Nervous system: Headache

Question 1

what are primary headaches

Answer 1

No underlying medical cause
Tension type headache
Migraine
Cluster headache

Question 2

what are Secondary headache

Answer 2

Have an identifiable structural or biochemical cause
Tumour
Meningitis
Vascular disorders
systemic infection
Head injury
Drug-induced

Question 3

What is more common primary or secondary headaches

Answer 3

Primary headaches 90%
Secondary headaches 10%

Question 4

What is the pathophysiology of primary headaches

Answer 4

Sensistisation of normal pain pathways
Involves: brainstem, cortical structures, trigeminovascular system

Calcitonin gene related: peptide key transmitter

Question 5

What is the management of primary headaches

Answer 5

Modifiable lifestyle triggers (esp. in migraines
Abortive treatment
Transitional treatment
Preventative treatment

Question 6

When is rimegepant used

Answer 6

When triptans have be tried but unaffective