Flashcards in Headache Deck (6):
What is Trigeminal Neuralgia?
unilateral pain of CN5 (radiating to maxillary or mandibular areas)
brief facial spasm
1) paroxysmal attacks
2) intense sharp with precipitation
3) attacks stereotyped
4) no neuro deficit
5) no other disorder
can have 1 per day or 12 per 100 or 100s an hour
- central, peripheral or both
- vascular compression at entry into pons or venous/arterial loops at trigeminal
What are some triggers for TN?
chewing, talking, smiling, drinking cold/hot fluids
- rubbing areas
how do you treat TN?
can spontaneously resolve after 6-12 months
carbemazepine 1st line
lamotrigine 2nd line
gabapentin 3rd line
radiation and percutaneous surgery if treatment resistant
What are the criteria for migraine?
P - Pounding
O - hours (4-72)
U - unilateral
N - nausea
D - disabling (disrupts DALYs)
Treatment for sinusitis?
- No antibiotics only if >10 days
- Antibiotics - >1 week (improve then get worse) with fever high, pain over sinus or rash.
Imaging - some need CT but not necessary.