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Flashcards in Headache Deck (28):
1

Cranial structures not sensitive to pain (4)

-ventricles
-choroid
-parenchyma (-midbrain)
-small veins

2

Part of midbrain sensitive to pain

dorsal raphe nucleus

3

Three main headache groups

-primary
-secondary
-cranial neuralgia

4

Migraine pathophysiology: l

-begin in brainstem
-trigeminal system activation
-activation of chemoreceptors and autonomic nervous system

5

How common is aura in migraine?

-60-70% of migraines

6

Describe complicated migraine

-long dramatic aura, may mimic stroke

7

Basilar migraine:
-location
-assc symptoms

-occipital throbbing pain
-vertigo, dysarthria, ataxia

8

Contrast bickerstaffs migraine and simple basilar migraine

-bickerstaffs begins with total blindness

9

List four abortive therapies for migraines

-NSAIDs
-Triptans
-DOPA antagonists
-Combos

10

Which triptan is short acting? long acting?

-sumatriptan: short
-zolmi: intermediate
-frova: long

11

List the two dopa antagonists for migraines

-metoclopramide (reglan)
-prochlorperazine (Compazine)

12

When is migraine prophylaxis needed?

-migraines 3+ times per month
-functional impairment

13

List five drug classes used for migraine prophylaxis

-BBers
-CCBs
-TCAs
-Anticonvulsants
-Serotonergic Drugs

14

List the four anticonvulsant drugs for migraine prophylaxis:

-keppra: leviteracetam
-Depakote: valproic acid
-Topamax: topiramate
-Neurontin: gabapentin

15

Describe cluster headache

severe unilateral stabbing periorbital/ temporal pain

16

Pathway involved in cluster headache pathogenesis:

-trigeminal-hypothalamic pathway

17

How is O2 administered for cluster H/A?

-12L/min for 15 mins

18

Prophylactis for cluster HA

-steroids
-CCBs

19

#1 HA disorder

tension headache

20

Tension H/A never includes:

-N/V

21

Abortive therapy tension HA

-Acetaminophen
-NSAIDs

22

Prophylaxis tension HA

-TCA
-gabapentin

23

Drugs assc with idiopathic intracranial hypertension

-TCN
-OCPs
-vitamin A

24

How should LP be done in IIH?

-lateral decubitus position

25

Two treatments for IIH (drug)

-acetazolamide
-topiramate

26

Warning signs for headache:
-three types

-worst ever
-first severe
-subacute worsening

27

Warning signs for headache:
-five assc symptoms

-abnormal exam
-fever
-vomiting
-worsening with bending/lifting/coughing
-disturbs sleep

28

Warning signs for headache:
age

-55+