Neuro-Ophthalmology: 12. Head, Ocular, and Facial Pain

Question 0

15

Answer 0

chronic migraine, according to the 2004 update of the International Headache Society classification scheme for headaches, is characterized by headache on at least this many days per month

Question 1

visual field

Answer 1

headache with visual findings is an indication for this test

Question 2

Valsalva

Answer 2

particular exacerbating factor for headaches associated with increased intracranial pressure

Question 3

false

Answer 3

TRUE or FALSE: migraine symptoms tend to worsen around menopause

Question 4

nausea, photophobia, phonophobia

Answer 4

most patients with migraine experience these associated symptoms

Question 5

contralateral

Answer 5

relation of aura to headache

Question 6

4 to 72 hours

Answer 6

typical duration of migranous attack

Question 7

familial hemiplegic migraine

Answer 7

rare AD variant of migraine

Question 8

trigeminal nucleus caudalis

Answer 8

initiating locus of migraine

Question 9

inhibiting release of vasoactive neuromediators

Answer 9

mechanism of action of triptans in migraine

Question 10

65%

Answer 10

percentage of cases of migraine that lack aura

Question 11

bilateral

Answer 11

common finding in migraine without aura

Question 12

no prior history of headache

Answer 12

unusual finding in migraine aura without headache

Question 13

TIA

Answer 13

must be ruled out in a migraine aura without headache

Question 14

alternating

Answer 14

in most patients with migraine with aura, this feature is expected (and usually suggests benign etiology)

Question 15

tension-type headache

Answer 15

this type of headache may be associated etiologically with depression

Question 16

15

Answer 16

analgesic rebound headaches are associated with analgesic use more than this many days per month

Question 17

topiramate

Answer 17

migraine prophylactic treatment associated with myopic shifts greater than 6 D

Question 18

cluster headache, paroxysmal hemicrania, SUNCT, hemicrania continua

Answer 18

name the four trigeminal autonomic cephalgias

Question 19

short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing

Answer 19

what does SUNCT stand for?

Question 20

excruciating pain in a V1 distribution associated with conjunctival injection, rhinorrhea, and usually transient postganglionic Horner syndrome

Answer 20

features of cluster headache

Question 21

indomethacin

Answer 21

paroxysmal hemicrania, hemicrania continua, and idiopathic stabbing headache characteristically respond to this

Question 22

alcohol use

Answer 22

typical precipitant of cluster headache

Question 23

SUNCT

Answer 23

headache characterized by unilateral temporal or orbital pain that is severe and throbbing or stabbing, lasting 5 to 240 seconds and often associated with conjunctival injection and tearing

Question 24

hemicrania continua

Answer 24

continuous unilateral headache of various intensity that waxes and wanes but never goes away

Question 25

idiopathic stabbing headache

Answer 25

headache syndrome often associated with migraine and cluster headache characterized by episodic, momentary, sharp jabbing pains

Question 26

MELAS

Answer 26

headache disorder of children and young adults with features resembling basilar migraine but with permanent neurological deficits associated with spongiform cortical degeneration

Question 27

CASASIL

Answer 27

headache occurs in 30-40% of patients with this autosomal dominant arteriopathy associated with recurrent lacunar strokes

Question 28

NOTCH3, 19

Answer 28

gene mutated and chromosome of CADASIL

Question 29

90%

Answer 29

women make up this percentage of cases of trochleitis

Question 30

high-dose NSAIDs, steroid injection

Answer 30

treatment options for trochleitis

Question 31

80-90%

Answer 31

percentage of cases of trigeminal neuralgia caused by vascular compression

Question 32

trigeminal neuralgia

Answer 32

involvement of the ophthalmic division of V1 alone in this headache syndrome is particularly rare

Question 33

false

Answer 33

TRUE or FALSE: neuroimaging is not required in a classic presentation of trigeminal neuralgia

Question 34

carotid dissection

Answer 34

this underlying condition is an acute concern in carotidynia

Question 35

paroxysmal pain in the region of the larynx, tonsil, tongue, and ear brought on by swallowing and pungent flavors

Answer 35

glossopharyngeal neuralgia

Question 36

occipital neuralgia

Answer 36

this facial neuralgia is often diagnosed by local injection of anesthetic

Question 37

both

Answer 37

effect of the zoster vaccine on zoster: decreased incidence, decreased morbidity, or both

Question 38

sarcoidosis, breast carcinoma,

Answer 38

three most common causes of mental neuropathy

Question 39

CASASIL

Answer 39

most common inherited stroke syndrome