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Flashcards in Headaches Deck (9)
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1
Q

What are some causes of rapid-onset headaches?

A

Subarachnoid haemorrhage
Meningitis
Encephalitis

2
Q

How do migraines present?

A

Unilateral
Throbbing
Photo/phonophobia
Aura

3
Q

How are migraines managed?

A

Prophylaxis - propanolol, topiramate, amitriptyline

Attack - triptan, NSAIDs, paracetamol, anti-emetics

4
Q

When a headache is accompanied by eye pain and reduced vision, what is the liekly cause?

A

Acute glaucoma

5
Q

How do cluster headaches present?

A

Pain around one eye (always UL)
Watery and bloodshot eye
Lid swelling, crying, flushing, rhinorrhoea, miosis, ptosis

Clustered: 1-2/day for 4-12 weeks then remission for up to 2 years

6
Q

How are cluster headaches managed?

A

Oxygen, sumatriptan

7
Q

What are the symptoms of trigeminal neuralgia?

A

Intense stabbing UL pain in trigeminal nerve distribution

8
Q

How is trigeminal neuralgia managed?

A

Carbamezapine, lamotrigine, phenytoin, gabapentin

Surgical nerve decompression

9
Q

What contraception can be used in patients with migraine with aura?

A

Progesteribe-only pill

COCP -> stroke risk increased