Headaches Flashcards
Migraine with aura can be a risk factor for…
stroke
What is Migraine equivalent?
Don’t have the headache pain. Just have neuro and somatic manifestations (can still be just as debilitating)
Types of atypical migraine headaches
Basilar artery migraine, familial hemiplegic migraine, opthalmoplegic migraine
If patient with headache and diplopia…
first r/o internal carotid artery aneurysm an diabetes. Otherwise could be opthalmoplegic migraine.
Blindness or bilateral visual disrurbances, followed by dysarthria, dysequilibrium. Can have loss of consciousness, confusion, and throbbing occipital HA
Basilar artery migraine
autosomal dominant condition. Has lateralized throbbing headache associated with aura
familial hemiplegic migraine
When would you initiate preventative tx for migraines
if headaches occur more than 2-3 times a month or if very severe
Do not confuse cluster headaches with..
hemicrania continua. Both are unilateral, but cluster HA’s are episodic, hemicrania continua are non-episodic
Patient presents with unilateral head pain that is non-episodic, and tearing, stuff nose as well as other autonomic sx. what is tx?
Suspicious of hemicrania continua- tx is indomethacin
Which headache should you not treat with triptans?
tension headache
Most common type of HA
tension HA
“Vise-like” feeling, occurs daily, no neurological symptoms, begins in occipital region and radiates to forehead
tension HA
Cough headaches associated with…
chiari malformation in 10% of people.
Patient presents with severe headache everytime he sneezes or strains. It lasts 5-6 minutes then goes away. Has been going on for the last 2 years. How would you handle this?
Do CT or MRI to r/o brain tumor. Prescribe Indomethacin. If doesn’t help, consider LP for relief.
What happens if temporal arteritis is left untreated?
Monocular blindness
