Headache, Seizures Flashcards
Most common type of headache
Tension
Headache predicated by stress, hunger, sleep deprivation, eye strain.
Heightened neuronal sensitivity.
Tension
Clinical features of tension headache
Band-like pain around head
Steady, aching (non pulsatile)
Bilateral, without photophobia, phono phobia, nausea, or vom
Tx Tension HA
NSAIDs
Muscle relaxants
Antidepressants / psychotherapy
Headache more common w females, unilateral pulsating, n/v, photophobia, phonophobia
Migraine
Migraine Tx
abortive triptan, antiemetic, NSAIDs
Headache more common w males, one sided, tearing, red eye, nasal congestion, same time every day
Cluster
Cluster HA Tx
abortive: oxygen, triptan;
preventative CCB of choice: VERAPAMIL
Types of generalized seizures
Absence - staring
Atonic - loss of muscle tone, falls
Tonic Clonic - convulsions
Myoclonic - quick, involuntary muscle twitch
Types of partial seizures
Simple - intact awareness
Intact - loss of consciousness
Seizure lasting more than 5 mins
Status epilepticus
Post ictal state
time after seizure occurs, before pt returns to normal
Diagnosis criteria of epilepsy
At least 2 unprovoked seizures occurring > 24 hr apart
Isolated tonic or clonic activity of a limb or transient altered sensory perception - may spread to include the entire side of the body in a “jacksonian march”
Simple partial seizure
Characterized by an aura, followed by impaired consciousness. N/V, focal sensory or tonic clonic activity may be present.
Complex partial seizure