrocephalus

2. idiopathic intracranial HTN (pseudotumor cerebri)

Question 11

pseudotumor cerebri can lead to what severe loss

Answer 11

permanent visual loss

Question 12

papilledema, obese, extremely high opening pressure

Answer 12

pseudotumor cerebri

Question 13

ppl >50 yo, tender artery, large ESR, jaw claudication, burnign HA

Answer 13

cranial arteritis (grant cell/temporal arteritis)

Question 14

start_____tx for temporal arteritis immediately to prevent _____

Answer 14

steroids; blindness

Question 15

lancinating pain, many attacks per day, trigeminal distribution

Answer 15

trigeminal neuralgia

Question 16

what sort of meds to tx trigeminal neuralgia

Answer 16

antiepileptics

Question 17

trigeminal neuralgia often presents with what disease?

Answer 17

MS

Question 18

cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

Answer 18

CADASIL

Question 19

most common primary HA

Answer 19

episodic tension type HA

Question 20

migraine criteria involves 2 of which criteria

Answer 20

1. unilateral
2. throbbing
3. worsened by movement
4. moderate or severe

Question 21

migraine criteria involves 1 of which crtiera

Answer 21

1. N/V

2. photophobia or phonophobia

Question 22

what type of pain accompanis migraine

Answer 22

neck pain

Question 23

Abortive tx of cluster HA

Answer 23

SC sumatriptan or O2

Question 24

Preventive tx of choice for cluster HA

Answer 24

verapamil

Question 25

paroxysmal hemicrania have an excellent response to?

Answer 25

indomethicin

Question 26

constant HA on 1 side that responds well to indomethicin

Answer 26

hemicrania continua

Question 27

what is the most important risk factor for chronic daily HA

Answer 27

overuse of acute medications

Question 28

med overuse HA assc’d with intake of simple analgesics _____days per month for >____months

Answer 28

> 15 days/mon; >3 months