Migraine and Headaches Flashcards

1
Q

Name some migraine triggers?

A

Chocolate, cheese, hangovers, lie-ins, tumult, orgasms, exercise, oral contraceptive pill

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2
Q

What are the 3 phases of a migraine?

A

Prodrome, aura, migraine

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3
Q

What is the presentation of a migraine?

A

Photophobia
Phonophobia
N+V
Diarrhoea
One sided pounding headache

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4
Q

How long does a migraine last?

A

4-72 hours

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5
Q

What is 1st line prophylaxis for migraines?

A

Propranalol
Topiramate in asthmatics

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6
Q

When are nasal triptans used?

A

Migraine prophylaxis in 12-17 year olds

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7
Q

Who is C/I for sumatriptan?

A

IHD, CVD, alongside SSRI

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8
Q

What are some side effects of triptans?

A

Flushing, angina, chest tightness

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9
Q

When is botox indicated for migraines?

A

More than 15 per month with 8 being migraines

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10
Q

What is a treatment for chronic unresponsive migraines?

A

Fremanezumab - CGRP inhibitor

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11
Q

How long do tension headaches last?

A

Minutes to days

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12
Q

What is the presentation for tension headaches?

A

Bilateral tight band pain
Pressure behind the eyes
Frequent
No nausea and vomiting

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13
Q

What are some triggers of a tension headache?

A

Stress
Missing meals
Fatigue
Concentrated visual effort
Hot weather
Dehydration

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14
Q

What are cluster headaches?

A

Headaches that are severe, unbearable, usually concentrated around one eye and present in clusters of attacks and then disappear for months

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15
Q

What are some symptoms of a cluster headache?

A

Ptosis
Miosis
Rhinorrhoea
Blood shot eye

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16
Q

How long does a cluster headache last?

A

15-180 minutes

17
Q

What is the acute and chronic management of a cluster headache?

A

Triptans for acute
Verapamil (CCB) for prophylaxis

18
Q

What is trigeminal neuralgia?

A

Severe pain in the distribution of the trigeminal nerve most commonly from compression from a tumour, MS or meningeal inflammation

19
Q

What are some triggers of trigeminal neuralgia?

A

Shaving, eating, talking

20
Q

What is the pain described as for trigeminal neuralgia?

A

Stabbing and knife like

21
Q

What is the management for trigeminal neuralgia?

A

Carbmazepine (anticonvulsant)
Gamma knife surgery
Microvascular decompression