7.8 Headaches

Question 1

the orbit, paranasal sinuses, teeth, dural sinuses and blood vessels are cranial __________ structures

Answer 1

pain sensitive

Question 2

cause of headaches in most patients?

Answer 2

undetermined

Question 3

severe headaches, unilateral site, throbbing quality, nausea, photophobia and phonophobia

Answer 3

common migraine (without aura)

Question 4

migraine headache preceded or accompanied by visual, sensory, or other focal neurological symptoms

Answer 4

classic migraine (with aura)

Question 5

chronic migraine (Transformed) have history of chronic migraine, most commonly due to medication ________ (opiates, barbituates), patients rarely respond to preventative medications until _______ from medication

Answer 5

overuse, withdrawal

Question 6

severe unilateral peri-orbital 15-180 minutes untreated, associated with conjunctival infection/lacrimation/rinorrhea/miosis/ptosis/eyelid edema on painful side,

Answer 6

cluster headache

Question 7

increased flow resistance in arachnoid villi or increase dural sinus pressure, leads to headache and papilledema, double/blurred vision, normal head imaging

Answer 7

pseudotumor cerebri

Question 8

beta blockers, anti-epileptics, botulinum toxins, NSAIDs

Answer 8

prophylactic medications for migraine

Question 9

severe migraine lasting more than 3 days

Answer 9

status migranosus

Question 10

thunderclap onset, new onset after age 35, altered mental status, increased intracranial pressure, elevated WBC/ESR

Answer 10

red flags with chronic headaches

Question 11

temporal tenderness, ESR >50, necrotizing arteritis, treat with prednisone

Answer 11

giant cell arteritis