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Flashcards in headache Deck (37)
1

which headache involves the eye ? intense pain around one eye? lacrimal swelling. recurrent attack which 'always attacks one side?

cluster headache

2

how many times a day do you get cluster headaches?

once or twice a day (clusters)

3

how long do the clusters last ?

typically 4-12 weeks

4

what is raised in temporal arteritis?

ESR

5

Recurrent, severe headache which is usually unilateral and throbbing in nature
May be be associated with aura, nausea and photosensitivity
Aggravated by, or causes avoidance of, routine activities of daily living. Patients often describe 'going to bed'.
In women may be associated with menstruation

migraine

6

Recurrent, non-disabling, bilateral headache, often described as a 'tight-band'
Not aggravated by routine activities of daily living?

tension headache

7

who is typical patient to have a migraine ?

young female

8

how often typically would people have migraines

once a month

9

pain in migraine?

unilateral throbbing pain

10

autonomic features of a migraine?

photophobia/phonophobia

11

what kind of aura can you get in migraine?

visual, seonsory, motor or language

12

triggers for migraine ?

Sleep
• Dietary
• Stress
• Hormonal
• Physical exertion

13

management of migraine?

offer combination therapy with an oral triptan and an NSAID, or an oral triptan and paracetamol

14

prophylaxis for migraine?

offer either topiramate or propranolol (TOTP)

15

what are triptans?

5HT agonist

16

example of triptan?

rizatriptan, eletriptan

17

which NSAID would you give?

aspirin

18

when would you consider prophylaxis?

more than 3 attacks per month or if very severe

19

Consider non-pharmacological methods such as?

accupuncture, relaxation exercises

20

which patients would you need to be careful giving propranolol to?

asthmatic

21

what kind of drug is topiramate?

carbonic anhydrase inhibitor

22

side effects of amytryptilline?

dry mouth, postural hypotension, sedation.
amytryptline is a TCA

23

common unilateral headache of the young?

migraine

24

when would you consider imaging ?

if late onset (>55)
known malignancy

25

Ipsilateral cranial autonomic features. what are they?

Ptosis
Miosis
Nasal Stuffiness Nausea/ vomiting Tearing
Eye lid oedema

26

Severe unilateral headache, Duration: 45- 90mins (20 mins-3 hours)?

cluster

27

frequency per day cluster headache?

1-8 per day

28

Treatment of a cluster headache?

high flow oxygen
Sub cut sumatriptan 6mg
Steroids- reducing course over 2 weeks
Verapamil for prophylaxis

29

prophylaxis of cluster headache?

verapamil

30

SUNCT treatment?

Tears LG

31

unilateral headache, unilateral autonomic features (dizziness/fainting/increased heart rate etc)

Paroxysmal hemicrania

32

Paroxysmal hemicrania treatment?

indomethicin

33

treatment of trigeminal neuralgia?

carbamazepine

34

what condition do you get trigeminal neuralgia in?

MS

35

trigger for cluster headache?

alcohol

36

cluster headache more common in males or females?

males

37

migraine prophylaxis for women associated with period?

frovatipran