Flashcards in Neuro H Headache Deck (22):
1
Brain parenchyma involvement
None
2
Trigeminal Neuralgia
Obersteiner-Redlich zone - CNS -> PNS glia
3
Trigeminal Neuralgia Tx
Anti-epileptics
4
Pseudotumor
Make CSF normally, but don't absorb it.
Young overweight women
Papilledema
Normal CT/MRI
5
Stroke/seizure peak
Infants, old people
6
Migraine peak
Teens
7
Migraine
Several hours
unilateral
pulsating
aggravated by routine activity
photo/phonophobia
nausea/vomiting
8
Tension headache
hours to days
bilateral
not aggravated by routine activity
9
Visual auras
Fortification
Scotomas
Metamorphopsia
10
Opthalmoplegic migraine
CN 3,4,6 palsy
11
Basilar migraine
Focal brainstem findings
12
Acute Tx
maximum 2-3 times per week
13
Triptan MOA
5HT 1b & 1d agonists
14
Triptan worry
Do not use in vasculopaths (can cause MI)
15
Tension headache cause
Sleep deprivation & stress
16
Cluster headache cause
Circadian rhythm, altered pineal hormones
17
Cluster headache Tx
O2, intranasal lidocaine
18
Cluster headache prevention
CCB, lithium
19
Chronic headache definition
15 days per month, persisting for several weeks
20
Chronic headache cause
Abortive medication overuse
21
Chronic headache comorbidity
Psychiatric illness
22