Neuro - cluster headache Flashcards
1
Q
describe headache
A
severe and unbearable
unilateral
around the eye
2
Q
why are they called cluster headaches?
A
clusters of attacks and then disappear for a while
3
Q
how long do attacks last?
A
15 minutes to 3 hours
4
Q
typical patient
A
30-50 year old male smoker
5
Q
triggers
A
alcohol
strong smells
exercise
6
Q
what are they also known as?
A
suicide headaches
7
Q
unilateral or bilateral?
A
unilateral
8
Q
eye symptoms
A
red, swollen, watering
miosis
ptosis
9
Q
facial symptoms
A
nasal discharge
facial sweating
10
Q
acute management
A
6mg sc sumatriptan
high flow O2 15-20 mins
11
Q
prophylaxis
A
verapamil
lithium
prednisolone 2-3 weeks
12
Q
what nerve area do the attacks occur in?
A
trigeminal nerve
13
Q
diagnostic tests
A
neuroimaging
doppler USS