Headaches

Question 1

Principle treatment strategy for cluster headache

Answer 1

Prevention with verapamil, divalproex sodium, topirimate, lithium

Adjunctive symptomatic treatment with oxygen inhalation, DHE, triptans

Question 2

Diagnostic of paroxysmal hemicrania

Answer 2

excellent response to indomethacin

Question 3

Hemicrania continua features

Answer 3

SIDE LOCKED. no pain free periods. at least one autonomic symptom ipsilateral to pain during exacerbations. Complete response to indomethacin

Question 4

Most important risk factor for chronic daily headache

Answer 4

Medication overuse headache

Question 5

analgesic overuse headache caused by intake of simple analgesics for how many days/month

Answer 5

at least 15

Question 6

combination medication overuse headache caused by intake of combination meds for at least how many days/month

Answer 6

at least 10

Question 7

Results of Head HUNT study

Answer 7

Relative risk of chronic migraine elevated 13.3 times, risk of chronic non migraine headache elevated by 6.2 times compared with those who did not overuse analgesics

Question 8

do nonmigraine pts who take analgesics daily develop MOH or CDH

Answer 8

No

Question 9

Maximum number of days pt can be on acute headache drugs/month

Answer 9

10