Headaches

Question 1

Tension headache location

Answer 1

Most often:
Band around mid head

Less often: all over head

Question 2

Migraine headache location

Answer 2

One sided

Most often: Temple
Less often: whole side of head

Question 3

Cluster headache location

Answer 3

Focused on one eye

Question 4

Tension type headaches

Answer 4

Similar to migraines

Evolve from episodic to chronic
Constant dull pressure around band

Assoc. w/ neck pain, photophobia, phonophobia

Dx by Hx, EMG (electromyography),

Question 5

Migraine headaches

Answer 5

Risk factors:
Obesity, female, depression

With aura: CLASSIC
Without aura: COMMON

throbbing pain unilaterally

Question 6

Migraine drugs

Answer 6

Moderate to severe:
Triptans are first line- vasoconstriction, reduce inflammation

Preventative:

• Antiseizure
• beta blockers
• Botox

Question 7

Cluster headache

Answer 7

Most severe primary headache

If repeated, occurs at same time of day or night

Men more affected.

Sharp stabbing intense pain lasting up to 3 hours

Can happen as often as 8x/day

Question 8

Drug therapy for cluster headaches

Answer 8

If symptomatic:
Triptans- don’t use if pt has vascular disease
100% oxygen at 6-8L/min for 10 mins, can be repeated q5min

Preventative:
High dose verapamil
Invasive nerve blocks
Ablative neurosurgical procedures