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Flashcards in headaches Deck (28):
1

HA that awakens patient from sound sleep

space occupying lesion

2

leading cause of subarachnoid hemorrhage

rupture of cerebral arterial aneurysm

3

most common cause of thunderclap HA

subarachnoid hemorrhage

4

thunderclap variety HA, peaks within 1 min and very intense

reversible cerebral vasoconstriction syndrome

5

multiple intense, 1 min HA multiple times for 1-4 weeks

reversible cerebral vasoconstriction syndrome

6

types of low pressure HA (4)

1. post LP
2. CSF rhinorrhea
3. inappropriate shunt
4. primary intracranial hypotension

7

Leakage of spinal fluid from the nose d/t trauma

CSF rhinorrhea

8

Most of the time it's due to a small leak in the dura (often due to cervical spondylosis arthritis)

primary intracranial hypotension

9

how to work up primary intracranial hypotension

MR with contrast

10

types of high pressure HA (2)

1. acute hydrocephalus
2. idiopathic intracranial HTN (pseudotumor cerebri)

11

pseudotumor cerebri can lead to what severe loss

permanent visual loss

12

papilledema, obese, extremely high opening pressure

pseudotumor cerebri

13

ppl >50 yo, tender artery, large ESR, jaw claudication, burnign HA

cranial arteritis (grant cell/temporal arteritis)

14

start_____tx for temporal arteritis immediately to prevent _____

steroids; blindness

15

lancinating pain, many attacks per day, trigeminal distribution

trigeminal neuralgia

16

what sort of meds to tx trigeminal neuralgia

antiepileptics

17

trigeminal neuralgia often presents with what disease?

MS

18

cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

CADASIL

19

most common primary HA

episodic tension type HA

20

migraine criteria involves 2 of which criteria

1. unilateral
2. throbbing
3. worsened by movement
4. moderate or severe

21

migraine criteria involves 1 of which crtiera

1. N/V
2. photophobia or phonophobia

22

what type of pain accompanis migraine

neck pain

23

Abortive tx of cluster HA

SC sumatriptan or O2

24

Preventive tx of choice for cluster HA

verapamil

25

paroxysmal hemicrania have an excellent response to?

indomethicin

26

constant HA on 1 side that responds well to indomethicin

hemicrania continua

27

what is the most important risk factor for chronic daily HA

overuse of acute medications

28

med overuse HA assc'd with intake of simple analgesics _____days per month for >____months

>15 days/mon; >3 months