headache, vertigo, neurocutaneous disorders Flashcards Preview

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Flashcards in headache, vertigo, neurocutaneous disorders Deck (10):
1

localization, duration, and description of a cluster headache. Associated symptoms? male vs. female?

unilateral, 15 min-3hr, repetitive headache. causes excruciating periorbital pain with lacrimation and rhinorrhea. It can induce Horner syndrome. more common in males.

2

Treatment for cluster headache

inhaled O2, sumatriptan

3

describe the localization, duration and description of a tension headache

bilateral, over 30 min, constant steady pain. no photobia/phonophobia, no aura.

4

Treatment for tension headaches

analgesics, NSAIDs, acetaminophen, amitriptyline for chronic pain

5

location, duration, and description of migraine. associated symptoms, male vs female

unilateral headache lasting 4-72 hrs. pulsating pain with nausea or photophobia/phonophobia. may have an aura. due to irritation of CNV, meninges, or blood vessels, which causes release of substance P, CGRP, vasoactive peptides
more female
POUND: pulsatile, one day, unilateral, nausea, disabling

6

How do you distinguish between cluster headaches and tirgeminal neuralgia?

duration- trigeminal neuralgia causes shooting pain that lasts less than 1 minute. pain from a cluster headache last at least 15 mins.

7

What are causes of peripheral vertigo?

more common than central vertigo and caused by inner ear etiology like semicircular canal debris, vestibular nerve infection, or Meniere disease.

8

How do you distinguish peripheral vertigo from central vertigo?

postional testing causes delayed horizontal nystagmus, usually toward the unaffected ear. vertigo is usually fatiguable

9

What are causes of central vertigo?

brain stem or cerebellar lesion, such as a stroke affecting the vestibular nuclei or a posterior fossa tumor.

10

Findings associated with central vertigo

diplopia, dysmetria (finger to nose problems), position testing causaes immediate nystagmus. may also have focal neuro findings

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