headaches Flashcards
HA that awakens patient from sound sleep
space occupying lesion
leading cause of subarachnoid hemorrhage
rupture of cerebral arterial aneurysm
most common cause of thunderclap HA
subarachnoid hemorrhage
thunderclap variety HA, peaks within 1 min and very intense
reversible cerebral vasoconstriction syndrome
multiple intense, 1 min HA multiple times for 1-4 weeks
reversible cerebral vasoconstriction syndrome
types of low pressure HA (4)
- post LP
- CSF rhinorrhea
- inappropriate shunt
- primary intracranial hypotension
Leakage of spinal fluid from the nose d/t trauma
CSF rhinorrhea
Most of the time it’s due to a small leak in the dura (often due to cervical spondylosis arthritis)
primary intracranial hypotension
how to work up primary intracranial hypotension
MR with contrast
types of high pressure HA (2)
- acute hydrocephalus
2. idiopathic intracranial HTN (pseudotumor cerebri)
pseudotumor cerebri can lead to what severe loss
permanent visual loss
papilledema, obese, extremely high opening pressure
pseudotumor cerebri
ppl >50 yo, tender artery, large ESR, jaw claudication, burnign HA
cranial arteritis (grant cell/temporal arteritis)
start_____tx for temporal arteritis immediately to prevent _____
steroids; blindness
lancinating pain, many attacks per day, trigeminal distribution
trigeminal neuralgia
what sort of meds to tx trigeminal neuralgia
antiepileptics
trigeminal neuralgia often presents with what disease?
MS
cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy
CADASIL
most common primary HA
episodic tension type HA
migraine criteria involves 2 of which criteria
- unilateral
- throbbing
- worsened by movement
- moderate or severe
migraine criteria involves 1 of which crtiera
- N/V
2. photophobia or phonophobia
what type of pain accompanis migraine
neck pain
Abortive tx of cluster HA
SC sumatriptan or O2
Preventive tx of choice for cluster HA
verapamil
