Headache

Question 0

T/F

increased ICP will cause headache

Answer 0

False,

high ICP will not cause headache by itself.

Question 1

Causes of intracranial pain (5)

Answer 1

Meningeal arteries
Cerebral Arteries
Dura
Venous sinuses
CN's (5,7,9,10) or cervical nerves 1-3

Question 2

SA hemorhagge

Answer 2

“worst ever”

• often due to aneurysm rupture into SA space
• vomiting
• nuchal rigidity
• look on CT!

Question 3

A pt >50 yo with a new temporal headache and high ESR could be

Answer 3

GIANT CELL arteritis

Question 4

Intracranial HTN

Answer 4

High estrogen or decreased CSF absortion could predispose
Pt will have papilledema
Can damage the optic nerve.

Question 5

A UNILATERAL throbbing headache that is relived by sleep is likley:

Answer 5

Migraine

Question 6

T/F

Most migraines do not have an aura

Answer 6

True.

Arua is characteristic of migraines but most pts do not have one.

Question 7

The aura of a migraine is due to:

Answer 7

Wavve of excitiation with a slow march (6-10 min)

Question 8

Tension Headache:
Cause:
Nausea:

Answer 8

Due to hyperactivity of frontalis or cervical muscles
No nausea or photophobia
Can progress to migraine.

DONT tx only with analgesics, can become resistant.

Question 9

What headache type is unilateral, starts in the orbit, lasts <90 min, and occurs on a regular schedule that may even awaken the patient, which are mostly males..

Answer 9

Cluster headaches, tend to occur in several week long clusters. Pts often prefer to pace rather than lay still.