L3: Headache

Question 1

Def of Headache (Cephalgia)

Answer 1

Question 2

Incidence of Headache (Cephalgia)

Answer 2

It is the most common form of pain affecting 90 - 99% of the population at any time of their Life

Question 3

Pathogenisis of Headache (Cephalgia)

Answer 3

Question 4

Classification of Headache (Cephalgia)

Answer 4

1ry & 2ry

Question 5

1ry Headache

Answer 5

Question 6

2ry Headache

Answer 6

Question 7

Def of Migraine

Answer 7

Chronic, Episodic (in attacks and free in between) the headache combined with Neurological, GIT and Autonomic manifestations.

Question 8

Epidemeology of Migraine

Answer 8

Question 9

Characters of attack of Migraine

Answer 9

Question 10

Def of Migraine Triggers

Answer 10

• Certain substances or conditions that contribute in the beginning of the pathophysiology of migraine.

Question 11

Examples of Migraine Triggers

Answer 11

Question 12

Classification of Migraine

Answer 12

Question 13

Incidence of Migraine with aura (classic migraine)

Answer 13

Less common than migraine without aura (1:8)

Question 14

What is Migraine with aura (classic migraine) a RF for?

Answer 14

Ischemic Stroke

Question 15

What congenital anomaly is associated with Migraine with aura (classic migraine)?

Answer 15

50 % have Patent Foramen Ovale

Question 16

Aura in Migraine with aura (classic migraine)

Answer 16

Question 17

Complicated Migraine

Answer 17

Types of migraine that is associated with:
- Transient Hemiplegia
- Transient Ophthalmoplegia

Question 18

Pathogenesis of Migraine

• Neurovascular Theory

Answer 18

Question 19

Pathogenesis of Migraine

Answer 19

Question 20

Pathogenesis of Migraine

• Vascular Theory

Answer 20

Question 21

Pathogenesis of Migraine

• Serotonergic Abnormalities

Answer 21

Question 22

Pathogenesis of Migraine

• Integrated Theory

Answer 22

Question 23

Dx of Migraine

Answer 23

• History: characteristics of the attack.
• Absence of neurological signs.
• Negative investigations: either neurological or laboratory.

Question 24

TTT Aspects of Migraine

Answer 24

• Acute
• Prophylactic

Question 25

Oral Acute Migraine TTT

Question 26

Oral Acute Migraine TTT - Specific TTT

Question 27

Oral Acute Migraine TTT - Non-Specific TTT

Answer 27

Question 28

Preventive TTT of Migraine

Answer 28

Question 29

Preventive TTT of Migraine - Indications

Answer 29

* > 2 attacks / month * Attacks last > 24 hours * Attacks cause major disturbance for 3 or more days * H/O complicated migraine

Question 30

Preventive TTT of Migraine - Drugs

Answer 30

Question 31

Preventive TTT of Migraine - Beta Blockers

Question 32

Preventive TTT of Migraine - TCA

Question 33

Preventive TTT of Migraine - Neuromodulators

Question 34

Def of **Cluster Headache**

Answer 34

A rare, severe form of chronic headache.

Question 35

Incidence of **Cluster Headache**

Answer 35

Common in males than females (9: 1)

Question 36

Characters of **Cluster Headache**

Answer 36

Question 37

Periodicity in **Cluster Headache**

Answer 37

- Rec 1-3 times/ day - Lasts 1-2 month with freedom periods in between clusters for many months.

Question 38

Autonomic Symptoms in **Cluster Headache**

Answer 38

Question 39

Abnormal Behaviour in **Cluster Headache**

Answer 39

- Severe Irritation, - Pressure over the affected side - Restlessness - Agitation

Question 40

Managment of **Cluster Headache**

Answer 40

- Acute TTT - Prophylactic

Question 41

Managment of **Cluster Headache** - Acute TTT

Answer 41

Question 42

Managment of **Cluster Headache** - Prophylactic TTT

Answer 42

- Ergotamine - Valproate - Topiramate

Question 43

Def of **Tension Headache**

Answer 43

- Commonest type of headache, Constitutes 30-80% of try headaches.

Question 44

Incidence of **Tension Headache**

Answer 44

- Commonest type of headache, Constitutes 30-80% of try headaches.

Question 45

Characters of **Tension Headache**

Answer 45

Question 46

Clinical Types of **Tension Headache**

Answer 46

Question 47

Managment of **Tension Headache**

Answer 47