Headaches I Flashcards
when do you worry about headaches?
- systemic symptoms
- neurologic signs
- onset
- old
- prior history
- secondary illness
what are common causes of a traction headache?
- neoplasm
- abscess
- chronic SDH
what tests are ordered for subarachnoid hemorrhage?
- LP
- CT
what is the pathophysiology of reversible vasoconstriction syndrome?
- transient disturbance of cerebral arterial vascular tone in segmental and multifocal fashion
- leads to various areas of constriction and/or dilation
acute hydrocephalus is due to _____________
ventricular obstruction or shunt malfunction
what are the features of intracranial HTN (pseudotumor cerebri)?
- generalized headache
- papilledema
- opening pressure 220-600 mm H20 (CSF studies normal)
- pulsatile tinnitus
how do you treat intracranial HTN (pseudotumor cerebri)?
diuretics (acetazolamide)
which conditions can cause permanent blindness?
- intracranial HTN (pseudotumor cerebri)
- cranial arteritis
what are the features of cranial arteritis?
- age over 50
- tender artery
- ESR over 60 mm/hr
- throbbing / boring / often burning headache
- jaw claudication
what treatment is required to prevent blindness in cranial arteritis?
steroids (do not delay)
- generalized headache
- papilledema
- opening pressure 220-600 mm H20 (CSF studies normal)
- pulsatile tinnitus
intracranial HTN (pseudotumor cerebri)
- age over 50
- tender artery
- ESR over 60 mm/hr
- throbbing / boring / often burning headache
- jaw claudication
cranial arteritis
what are the mainstays of trigeminal neuralgia therapy?
AEDs (carbamazepine, OXC, lamotrigine)
what is CADASIL?
cerebral autosomal dominant arteriopathy with subcortical infarcts and leukencephalopathy
what is HANDL? is it benign or malignant?
- headache with neurological deficit and CSF lymphocytosis
- benign
