Headaches & Seizures

Question 1

Most common area affected by partial seizures

Answer 1

Medial temporal lobe

Question 2

Simple Partial Seizure

Answer 2

Consciousness intact

can be motor, sensory, autonomic or psychic

Question 3

Complex Partial Seizure

Answer 3

Impair consciousness

Question 4

Seizure that affects one part of the brain

Answer 4

Partial (Focal) Seizure

Question 5

Disorder of recurrent seizures

Answer 5

Epilepsy

Question 6

Continuous Seizure for >30minutes or recurrent seizures w/o regaining consciousness between seizures for >30minutes

Answer 6

Status Epilepticus

Question 7

Causes of Seizures in Children

Answer 7

Genetic, Trauma, Stroke, Infection

Question 8

Causes of Seizures in Elderly

Answer 8

Stroke, Tumor, Trauma, Metabolic, Infection

Question 9

Causes of Seizures in Adults

Answer 9

Tumors, Trauma, Stroke, Infection

Question 10

3Hz, no postictal confusion, blank stare

Answer 10

Generalized absence seizure (petit mal)

Question 11

Quick, repetitive Jerks

Answer 11

generalized myoclonic seizure

Question 12

Alternating Stiffening and movement

Answer 12

Tonic-Clonic Seizure (grand mal)

Question 13

Stiffening

Answer 13

Tonic Generalized Seizure

Question 14

Drop seizure (fall to floor)

Answer 14

Atonic Generalized Seizure

Question 15

A unilateral HA for 15min-3hrs, excruciating periorbital pain with lacrimation and rhinorrhea

Answer 15

Cluster HA

Question 16

Tx of Cluster HA

Answer 16

Inhaled Oxygen, Sumatriptan

Question 17

BL HA >30minutes, typically 4-5hrs long, steady pain with no photophobia or phonophobia

Answer 17

Tension HA

Question 18

Tx of Tension HA

Answer 18

Analgesics, NSAIDs, acetaminophen amitriptyline for chronic pain

Question 19

Unilateral, pulsating pain, photophobia, or phonophobia, may have aura 4-72hrs long

Answer 19

Migraine

Question 20

Irritation of CNV, meninges, or BVs (release of substance P, CGRP, vasoactive peptides)

Answer 20

Migraine

Question 21

Prophylaxis of Migraines

Answer 21

Propranolol, topiramate, CCB or amitriptyline

Question 22

Abortive therapy for migraines

Answer 22

Triptans and NSAIDs

Question 23

Repetitive shooting pain in the distribution of CNV that last <1min

Answer 23

Trigeminal Neuralgia

Question 24

sensation of spinning while being stationary

Answer 24

vertigo

Question 25

Delayed horizontal nystagmus in positional testing

Answer 25

peripheral vertigo

Question 26

Semicircular canal debris, vestibular nerve infection, Meniere disease

Answer 26

Peripheral vertigo

Question 27

Directional change of nystagmus, skew deviation, diplopia, dusmetria

Answer 27

Central Vertigo (could be from posterior fossa tumor or stroke of vestibular nuclei)