Headaches Flashcards
(17 cards)
Unilateral pain, usually pulsatile, +/- photophobia, phonophobia and aura
Migraine headache
Most common type of HA disorder
tension-type headache
associated with pericranial tenderness
tension headache
predominantly effects middle-aged men
cluster headache
True or False: tension headaches can be associated with neurological deficits
FALSE
Vise-like or tight quality of pain
tension headache
episodes of severe perioribtal pain that occur daily for several weeks
cluster headache
What associated symptoms can accompany cluster headaches?
ipsilateral nasal congestion, rhinorrhea, lacrimation, redness of eye and Horner syndrome
when do cluster headache episodes generally occur?
at night
What are the treatment options for cluster headaches?
subQ or intranasal sumatriptan or O2 inhalation
When does a post-concussive headache usually occur?
1-2 days following an injury, may get worse before it gets better
Impaired memory, dysequilibruim, poor concentration, emotional instability and increase irritability can accompany what type of headache?
post-concussive (post-traumatic)
What medications can cause rebound headaches?
Excedrin, caffeine, opioids, NSAIDs, triptans, ergotamines, analgesics/antipyretics, substances containing butalbital
How do you characterize a rebound headache?
must be present for at least 15 days/month for 4 hours a day, usually bilateral and unresponsive to medication
When should you consider prophylactic migraine treatment?
significantly debilitating migraines or migraines that occur 2-3x/month
What drugs can be used for migraine prophylaxis?
antiepilepctics: topriamate, valproic acid
What medication is not indicated for tension headaches?
triptans
