Term
| What are the neurotransmitters responsible for conducting pain sensation? |
|
Definition
CGRP
Substance P
NO
Neurokinin A |
|
|
Term
| What types of headache may be the result of a severe condition |
|
Definition
First headache w/o any history
Worst of pts life
Cursed: With Neurological deficits |
|
|
Term
| What type of headaches are typically unilateral? Bilateral? |
|
Definition
Unilateral: Cluster, Migraine
Bilateral: Tension, Daily |
|
|
Term
| What is a catamenial, acephalgic, and basilar migraine |
|
Definition
Catamenial: During Menses
Acephalgic: Aura, no headache
Basilar: with dysarthria, diplopia, ataxia, dysphagia |
|
|
Term
|
Definition
| Trigeminovascular activation increasing CGRP and Substance P causing cortical spreading depression |
|
|
Term
| Complications of a migraine |
|
Definition
Stroke
Status Migrainosus |
|
|
Term
| What is Cadasil and what is the etiology |
|
Definition
Notch1 mutation
"Cerebral Autosomal Dominant arteriopathy with subcortical infarcts and Leukoencephalopathy" |
|
|
Term
| How does a tension headache differ from a migraine? |
|
Definition
Tension:
Bilateral
No nausea/vomiting
Cranial muscle tenderness |
|
|
Term
| What are some key features of a cluster headache |
|
Definition
Unilateral
Nocturnal
Periorbital
Autonomic: lacrimation, rhinorrhea, sweat, ptosis
|
|
|
Term
| Define significant head trauma |
|
Definition
Loss of Consciousness
Amnesia(>10 min)
Two abnormalities on eval or imaging |
|
|
Term
| What time frame classifies an chronic post-traumatic headache |
|
Definition
|
|
Term
| What is the cause and tx for a rebound headache |
|
Definition
Cause: medication overuse
Tx: stop meds, break cycle, start prophylactic treatment |
|
|
Term
| Signs of cryptococcal meningitis on MRI |
|
Definition
| Enlarged Virchow-Robin Spaces near ventricles |
|
|
Term
| What percentage of patients with a subarachnoid hemorrhage die and what are the most common causes |
|
Definition
2/3rds die
Causes: HPTN(causing aneurysm, Trauma) |
|
|
Term
| Which is more commonly worse, a subdural hematoma or an epidural hematoma |
|
Definition
|
|
Term
| Cause of an obese 30 yr old women takening excessive Vit A with headache, Pulse synchronous tinnitis, Diplopia, transient visual loss |
|
Definition
| Pseudotumor Cerebri(benign Intracranial HPTN) |
|
|
Term
| What is the cause of postural headache and what are the signs on MRI |
|
Definition
Low CSF causing brain sagging
Chiari
Splenium/Callosun Sag |
|
|
Term
| What is the most common cause of a cervicogenic headache |
|
Definition
| Occipital Neuralgia involving C2 |
|
|
