Lec 6

Question 1

“The worst headache of my life”

Answer 1

Aneurysm

Question 2

Acronym for Intracranial Pain Disorders

Answer 2

SNOOP

Systemic symptoms

Neurologic signs and symptoms

Onset is sudden

Onset after 40 years old

Pattern change

Question 3

Primary Headache Disorders

Answer 3

1) Migraine
2) Tension-type
3) Trigeminal Autonomic Cephalgia

Question 4

The simultaneous presence of two diseases or conditions in a patient.

Answer 4

Comorbidity

Question 5

Comorbidity between these two conditions.

Answer 5

TMD and migraines

Question 6

Vasoconstriction in the brain reduces blood to the brain, and get a reactionary vasodilation in the rest of the body.

Answer 6

Migraine

Question 7

These are produced in migraines.

Answer 7

Prostaglandins

Question 8

Electrophysiological hyperactivity followed by inhibition.

Answer 8

Cortical spreading depression

Question 9

Occurs in the brain during hypoxic conditions and causes neuronal death.

Answer 9

Cortical spreading depression

Question 10

Current mechanism of the migraine aura.

Answer 10

Cortical spreading depression

Question 11

People with migraines have a depletion of this.

Answer 11

Serotonin

Question 12

Dx:

1) Headaches attacks lasting 4-72 hours.
2) Headaches that are unilateral, pulsating, moderate or severe pain intensity, or aggravated by physical activity.
3) Nausea or vomiting during the headache, or photo/phonophobia.

Answer 12

Migraine without aura

Question 13

In migraine with aura, visual or sensory changes occur how long before the actual headache?

Answer 13

10-30 minutes

Question 14

Dx:

1) Aura that’s visual, sensory, speech/language, motor, brainstem, or retinal.
2) At least 1 aura symptom that spreads gradually over 5 minutes, or at least 2 symptoms that occur in succession.
3) At least one aura symptom that’s unilateral.
4) Headache occurs within 60 minutes of the aura.

Answer 14

Migraine with aura

Question 15

Serotonin levels in people with migraines.

Answer 15

Low

Question 16

Common medication to treat migraines.

Answer 16

Triptans

Question 17

Treat migraines by acting like Serotonin.

Answer 17

Triptans

Question 18

Meds used to treat migraines.

Answer 18

Triptans
Beta blockers
Antidepressants
Ergots
Calcium channel blockers.

Question 19

Treats migraines by reducing trigeminal innervated muscular activity.

Answer 19

Plastic bite block that you put in the incisors.

Question 20

More than 15 headaches in a month is what?

Answer 20

Migraine

Question 21

Most common headache.

Answer 21

Tension-type

Question 22

This headache has tension or pressing around the forehead.

Answer 22

Tension type

Question 23

Phono and photophobia are associated with this.

Answer 23

Migraines

Question 24

Exercise can trigger this, but NOT this.

Answer 24

Migraine, but not a tension-type headache.

Question 25

Lasts 30 minutes to 7 days.

Answer 25

Tension type headache

Question 26

Location of Tension type headaches

Answer 26

Bilateral temporal or frontal regions

Question 27

Tension type headaches do NOT have these.

Answer 27

1) Not aggravated by exercise. | 2) No nausea or vomiting.

Question 28

A group of headaches characterized by trigeminal pain and autonomic signs.

Answer 28

Trigeminal Autonomic Cephalgia

Question 29

Cluster Headache is a type of what?

Answer 29

Trigeminal Autonomic Cephalgia.

Question 30

These Signs are associated with what? - Lacrimation/Conjunctival injection - Nasal congestion/rhinorrhea - Eyelid edema - Forehead/Facial sweating and flushing. - Miosis/Ptosis (pupils get smaller).

Answer 30

Autonomic Trigeminal Cephalgia

Question 31

Most severe form of a primary headache that is more common in males than females.

Answer 31

Cluster headaches.

Question 32

Autonomic Trigeminal Cephalgia that occurs in people WITHOUT a headache hx.

Answer 32

Cluster headaches

Question 33

Usually occur at the same time of the day for several weeks.

Answer 33

Cluster headaches

Question 34

When do cluster headaches most often occur?

Answer 34

Night

Question 35

Often get this headache 2-3 AFTER falling asleep.

Answer 35

Cluster

Question 36

When your eyelid droops, or you have a small pupil on one side.

Answer 36

Horner Syndrome

Question 37

This headache is most likely autosomal dominant.

Answer 37

Cluster

Question 38

How to manage cluster headaches.

Answer 38

7 L Oxygen/minute for 15 minutes. Ergotamines or Sumatriptan

Question 39

These headaches are NOT caused by another condition.

Answer 39

Primary headaches

Question 40

Occurs suddenly

Answer 40

Paroxysm

Question 41

What is paroxysmal hemicrania?

Answer 41

A type of trigeminal autonomic cephalgia.

Question 42

Cluster headaches have how many attacks?

Answer 42

5

Question 43

Paroxysmal hemicrania has how many attacks?

Answer 43

20

Question 44

Difference between cluster headaches and paroxysmal hemicrania.

Answer 44

Number of headaches. Cluster = 5 Paroxysmal hemicrania = 20

Question 45

Absolutely prevents Paroxysmal Hemicrania

Answer 45

Indomethacin

Question 46

These are prevented by Indomethacin.

Answer 46

Paroxysmal Hemicrania Hemicrania Continua

Question 47

A continuous chronic headache lasting more than 3 months.

Answer 47

Hemicrania continua

Question 48

What does SUNCT stand for?

Answer 48

Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival Injection and Tearing

Question 49

Indomethacin is for the ______.

Answer 49

Hemicranias

Question 50

These Trigeminal autonomic cephalgias are in the unilateral orbital, supraorbital, and/or temporal regions.

Answer 50

Cluster Headache Paroxysmal Hemicrania

Question 51

Unilateral headache lasting more than 3 months.

Answer 51

Hemicrania Continua

Question 52

Occurs in the orbital or temporal region and can radiate to the jaw or neck.

Answer 52

SUNCT

Question 53

Used to treat SUNCT.

Answer 53

Anticonvulsants or Gabapentin

Question 54

No refractory period in this trigeminal autonomic cephalgia.

Answer 54

SUNCT