Headaches

Question 1

what eye disorder has headache as symptom?

Answer 1

glaucoma

Question 2

what is character of pain in migraine?

Answer 2

severe/pulsating throbbing pain

Question 3

where is pain migraine?

Answer 3

unilateral. rotates sides

Question 4

how long are migraines?

Answer 4

couple hours

Question 5

what are assoc symptoms with migraines?

Answer 5

nausea/vomiting and photophobia/phonphobia

Question 6

what are four stages of migraine?

Answer 6

prodrome
aura
headache
postdrome

Question 7

what is the prodrome of migraines?

Answer 7

yawning, euphoria, depression, irritability, food craving

Question 8

what is a migraine aura?

Answer 8

scintillations or vision loss that precedes migraine headache

Question 9

what are scintillations?

Answer 9

bright light flashes during aura of migraine

Question 10

is migraine disorder genetic?

Answer 10

highly genetic

Question 11

what is the NT in migraines?

Answer 11

serotonin

Question 12

what is the target for many therapies in migraines?

Answer 12

calcitonin gene related peptide (CGRP)

Question 13

what happens to vessels in migraine?

Answer 13

vasodilation

Question 14

what is most common type of headache?

Answer 14

tension

Question 15

where is pain with tension headache?

Answer 15

diffuse pain

Question 16

what is rx for tension headache?

Answer 16

NSAIDs

Question 17

what are cluster headaches?

Answer 17

headaches that occur in clusters…every day at same time for period of time

Question 18

what is character of pain in cluster headache? where/

Answer 18

unilateral severe pain

Question 19

in tiny doses this induces cluster headaches?

Answer 19

alcohol

Question 20

what are cluster headaches associated with?

Answer 20

unilateral ptosis
anisocoria
eye watering
rhinorrhea

Question 21

are cluster headaches relieved with rest?

Answer 21

NO

Question 22

what is mainstay of Rx for cluster headaches

Answer 22

oxygen 100%

Question 23

what is migraine med used in cluster headaches?

Answer 23

triptans (sumitriptan)

Question 24

name three prophylactic drugs for cluster headaches

Answer 24

verapamil
lithium
galcanezumab

Question 25

what is paroxysmal hemicrania?

Answer 25

brief severe pain on side of head

Question 26

name three major underlying issues that a headache can be symptom of

Answer 26

carotid/vertebral dissection SAH intracranial hypotension

Question 27

in addition to headache, what else presents with carotid dissection?

Answer 27

horners syndrome

Question 28

why does horners present with carotid dissection?

Answer 28

because the second nerve in the tract runs along the carotid artery

Question 29

what are the two vessels that can have dissection and lead to headache?

Answer 29

carotid and vertebral

Question 30

what is trigeminal neuralgia?

Answer 30

excruciating unilateral pain in distribution of the trigeminal nerve

Question 31

what portions of the trigeminal usually cause issue in trigeminal neuralgia?

Answer 31

V2 and V3

Question 32

what are three symptoms of temporal arteritis?

Answer 32

headache jaw claudication blindness

Question 33

what exacerbates trigeminal neuralgia?

Answer 33

sensory stimuli to face like shaving, brushing teeth

Question 34

what is cause of trigeminal neuralgia?

Answer 34

blood vessel pressing on the nerve

Question 35

what other neuro disorder can have trigeminal neuralgia?

Answer 35

MS

Question 36

what is first line Rx for trigeminal neuralgia?

Answer 36

carbamazapine

Question 37

what are classic SEs of carbamazapine?

Answer 37

nausea, diplopia, ataxia

Question 38

what are severe SEs of carbamazepine?

Answer 38

hyponatremia | liver fxn issues

Question 39

what are the symptoms of intracranial hypertension?

Answer 39

headache blind spot enlargement tinnitus

Question 40

what are exam findings in intracranial hypertension?

Answer 40

papilledeme | blind spot enlargement

Question 41

what is LP finding in intracranial hypertension?

Answer 41

raised opening pressure

Question 42

what is Rx for intracranial hypertension?

Answer 42

acetazolamide

Question 43

what is usual cause of intracranial hypotension

Answer 43

low CSF pressure

Question 44

name two causes of low CSF pressure

Answer 44

post spinal tap | CSF leak due to cyst or tear

Question 45

what is unique about headache pain in intracranial hypotension?

Answer 45

it is positional

Question 46

is headache pain in intracranial hypotension worse when standing or lying down?

Answer 46

worse when standing and sitting, better when lyig down

Question 47

what severe headache cause is a CT with contract good at spotting?

Answer 47

dissections

Question 48

what severe headache cause is a CT without contract good at spotting?

Answer 48

blood...SAH