Flashcards in Headache Deck (28)
What are the symptoms of trigeminal neuralgia?
Pain in face
Worse with chewing/brushing hair (has *triggers*)
What would you find on examination in trigeminal neuralgia?
Loss of sensation in affected side
Reduced tone in masseter and temporalis
How would you treat trigeminal neuralgia?
Neuropathic pain drugs: gabapentin, pregabalin, TCAs
In what demographic is benign intracranial HTN most common?
Pts on OCP
Recall the symptoms of benign intracranial HTN
Gradually worsening headache
Increasing IOP causing visual changes
How is benign intracranial hypertension treated?
Recall the classic signs of meningism
What must be done before any LP?
CT head to check it won't be dangerous
What is the first line of management in suspected meningitis?
Empirical antibiotic treatment at outset whilst investigations continue
Recall the type of leukocytosis in the CSF in a bacterial or a viral meningtits
Bacterial: high neutrophils
Viral: high lymphocytes
What is the quickest way to determine the pathogenic organism in meningitis?
Gram stain of CSF
What is the gram status of Neisseria meningitidis?
What sort of meningitis are HIV patients particularly at risk of contracting?
Describe the timing of a headache caused by a subdural haematoma
More commonn at night
Which group of people are most at risk of subdural haematoma?
Elderly patients on anti-coagulation treatment
Describe the positioning of a cluster headache
In which demographic is giant cell arteritis most common?
White elderly females with PMR
Other than headache, what symptoms does giant cell arteritis produce?
What is the treatment for giant cell arteritis?
Very high dose prednisolone
Recall the pattern of consciousness seen in extradural haematoma
Sudden loss in consciousness, followed by a lucent phase and then a rapid deterioration
Describe the location of the pain in migraine
How is migraine treated?
What sort of headache is described as "thundercloud"?
Which aetiology of headache can cause a 3rd nerve palsy?
What is the most common cause of subarachnoid haemorrhage
Rupture of berry aneurysm in PCA
What would be found in the CSF of someone who had a subarachnoid haemorrhage?
Which SOL are HIV patients particularly at risk of getting in the brain?