Common Neuro histories

Question 1

Unilateral Throbbing headache, 4-72hr duration. Visual/audio disturbances?

Answer 1

Migraine.

Question 2

Bilateral frontal headache, short duration + no associated symptoms. Responds to pain relief?

Answer 2

Tension Headache.

Question 3

Neck Stiffness, Photophobia + Headache. Possible purpuric rash?

Answer 3

Meningitis.

Question 4

Intermittent headache around eye, 15min-3hr. Red eye, agitation/loss of concentration?

Answer 4

Cluster Headache.

Question 5

Posterior headache, very severe: ‘Thunderclap.’

Neck Stiffness, neurological deficit in the eyes/ elsewhere reported?

Answer 5

Subarachnoid Haemorrhage.

Question 6

Unilateral temporal headache, tenderness on scalp/temporal artery. Sudden loss of vision?

Answer 6

Temporal Arteritis.

Question 7

Unilateral headache. Worse on bending forwards + in the mornings. Peripheral neurological deficit + loss of consciousness?

Answer 7

Tumour/Space Occupying Lesion.

Question 8

Seizure, loss of consciousness + post-ictal confusion.

No other signs?

Answer 8

Complex focal seizure.

Question 9

Seizure, loss of consciousness + post-ictal confusion.

Stiffness and/or jerking movements?

Answer 9

Tonic-clonic (generalized) seizure?