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Year 3 St Peter's Hospital Tutorials > Headache > Flashcards

Flashcards in Headache Deck (28)
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1

What are the symptoms of trigeminal neuralgia?

Pain in face
Tingling
Worse with chewing/brushing hair (has *triggers*)
*Unilateral*

2

What would you find on examination in trigeminal neuralgia?

Loss of sensation in affected side
Reduced tone in masseter and temporalis

3

How would you treat trigeminal neuralgia?

Neuropathic pain drugs: gabapentin, pregabalin, TCAs

4

In what demographic is benign intracranial HTN most common?

Obese pts
Pts on OCP

5

Recall the symptoms of benign intracranial HTN

Gradually worsening headache
Increasing IOP causing visual changes

6

How is benign intracranial hypertension treated?

Lumbar puncture
Acetazolamide

7

Recall the classic signs of meningism

Fever
Neck stiffness
Photophobia

8

What must be done before any LP?

CT head to check it won't be dangerous

9

What is the first line of management in suspected meningitis?

Empirical antibiotic treatment at outset whilst investigations continue

10

Recall the type of leukocytosis in the CSF in a bacterial or a viral meningtits

Bacterial: high neutrophils
Viral: high lymphocytes

11

What is the quickest way to determine the pathogenic organism in meningitis?

Gram stain of CSF

12

What is the gram status of Neisseria meningitidis?

Gram negative

13

What sort of meningitis are HIV patients particularly at risk of contracting?

Cryptococcal

14

Describe the timing of a headache caused by a subdural haematoma

More commonn at night

15

Which group of people are most at risk of subdural haematoma?

Elderly patients on anti-coagulation treatment

16

Describe the positioning of a cluster headache

Unilateral
Periorbital

17

In which demographic is giant cell arteritis most common?

White elderly females with PMR

18

Other than headache, what symptoms does giant cell arteritis produce?

Sudden blindness
Jaw claudication

19

What is the treatment for giant cell arteritis?

Very high dose prednisolone

20

Recall the pattern of consciousness seen in extradural haematoma

Sudden loss in consciousness, followed by a lucent phase and then a rapid deterioration

21

Describe the location of the pain in migraine

Unilateral headache

22

How is migraine treated?

5HT agonists
Triptans

23

What sort of headache is described as "thundercloud"?

Subarachnoid haemorrhage

24

Which aetiology of headache can cause a 3rd nerve palsy?

Subarachnoid haemorrhage

25

What is the most common cause of subarachnoid haemorrhage

Rupture of berry aneurysm in PCA

26

What would be found in the CSF of someone who had a subarachnoid haemorrhage?

blood

27

Which SOL are HIV patients particularly at risk of getting in the brain?

Toxoplasmosis

28

Describe the variation of the headache caused by an SOL in the brain?

Diurnal and positional variation