Headaches N24

Question 1

Pain Sensitive Structures in the Brain

Answer 1

Dural sinus, venous sinus, intracranial portion of V, IX, X, upper cervical nn, large arteries

Question 2

Factors that affect pain sensitive structures

Answer 2

Tension and traction, vascular throbbing, inflammation

Question 3

Pain Insensitive structures

Answer 3

Brain parenchyma (intracerebral lesions), ependymal lining of ventricles, choroid plexus

Question 4

Migraine

Answer 4

Common Migraine: w/o aura, lasts 4-72h, unilateral, pulsating, moderate severity, physical activity worsens it, vomiting, nausea, photophobia
Classic Migraine: w aura, focal neurologic deficit, visual disturbances
Due to neurovascular dysfunction

Question 5

Tension-type/Muscle contraction headache

Answer 5

diffuse, mild to moderate pain in your head that’s often described as feeling like a tight band around your head, bilateral squeezing

Question 6

Cluster Headache

Answer 6

cyclical patterns, painful, pain around one eye or side of head, alcohol exacerbates

Question 7

Secondary headache

Answer 7

arises secondary to a known cause: CVA, Inflammation, infection

Question 8

Headache RED FLAGS

Answer 8

Age (>50), no prior history or change in headaches, papilledema (swelling of optic disc due to intracranial pressure), thunderclap headache (severe, sudden), systemic illnesses, neurological symptoms

Question 9

Medication Overuse Headache

Answer 9

Headache >15d/mo; Medication use >10d/mo; headache from overuse