Neurology 1.5

Question 1

What is the difference between typical headaches and migraines?

Answer 1

headache: vascular
migraine: neurologic

Question 2

What is a visual aura?

Answer 2

visual or sensory display before a headache or migraine; shimmery appearance

Question 3

What are the main symptoms of a migraine?

Answer 3

1) incapacitating
2) nausea/vomiting
3) sensitive to light and sound

Question 4

What are the signs of a migraine aura?

Answer 4

vision: flashing zig zags and missing area
sensory: pins and needles, numbness
motor: heaviness of limb (sometimes)

trouble speaking

Question 5

What are the 4 stages of a migraine?

Answer 5

1) prodrome: 1-2 days before the following migraine stages; vague “odd” feeling
2) aura: right before headache
3) headache: often one-sided, throbbing
4) postdrome: vague lethargy, confusion, difficulty with recognition, sluggishness

Question 6

What is involved in a migraine for surface cortical spreading depression?

Answer 6

aura (grey matter/neurons)

Question 7

What is involved in a migraine for interior cortex cortical spreading depression?

Answer 7

no aura (white matter/axons)

Question 8

Which nerve is responsible for meningeal irritation (pain) in a headache? or migraine?

Answer 8

trigeminal (CN V)

Question 9

Which patient population has a higher incidence of migraines?

Answer 9

30-50 y/o women

Question 10

What are the common types of headaches?

Answer 10

sinus: pain behind browbone and cheekbones
cluster: pain in and around one eye
tension: pain is like a band squeezing head
migraine: pain, nausea, visual changes on one half of head