USU Powerpoint 1

Question 1

Primary headache categories

Answer 1

1. migraine headache
2. tension headache
3. trigeminal autonomic cephalgias (cluster, paroxysmal)

Question 2

Secondary headache categories

Answer 2

1. trauma
2. vascular
3. intercranial hyper/hypotension

Question 3

headache red flags

Answer 3

Maximum intensity at onset
Headache with focal signs*
Onset after age 50
Change in headache pattern
Headache with cough, Valsalva or sexual activity
Systemic symptoms such as fever, weight loss or cough
Headache worse with laying down
Headache waking from sleep

Question 4

indications for imaging with headache

Answer 4

Thunderclap headache
Sudden change in pattern
New headache >50 yrs old
Headache with other illness
Headache with seizure
Headache associated with exertion, cough or Valsalva
Headache associated with pulsatile tinnitus or “whooshing”

Question 5

Definition: Migraine without aura

Answer 5

1. recurrent headache 4-72 hours
2. pain is mod-severe
3. aggravated by routine activities
4. nausea or photophobia/phonophonia

Question 6

Migraine with aura

Answer 6

1. aura symptoms occur for 5-60 min and happen 60 min beforre onset of migraine
2. recurrent unilateral attacks
3. positive symptoms attacking visual, sensory, speech/language

Question 7

chronic migraine

Answer 7

at least 15 headache days per month

Question 8

migraines of childhood

Answer 8

1. “childhood variants”
2. Abdominal migraine
3. Cyclic vomiting
4. Recurrent benign paroxysmal positional vertigo
5. Recurrent torticollis

Question 9

Treatment for migraine

Answer 9

1. NSAIDS
2. Triptans
3. Ergot
4. CGRP- calcitonin gene related peptide