Neuro H Headache

Question 1

Brain parenchyma involvement

Answer 1

None

Question 2

Trigeminal Neuralgia

Answer 2

Obersteiner-Redlich zone - CNS -> PNS glia

Question 3

Trigeminal Neuralgia Tx

Answer 3

Anti-epileptics

Question 4

Pseudotumor

Answer 4

Make CSF normally, but don’t absorb it.
Young overweight women
Papilledema
Normal CT/MRI

Question 5

Stroke/seizure peak

Answer 5

Infants, old people

Question 6

Migraine peak

Answer 6

Teens

Question 7

Migraine

Answer 7

Several hours
unilateral
pulsating
aggravated by routine activity
photo/phonophobia
nausea/vomiting

Question 8

Tension headache

Answer 8

hours to days
bilateral
not aggravated by routine activity

Question 9

Visual auras

Answer 9

Fortification
Scotomas
Metamorphopsia

Question 10

Opthalmoplegic migraine

Answer 10

CN 3,4,6 palsy

Question 11

Basilar migraine

Answer 11

Focal brainstem findings

Question 12

Acute Tx

Answer 12

maximum 2-3 times per week

Question 13

Triptan MOA

Answer 13

5HT 1b & 1d agonists

Question 14

Triptan worry

Answer 14

Do not use in vasculopaths (can cause MI)

Question 15

Tension headache cause

Answer 15

Sleep deprivation & stress

Question 16

Cluster headache cause

Answer 16

Circadian rhythm, altered pineal hormones

Question 17

Cluster headache Tx

Answer 17

O2, intranasal lidocaine

Question 18

Cluster headache prevention

Answer 18

CCB, lithium

Question 19

Chronic headache definition

Answer 19

15 days per month, persisting for several weeks

Question 20

Chronic headache cause

Answer 20

Abortive medication overuse

Question 21

Chronic headache comorbidity

Answer 21

Psychiatric illness

Question 22

Chronic headache Tx

Answer 22

Medication detox, reevaluation