Headaches and Facial Pain Flashcards
difference between classic vs common migraine?
classic gets aura
both may be familial but classic has stronger association
In basilar migraine what symptoms precede the headache?
neurological deficits: visual change (may evolve to complete blindness), irritability (may evolve to psychosis), mild hemiparesis to transient quadriplegia, stupor, syncope, and even coma for a few hours
common diseases associated with trigeminal neuralgia?
MS, basilar artery aneurysms, acoustic schwannomas, posterior fosssa meningiomas
all cause injury to CN V near brainstem
What is Tolosa-Hunt syndrome?
inflammatory - opthalmoplegia with headache and loss of sensation over the forehead
pupillary responses spared
site of pathology superior orbital fissure or cavernous sinus
difference between Trigeminal neuralgia and atypical facial pain?
how would you treat atypical facial pain?
with AFP there is usually constant deep pain not intermittent electrical pain
AFP has shown to respond well to antidepressants
what are some prophylactic migraine meds and when would you prescribe them?
Amytriptyline hydrochloride, propanolol, verapamil, valproate
HAs occuring at least 2x per month
what are some rescue meds for migraine
metoclopramide hydrochloride, sumatriptan, ergotamine tartrate
not used daily.
which headaches are associated with muscle spasm leading to reduced ROM and paracervical tenderness?
tension headache
pt describes sudden onset of worst headache of life but CT shows no bleed, diagnosis is?
thunderclap headache
sudden onset severe headache with no apparent structural cause
