Notes in Headache

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Published	04/01/2024	A 25-year-old man presents for evaluation of frequent migraines and states that the attacks are often preceded by a day of significant anorexia. Abnor…
Published	04/01/2024	A 44-year-old man presents for worsening migraine headaches over the past 1 to 2 years. He was initially diagnosed with migraine at age 16. The headac…
Published	04/01/2024	{{c1::Nitroglycerin::MEDICATION}}, a potent dilator of blood vessels, reliably induced migraine-like pain in up to 80% of patients, and transient dila…
Published	04/01/2024	{{c1::Triptans::MEDICATION}} are contraindicated in patients with a history of stroke, heart attack, coronary artery disease, peripheral vascular dise…
Published	04/01/2024	Tritpan MOA: {{c1::Agonism at 5HT-1B and 5HT-1D}}
Published	04/01/2024	The autonomic features of lacrimation, rhinorrhea, and nasal congestion seen in the trigeminal autonomic cephalalgias are due to the activation of whi…
Published	04/01/2024	hemicrania continua:definition? {{c1::continuous one-sided HA @ least 3 months}} associated sx? {{c2::+/agitation / restlessness}}, at least one …
Published	04/01/2024	trigeminal autonomic cephalgias list them in order of symptom duration?{{c1::SUNCT (conjunctival injection + tearing)/SUNA (one or the other) Par…
Published	04/01/2024	can you use propranolol to prevent cluster headaches? {{c1::No -> Verapamil + melatonin OR lithium OR depakote}}
Published	04/01/2024	Nummular headache:uncommon primary headache disorder with pain of variable duration ({{c1::seconds to days::duration}})Commonly {{c2::chronic::acute o…
Published	04/01/2024	Does basilar migraine cause motor weakness? {{c1::No}}
Published	04/01/2024	MOA of botox? {{c1::cleavage of SNAP25 protein}}
Published	04/01/2024	Hypnic headacheDescription: {{c1::mild-mod, bilateral HA only during sleep and causing the patient to wake up}}Criteria: {{c2::10+ days per month x 3 …
Published	04/01/2024	Med to treat chronic tension headaches? {{c1::TCAs (but can cause weight gain)}}
Published	04/01/2024	Migraine prophylaxis meds? (4 meds) contraindications to each? side effects?1. {{c1::Propanolol}} c/i with asthma, causes hypotension2. {{c2::AEDs (to…
Published	04/01/2024	Most common migraine trigger in adolescents? {{c1::caffeine withdrawal}}
Published	04/01/2024	post-LP headache: {{c1::lie flat, can do blood patch or IV caffeine::treatments}}
Published	04/01/2024	{{c1::Aspirin and ibuprofen::2 MEDS}} are contraindicated during the third trimester of pregnancy due to the risk of {{c2::premature closure of the fe…
Published	04/01/2024	{{c1::Tylenol::MEDICATION}} has an established record of safety when used during pregnancy for migraines.
Published	04/01/2024	What is cortical spreading depression? What is this thought to be associated with?{{c1::wave of hyperpolarization }}that spreads across a region …
Published	04/01/2024	The EEG is relatively blind to certain cortical regions, such as the {{c1::sulcal depths, inferior surfaces of the brain, and infoldings such as the i…
Published	04/01/2024	{{c1::Phase reversal}} is the key to localization with a bipolar montage. It is not diagnostic of an abnormality.
Published	04/01/2024	Referential montages are only as good as their {{c1::reference electrode}}
Published	04/01/2024	Cluster headache may include short frequent headaches (mimicking {{c1::paroxysmal hemicrania::condition}}) or a mild interictal headache (mimicking he…
Published	04/01/2024	For the acute treatment of cluster headache, {{c1::oxygen}}, triptans, and {{c2::noninvasive vagus nerve stimulation}} are effective options for patie…
Published	04/01/2024	When using triptans to treat cluster headaches, it is preferable to use {{c1::quicker}} routes of administration.
Published	04/01/2024	Unlike cluster headache, paroxysmal hemicrania is characterized by {{c1::shorter and more frequent}} attacks. It also has a slight {{c2::female::Male …
Published	04/01/2024	Indomethacin is not always well tolerated. It is recommended to consider using a gastroprotective medication. Additionally, {{c1::downtitrating i…
Published	04/01/2024	{{c3::Paroxysmal hemicrania:}}Recurrent {{c1::one-sided HA around or behind eye}}{{c2::5 to 40}} times per day and last {{c3::2 to 30::___ to ___}} mi…
Published	04/01/2024	A 53-year-old male had a left acoustic neuroma resected 5 months ago and has had severe, throbbing left-sided headaches that began the week of the res…
Published	04/01/2024	What does SUNCT stand for: {{c1::short lasting unilateral neuralgiform attacks with conjunctival injection and tearing}}
Published	04/01/2024	Electron Microscope shows onion bulb formation; two myelinated fibers surrounded by Schwann cell processes. What is the most likely diagnosis? {{…
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