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TMD > Lec 6 > Flashcards

Lec 6 Flashcards

1
Q

“The worst headache of my life”

A

Aneurysm

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2
Q

Acronym for Intracranial Pain Disorders

A

SNOOP

Systemic symptoms

Neurologic signs and symptoms

Onset is sudden

Onset after 40 years old

Pattern change

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3
Q

Primary Headache Disorders

A

1) Migraine
2) Tension-type
3) Trigeminal Autonomic Cephalgia

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4
Q

The simultaneous presence of two diseases or conditions in a patient.

A

Comorbidity

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5
Q

Comorbidity between these two conditions.

A

TMD and migraines

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6
Q

Vasoconstriction in the brain reduces blood to the brain, and get a reactionary vasodilation in the rest of the body.

A

Migraine

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7
Q

These are produced in migraines.

A

Prostaglandins

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8
Q

Electrophysiological hyperactivity followed by inhibition.

A

Cortical spreading depression

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9
Q

Occurs in the brain during hypoxic conditions and causes neuronal death.

A

Cortical spreading depression

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10
Q

Current mechanism of the migraine aura.

A

Cortical spreading depression

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11
Q

People with migraines have a depletion of this.

A

Serotonin

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12
Q

Dx:

1) Headaches attacks lasting 4-72 hours.
2) Headaches that are unilateral, pulsating, moderate or severe pain intensity, or aggravated by physical activity.
3) Nausea or vomiting during the headache, or photo/phonophobia.

A

Migraine without aura

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13
Q

In migraine with aura, visual or sensory changes occur how long before the actual headache?

A

10-30 minutes

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14
Q

Dx:

1) Aura that’s visual, sensory, speech/language, motor, brainstem, or retinal.
2) At least 1 aura symptom that spreads gradually over 5 minutes, or at least 2 symptoms that occur in succession.
3) At least one aura symptom that’s unilateral.
4) Headache occurs within 60 minutes of the aura.

A

Migraine with aura

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15
Q

Serotonin levels in people with migraines.

A

Low

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16
Q

Common medication to treat migraines.

A

Triptans

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17
Q

Treat migraines by acting like Serotonin.

A

Triptans

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18
Q

Meds used to treat migraines.

A 
Triptans
Beta blockers
Antidepressants
Ergots
Calcium channel blockers.
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19
Q

Treats migraines by reducing trigeminal innervated muscular activity.

A

Plastic bite block that you put in the incisors.

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20
Q

More than 15 headaches in a month is what?

A

Migraine

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21
Q

Most common headache.

A

Tension-type

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22
Q

This headache has tension or pressing around the forehead.

A

Tension type

23
Q

Phono and photophobia are associated with this.

A

Migraines

24
Q

Exercise can trigger this, but NOT this.

A

Migraine, but not a tension-type headache.

25
Q

Lasts 30 minutes to 7 days.

A

Tension type headache

26
Q

Location of Tension type headaches

A

Bilateral temporal or frontal regions

27
Q

Tension type headaches do NOT have these.

A

1) Not aggravated by exercise.

2) No nausea or vomiting.

28
Q

A group of headaches characterized by trigeminal pain and autonomic signs.

A

Trigeminal Autonomic Cephalgia

29
Q

Cluster Headache is a type of what?

A

Trigeminal Autonomic Cephalgia.

30
Q

These Signs are associated with what?

  • Lacrimation/Conjunctival injection
  • Nasal congestion/rhinorrhea
  • Eyelid edema
  • Forehead/Facial sweating and flushing.
  • Miosis/Ptosis (pupils get smaller).
A

Autonomic Trigeminal Cephalgia

31
Q

Most severe form of a primary headache that is more common in males than females.

A

Cluster headaches.

32
Q

Autonomic Trigeminal Cephalgia that occurs in people WITHOUT a headache hx.

A

Cluster headaches

33
Q

Usually occur at the same time of the day for several weeks.

A

Cluster headaches

34
Q

When do cluster headaches most often occur?

A

Night

35
Q

Often get this headache 2-3 AFTER falling asleep.

A

Cluster

36
Q

When your eyelid droops, or you have a small pupil on one side.

A

Horner Syndrome

37
Q

This headache is most likely autosomal dominant.

A

Cluster

38
Q

How to manage cluster headaches.

A

7 L Oxygen/minute for 15 minutes.

Ergotamines or Sumatriptan

39
Q

These headaches are NOT caused by another condition.

A

Primary headaches

40
Q

Occurs suddenly

A

Paroxysm

41
Q

What is paroxysmal hemicrania?

A

A type of trigeminal autonomic cephalgia.

42
Q

Cluster headaches have how many attacks?

A

5

43
Q

Paroxysmal hemicrania has how many attacks?

A

20

44
Q

Difference between cluster headaches and paroxysmal hemicrania.

A

Number of headaches.

Cluster = 5

Paroxysmal hemicrania = 20

45
Q

Absolutely prevents Paroxysmal Hemicrania

A

Indomethacin

46
Q

These are prevented by Indomethacin.

A

Paroxysmal Hemicrania

Hemicrania Continua

47
Q

A continuous chronic headache lasting more than 3 months.

A

Hemicrania continua

48
Q

What does SUNCT stand for?

A

Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival Injection and Tearing

49
Q

Indomethacin is for the ______.

A

Hemicranias

50
Q

These Trigeminal autonomic cephalgias are in the unilateral orbital, supraorbital, and/or temporal regions.

A

Cluster Headache

Paroxysmal Hemicrania

51
Q

Unilateral headache lasting more than 3 months.

A

Hemicrania Continua

52
Q

Occurs in the orbital or temporal region and can radiate to the jaw or neck.

A

SUNCT

53
Q

Used to treat SUNCT.

A

Anticonvulsants or Gabapentin

54
Q

No refractory period in this trigeminal autonomic cephalgia.

A

SUNCT

TMD (14 decks)

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