Headache

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Author:
jollyvulcan
ID:
163231
Filename:
Headache
Updated:
2012-07-20 05:13:41
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Headaehe
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Description:
Headache
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  1. What are the features of Tension-Type Headache?
  2. What are th features of Migraine?
    Number/Duration: 5 headaches of >4 hours

    Characteristics: Unilateral (frontal), Pulsating, Moderate to Severe, Aggravated by activity (at least 2)

    Associated Features: Nausea / Vomitting, Photo or Phonophobia (at least one)
  3. What are some contradictions for the use of Triptans?
    • Ischemic heart disease
    • Ischemic cerebrovascular disease
    • Ischemic bowel disease
    • Uncontrolled HTN
    • Hemiplegic or Basilar Migraine
    • Ise wit Ergots / Tryptans / SSRI's
  4. What is Familial Hemiplegic Migraine?
    • Complicated migraine with hemiplegia / paresis
    • Maps to Chromosome 19
    • Caused by a mutation in Ca Channel
  5. What is CADASIL?
    • Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy
    • Autosomal dmoninant disorder
    • Presents with migraine and recurrent strokes
    • Notch3 gene on Chromosome 19
  6. What are the features of Cluster Headache?
    • M > F
    • Recurrent, severe, unilateral, retro/peri-orbital pain
    • > 60 minutes
    • Clusters often occur seasonally first thing in the morning
    • Autonomic features
  7. Describe the features of Paroxysmal Hemicrania?
    • F > M
    • Episodes of unilateral retroorbital pain
    • Multiple attacks a dayeach attack lasts minutes
    • Associated autonomic features
    • Diagnosed by Indomethacin responsivits
  8. What are the features of SUNCT?
    • Short-acting Unilateral Neuralgiform headache with Conjunctival Injection and Tearing
    • M > F, < 50 years old
    • 3-100 attacks a day
    • No response to indomethacin
  9. What are the features of Trigeminal Neuralgia?
    • Severe, brief, recurring, lancinating pain in a V2-V3
    • Triggered by trigger points
    • Treated with Tegretol, PHT, GABApentin, Baclofen, Bz
  10. What are the features of Pseudotumor Cerebri?
    • Headache, Papilledema, Bilateral CN VI Palsies, Visual Loss
    • F > M
    • DX: LP (>25), MRI - empty sella
  11. What are the features of Giant Cell Arteritis?
    • F > M and W > B
    • Systemic disorder with large artery inflammation
    • Fevers, Weight Loss, Angina, Jaw Claudication, Transient monocular blindness
    • HA (unilateral temporal)
    • DX: ESR (>100), CRP, CBC, and Temporal Artery Bx
    • TX: High dose steroids
  12. What are some common medications that can cause headaches?
    • Aggrenox
    • OTC Agents (rebound)
    • NSAIDs (asceptic meningitis)
    • Nitroglycerin
    • Calcium Channel Blockers
    • H2 Blockers
    • Methylxanthines
    • IVIg

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