Neurology – Headaches QUESTIONS AND CORRECT DETAILED ANSWERS WITH COMPLETE SOLUTIONS | GRADED A+

Neurology – Headaches


1. What are the 2 classifications of headaches?: Primary


- not life threatening (benign)
- Chronic, but may be acute if first presentation


Secondary
- symptoms of other illnesses
- dangerous
- acute/new onset or suddenly gets worse

2. What are the 3 chronic primary types of headaches?: - Tension headache


- Migraine headache
- Cluster headache

3. What are the types of chronic secondary headaches?: - cervical degenerative joint


disease

- temporomandibular joint syndrome
- cranial neuralgias
- headaches associated with substances or their withdrawal (caffeine, nitrates, analgesics, ergotamine)

4. What is the MC type of chronic headache?: MC is primary headache



,5. What are the types of primary new-onset headaches?: - benign cough headache


- benign exertional headache
- headache associated with sexual activity
- benign thunderclap headache
- Idiopathic intracranial HTN (pseudotumor cerebri)

6. What are the types of secondary new-onset headaches?: Infectious


- URTI
- sinusitis
- meningitis


Vascular
- temporal arteritis
- subarachnoid hemorrhage
- parenchymal hemorrhage
- malignant HTN






, - cavernous sinus thrombosis


Space occupying lesions
- brain tumors
- subdural hematoma


Secondary morning headaches
- sleep disturbance
- nightttime hypoglycemia


Postconcussive syndrome

7. What is the MC type of new-onset headache?: MC is secondary headaches


8. How should a patient with a headache be evaluted?: KLMNO


K = kinetic (sudden/gradual, how the headache moves)
L = LOCATION
M = major risk/medical history
N = new? first or worse?
O = onset

9. What are common accompanying symptoms of various types of headaches?-