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Neuro AM > Headaches > Flashcards

Headaches Flashcards

1
Q

What are the features of cluster headaches?

A

Excruciatingly severe strictly unilateral orbital and temporal
Restless, agitated, N&V, phono and photophobia
Ipsilateral autonomic symptoms
Redness, lacrimation, lid swelling, nasal stuffiness

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2
Q

What is the duration, onset and cessation of cluster headaches?

A

15 mins- 3 hours
Rapid onset and cessation
Circadian rhythm

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3
Q

How are cluster headaches managed?

A

HEadache- subcut sumatriptan and 100% O2

Headache bout- occipital depomedrone injection

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4
Q

What is the prevention for cluster headaches?

A

Verapamil

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5
Q

What are the features of paroxysmal hemicrania?

A

Strictly unilateral orbital and temporal
Excruciatingly severe
Restless, agitated
Ipsilateral autonomic symptoms

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6
Q

What is the duration, onset of paroxysmal hemicranial?

A

2-30 mins
Rapid oset and cessation
2-40 a day w no circadian rhythm

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7
Q

What is the management of paroxysmal hemicranias?

A

Absolute response to indomethacin

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8
Q

What are the features of SUNCT?

A

Unilateral orbital or temporal
Throbbing, pulsating
Cutaneous triggers
Lacrimation and enlargement of conjunctival vessels

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9
Q

What is the duration and frequency of SUNCT?

A

10-240 seconds

3-200x a day w no refractory period

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10
Q

What is the management of SUNCT?

A

Prevention- lamotrigine, topiramate, gabapentin, carbamazepine

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11
Q

What are the features of trigeminal neuralgia?

A

Unilateral maxillary or mandibular
Stabbing
Cutaneous triggers

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12
Q

What is the duration and frequency of trigeminal neuralgia?

A

5-10seconds

3-200 a day w refractory period

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13
Q

What is the management of trigeminal neuralgia?

A

Prophylaxis- carbamazepine

Surgery- glycerol ganglion injection, decompression

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14
Q

What should be avoided in cluster headaches?

A

Alcohol

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15
Q

What are the features of migraine?

A 
Unilateral modearte to severe
Pulsating and vaping with heartbeat 
N&V, photo and phono phobia 
Aggravation by or causing avoidance of usual activity 
\+/- aura
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16
Q

What is a typical aura for migraine?

A

Visual and progressive

5-60mins

17
Q

What is the management of migraines?

A
  1. Oral triptan + NSAID/paracetamol

2. Metoclopramide/prochlorperazine + NSAID

18
Q

When is prevention advised for migraines?

A

2 or more attacks a month

19
Q

What is the prophylaxis of migraines?

A
  1. Propanolol or topiramate
20
Q

What is th mechanism of action of triptans?

A

Vasoconstriction

21
Q

What is the management of migraine during pregnancy?

A
  1. Paracetamol

2. NSAIDs in 1st and 2nd trimester

22
Q

How are migraines treated when they are in relation to menstruation?

A

Mefanamic acid OR
Combination of aspirin and paracetamol
Triptans

Neuro AM (21 decks)

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