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Flashcards in Neurology Peer Teaching Deck (111)
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1

Name 3 primary headaches

Migraine
Cluster headache
Tension headache

2

Name some secondary headaches

Meningitis
SAH
GCA
Medication over use
IIH

3

Name headaches which arent primary or secondary headaches

Trigeminal neuralgia
Painful neuropathies

4

What is classic migraine

Migraine with aura

5

What is common migraine

Migraine without aura

6

Name triggers for migraine

Cheese
OCP
Caffeine
Alcohol
Anxiety
Travel
Ecercise

7

Give some examples of migraine auras

Reversible visual symptoms (unilateral blindness, flashes, fortification)
Reversible dysphagic sppech disturbances, numbness, tingling

8

Features of migraine

4-72hrs
Unilateral, pulsing
Moderate to severe
Acitivity = worse
N and V
Photo/phonophobia

9

First line management of an acute migraine attack

Aspirin +- metoclopramide

10

Second line management of an acute attack

Sumatriptan

11

Prophylaxis of migraine

Propanolol

12

Features of cluster headaches

Severe, short lived
15mins- 180mins
Unilateral eye pain
Ipsilateral autonomic features
Headaches in clusters
Restless during attack

13

Do migraine patients move around

No

14

Do cluster headache patients move around

Yes

15

Treatment of an acute cluster headache attack

SC sumatriptan
100% Oxygen

16

Cluster headache prophylaxis

Verapamil

17

Features of tension headache

30 minutes- a week
Bilateral pressing
Not associated with activity or nauseau

18

Treatment for tension headache

Reassurance that self limiting. Stress is cause. <15 a month, then paracetamol but be wary of MOH

19

Who more commonly gets cluster headaches

Men

20

Who gets giant cell arteritis

Over 50s
Associated with polymyalgia rheumatica

21

Symptoms of GCA

Headaches
Scalp tenderness
Jaw claudication
Unilateral vision loss
Temporal artery tenderness

22

Investigations for GCA

ESR (often v high) Temporal artery biopsy

23

Treatment of GCA

PO Prednisolone

24

What can cause a headache of raised intracranial pressure

Space occupying lesion, intracranial tumour or idiopathic intracranial hypertension

25

Features of a headache of raised intracranial pressue

Generalised ache
Aggravated by bending, coughing or straining.
Worse in morning or after prolonged recumbency

26

Accompanying symptoms fo headache of raised intracranial pressure

Vomiting
Visual obscurations
Progressive focal neurological signs
Papilloedema, enlarged blind spots, reduced visual acuity

27

What investigation do you do for suspected headache of raised ICP

Urgent imaging with CT or MRI

28

Describe idiopathic intracranial hypertension

Fat young women, papilloedema is marked so they might get optic atrophy.

29

3 cardinal presenting symptoms of brain tumours

Symptoms of raised ICP
Progressive neurological defecity
Focal or generalised epilepsy

30

Which cancers met to brain

Lung
Breast
RCC
GI