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Flashcards in Headaches N24 Deck (9)
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1

Pain Sensitive Structures in the Brain

Dural sinus, venous sinus, intracranial portion of V, IX, X, upper cervical nn, large arteries

2

Factors that affect pain sensitive structures

Tension and traction, vascular throbbing, inflammation

3

Pain Insensitive structures

Brain parenchyma (intracerebral lesions), ependymal lining of ventricles, choroid plexus

4

Migraine

Common Migraine: w/o aura, lasts 4-72h, unilateral, pulsating, moderate severity, physical activity worsens it, vomiting, nausea, photophobia
Classic Migraine: w aura, focal neurologic deficit, visual disturbances
Due to neurovascular dysfunction

5

Tension-type/Muscle contraction headache

diffuse, mild to moderate pain in your head that's often described as feeling like a tight band around your head, bilateral squeezing

6

Cluster Headache

cyclical patterns, painful, pain around one eye or side of head, alcohol exacerbates

7

Secondary headache

arises secondary to a known cause: CVA, Inflammation, infection

8

Headache RED FLAGS

Age (>50), no prior history or change in headaches, papilledema (swelling of optic disc due to intracranial pressure), thunderclap headache (severe, sudden), systemic illnesses, neurological symptoms

9

Medication Overuse Headache

Headache >15d/mo; Medication use >10d/mo; headache from overuse