Headaches (acute)

Question 1

ddx of acute/subacute HA (8)

Answer 1

1. Subarachnoid hemmorage
2. Cerebrovascular accidents
3. Menigitis
4. Postictal HA
5. Hypertencive encephalopathy
6. Intracranial hypotension
7. Cloital HA
8. Occular HA

Question 2

Two types of subarachnoid hemorrage

Answer 2

A. non traumatic

B. Traumatic

Question 3

Gross anatomy of subarachnoid hemmorage

Answer 3

Blood escaping from an artery on the surface of the brain fill the sub arachnoid space

Question 4

general symptoms of subarachnoid Hemmorage

Answer 4

Sudden onset + severe

• Diminished consciousness
• meningism (vommiting, neck stiffness, photophobia)
• Seziures

Question 5

Ant communicating aa sub arachnoid hemmorage symptoms

Answer 5

Visual symptoms
pos babinski
-bilateral lower limb paresis

Question 6

middle cerebral artery subarachnoid symptos

Answer 6

contralateral hand + face paresis
contralat visual neglect
aphasia

Question 7

Post communication artery sub arachnoid hemmorage symptoms

Answer 7

CN 3 signs

Question 8

What are the cerebrovascular accidents

Answer 8

hemorrhagic stroke
ischemic stroke
RIND
TIA
VBI

Question 9

What is a postictal HA

Answer 9

headache that follows a generalized tonic-clonic seizure

Question 10

What is a hypertensive encephalopathy and causes

Answer 10

FLAG >180/>120

• HA associated w sudden rise in BP
• Hypertension may cause cerebral edema

Causes– Malignant hypertension, Pheochromocytoma, acute exercise, allergies

Question 11

What is a cloital HA and red flag for it

Answer 11

Dull bilateral HA during sexual activity/orgasm
M>W

Red flag- pts should be referred for possible subarachnoid hemmorrage

Question 12

mc intracranial tumor

Answer 12

gliomas (43%)