Flashcards in Headache Deck (26):
What are things to ask about in regards to a headache?
What are red flags for headaches?
New onset headache >55
Early morning headache
Exacerbation by valsalva (coughing/sneezing which raise ICP)
What is released in response to stress?
What chemical irritates nerves and blood vessels resulting in pain?
What are 3 types of visual aura?
Central scotomata (blurred portion)
Central fortification (weird lines)
Hemianopic loss (half is lost)
What are triggers?
What drugs are good treatment for headaches?
What are triptans?
When would you consider Prophylaxis?
3+ attacks a month or very severe
How long must each dose of prophylaxis be trialed at?
minimum of 4 months
What drug reduces the frequency of migraines by 60-80%?
Avoid in asthma, PVD heart failure.
What are side effects for Topiramate (Carbonic anhydrase inhibitor)
What other drugs can help treat migraines?
What are the Ipsilateral Cranial Autonomic features?
Eye lid oedema
What are the 4 main types of TCA?
What are treatments for a cluster headache?
High flow O2
Sub cut Sumatriptan 6mg
Verapamil for prophylaxis
What's the treatment for Paroxysmal hemicrania?
What is a paroxysmal hemicrania?
Severe unilateral headache, unilateral autonomic features
1 to 40 per day
What is a cluster headache?
Severe unilateral headache
1 to 8 per day
45-90 mins a time
What does SUNCT stand for?
S = short duration (15-120 secs)
U = unilateral
N = Neuralgiaform headache
C = Conjunctival injections
T = Tearing
What is the treatment for SUNCT?
What two imaging techniques should be used with new onset unilateral cranial autonomic features?
What is trigeminal neuralgia?
Severe stabbing unilateral pain
1 sec to 90 secs
10-100 times per day
What are treatments for trigeminal neuralgia?
What are surgical options for trigeminal neuralgia?
Ablation v Decompression