Headaches

Question 1

Pain sensitive structures of the head

Answer 1

Scalp
Ms of head and neck
Sinuses
Extracranial and intracranial BV
Dura mater

Question 2

Is when the areas of the brain interpreting the pain
becomes more sensitive

Answer 2

Central sensitization

Question 3

A symptom of a dse

Answer 3

Serious headaches

Question 4

Dse on itself

Answer 4

Benign headaches

Question 5

Danger signs of headaches

Answer 5

Severe, progressive headache
Alteration of consciousness
Fever, neck rigidity
Double vision
Papilledema
Other focal neurological deficits

Question 6

Types of headaches

Answer 6

Tension-type
Cluster
Migraine c aura
Migraine s aura

Question 7

Tension-type headaches symptoms

Answer 7

Pressing or tightening pain
Mild or moderate intensity
Pain in both sides
No aggravation of pain by physical activity

Question 8

Parameters of tension-type headaches

Answer 8

10 or more attacks between 30 minutes to 7 days

Question 9

Presentations of a person c tension-type headache

Answer 9

No nausea or vomiting.
May be either photophobia or phonophobia

Question 10

Muscle contraction in tension-type headache is caused by

Answer 10

Stress

Question 11

Pain creates more..

Answer 11

Ms spasm

Question 12

Treatments for tension-type headaches

Answer 12

Analgesics
Identify MPS
Ms relaxants
Anxiolytics/Anti-depressants

Question 13

Most common type of migraine

Answer 13

Migraine s aura

Question 14

Criteria for classifying migraine s aura

Answer 14

@ least 5 attacks in the last 4 - 72 hrs

Question 15

Symptoms of migraine s aura

Answer 15

Pulsating pain
Unilateral
Moderate to severe pain
Aggravation by physical activity
Nausea
Phonophobia/Photophobia

Question 16

Migraine s aura pt must have no Hx of

Answer 16

Trauma
CVA
Neoplasms
Substance withdrawal
CNS infection

Question 17

Criteria for classifying migraine c aura

Answer 17

Similar to migraine s aura but must have @ least 2 attacks

Question 18

Aura criteria

Answer 18

Visual/Sensory numbness
Must be before the headache for < 60 mins
Headache should follow aura w/in 60 mins
Fully reversible

Question 19

Several attacks during a day in a period of weeks or
months, then months to years of no attack; then
cluster headaches daily

Answer 19

Cluster headache

Question 20

Shooting paroxysmal pain on the muscles of the
face

Answer 20

Trigeminal neuralgia

Question 21

Progressive headache that worsens with time

Answer 21

Intracranial lesion

Question 22

Type of pain exhibited in tension-type headaches.

Answer 22

Squeezing or pressing

Question 23

Type of pain exhibited in migraines.

Answer 23

Pulsating

Question 24

Frequent migraine

Answer 24

Chronic/Transformed Migraine

Question 25

Timetable for chronic migraines

Answer 25

Daily or almost daily (>/= 15 days/month) Head pain (>/= 4 hrs/day)

Question 26

Criteria for classifying chronic migraine

Answer 26

History of episodic migraine History of increasing headache frequency with decreasing severity of migrainous features Current headache meets HIS migraine criteria

Question 27

Criteria for Basilar-type Migraine

Answer 27

Fulfills IHS criteria for migraine c aura

Question 28

Symptoms present in Basilar-type Migraine

Answer 28

Dysarthria ↓ Hearing ↓ LOC Double Vision Ataxia Bilat Paresthesia

Question 29

Neurologic deficits persist after the headache

Answer 29

Complicated Migraines

Question 30

present with hemiplegia

Answer 30

Hemiplegic migraine

Question 31

Either of the eyes' movement is paralyzed

Answer 31

Opthalmoplegic migraine

Question 32

Cranial nerves affected in ophthalmoplegic migraine

Answer 32

3, 4, 6

Question 33

Criteria for classifying ophthalmoplegic mirgraine

Answer 33

Headache overlapping with paresis of one or more CN III, IV, or VI Parasellar lesion May have isolated dilated pupil or tadpole pupil

Question 34

Clinical features of eye headaches

Answer 34

Asthenopia - eye strain do not occur instantaneously with a visual challenge Computer eye syndrome

Question 35

Criteria for cluster headaches

Answer 35

At least 5 attacks of severe pain lasting 15-180 minutes Attacks occur up to 8 times a day lasting for weeks to months Pain localizes in the eyes or temples on one side of the head

Question 36

Treatments for cluster headaches

Answer 36

Oxygen (8-10 mL/min) Ergotamines (for attacks) Propanol 40-160 mg Topiramate Indomethacin 25-50 mg TID

Question 36

Seen c acute sinusitis

Answer 36

Sinus headaches

Question 37

Sinus headaches clinical presentation

Answer 37

Dull pressure Bilateral, pre-orbital Radiating to ears Usually worse in the morning Not associated c nausea, vomiting, or visual disturbances

Question 38

Presents c purulent discharge

Answer 38

Acute sinus headache

Question 39

Managing migraines

Answer 39

Fight or avoid triggers Abort the pain ASAP Prevent frequent attacks

Question 40

Common migraine triggers by rank

Answer 40

1 - stress 2 - hormones 3 - strong odor