Primary Headaches

Question 1

Primary Headaches

Answer 1

• Migraine
• Tension type headache
• Cluster headaches and other trigeminal autonomic encephalalgias
• Other primary headaches

Question 2

Tension-type Headache

Answer 2

symmetrical
gradual onset
tightness, a band or pressure

Question 3

Migraine without aura

Answer 3

90%
last 1-72 hours
commonly bilateral
pulsatile over temporal of frontal area
GI disturbance: nausea, vomiting, abdominal pain, photophobia and phonophobia
aggravated by physical activity and relieved by sleep

Question 4

Migraine with aura

Answer 4

10%
preceded by an aura (visual, sensory, or motor)
premonitory symptoms: tiredness, difficulty concentrating and autonomic features

Question 4

Visual disturbance in migraine with aura

Answer 4

negative phenomena -hemianopia and scotoma
positive phenomena - fortification spectra ( seeing zigzag lines)

Question 5

Uncommon forms of migraine

Answer 5

familial hemiplegic migraine
sporadic hemiplegic migraine
basilar-type migraine
Periodic syndromes

Question 6

Familial hemiplegic migraine

Answer 6

calcium channel defect
dominantly inhrited

Question 7

Basilar-type migraine

Answer 7

vomiting with nystagmus and/or cerebellar signs

Question 8

Periodic syndromes

Answer 8

often precursors of migraine:
cyclical vomiting
abdominal migraine
benign paroxysmal vertigo of children