Neuro22 Flashcards

Headaches Vertigo

1
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- Bilateral

A

Tension

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2
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- Unilateral

A

Cluster & Migraine

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3
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- > 30 minutes (4-6 hrs); Constant

A

Tension

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4
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- 15 min - 3 hours; repetitive

A

Cluster

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5
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- 4 - 72 hour

A

Migraine

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6
Q

Differentiating Headaches - Cluster, Tension, or Migraine:

- More common in Males

A

Cluster

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7
Q

Cluster headache description.

A
  • Repetitive brief HAs
  • Excruciating PERIORBITAL pain
  • Lacrimation & Rhinorrhea

*May induce Horner’s syndrome

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8
Q

Tension headache description.

A
  • Steady pain
  • No photophobia or phonophobia
  • No aura
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9
Q

Migraine description.

A
  • Pulsating pain w/ Nausea, Photophobia, or Phonophobia

- May have “aura”

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10
Q

What is the pathophysiology of Migraine?

A

Irritation of Trigeminal n., meninges, or blood vessels

*Release of substance P, CGRP, vasoactive peptites

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11
Q

What is the treatment for Cluster headache?

A

Inhaled Oxygen

Sumatriptan

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12
Q

How can you differentiate Cluster headache from Trigeminal Neuralgia (TN)?

A

Duration:

  • TN < 1 minute
  • Cluster > 15 minutes
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13
Q

What are the two types of Vertigo?

A

Peripheral & Central

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14
Q

What type is more common?

A

Peripheral

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15
Q

What is the issue in peripheral vertigo?

A

Inner ear etiology

-i.e., semicircular canal debris, vestibular nerve infection, Meniere’s disease)

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16
Q

What is the issue in central vertigo?

A

Brain stem or Cerebellar lesion

17
Q

Positional Testing Results:

  • Peripheral
  • Central
A

Positional Testing Results:

  • Peripheral -> Delayed horizontal nystagmus
  • Central -> Immediate nystagmus in any direction; may change direction