Neuro - cluster headache Flashcards by Jade Kiersten

Q

describe headache

A

severe and unbearable
unilateral
around the eye

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Q

why are they called cluster headaches?

A

clusters of attacks and then disappear for a while

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Q

how long do attacks last?

A

15 minutes to 3 hours

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Q

typical patient

A

30-50 year old male smoker

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Q

triggers

A

alcohol
strong smells
exercise

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Q

what are they also known as?

A

suicide headaches

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Q

unilateral or bilateral?

A

unilateral

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Q

eye symptoms

A

red, swollen, watering
miosis
ptosis

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Q

facial symptoms

A

nasal discharge

facial sweating

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Q

acute management

A

6mg sc sumatriptan

high flow O2 15-20 mins

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Q

prophylaxis

A

verapamil
lithium
prednisolone 2-3 weeks

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Q

what nerve area do the attacks occur in?

A

trigeminal nerve

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Q

diagnostic tests

A

neuroimaging

doppler USS

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