Tension Headache
- More Common in Women
- Bilateral Band-like Pain
- Occipital and Neck region
- Exacerbated by Stress
- Exacerbated by Fatigue
- > 30 Minutes
- Relaxation
- Caffeine
- NSAIDs
- Acetaminophen
- Amitriptyline
Trigeminal Neuralgia (Tic Douloureux)
- CN V (Trigeminal Nerve)
- Stabbing Unilateral Facial Pain
- Trigger Zones
- Psychological Disturbances
- Bizarre Facial Movements
- More Common in Women
- Classical
- Secondary
- Idiopathic
- Diagnosis by Clinical Impression
- MRI
- Carbamazepine
- Surgery As Last Resort
Migraine Headaches Signs and Symptoms
- More Common in Women
- Exacerbated by Activity
- Unilateral Pulsating Pain
- Aura
- Photophobia and Phonophobia
- Nausea/Vomiting
- 4 hours to 3 Days
Migraine Headache Treatments
- Avoid Triggers
- Sumatriptan
- NSAIDs
- Beta Blockers
- Calcium Channel Blockers
- Amitriptyline
- Topiramate (Anticonvulsants)
Sumatriptan
- Short Half-Life
- 5-HT Agonist
- Inhibits Trigeminal Nerve Activation
- Induces Vasoconstriction
- Migraine
- Cluster Headache
- Increased Risk of Serotonin Syndrome
- Paresthesias
- Coronary Vasospasm
- Prinzmetal's Angina
- Coronary Artery Disease (CAD)
Methylergonovine (Methergine) and Ergotamine (Ergot Alkaloids)
- Smooth Muscle Contraction
- Vasoconstriction
- Migraine
- Postpartum Hemorrhage
- Nausea and Vomiting
- Severe Hypertension
- Tachycardia
- 2nd Line Agent
Cluster Headache
- More Common in Men
- Unilateral Periorbital Headache
- Ipsilateral Tearing
- Precipitated by Alcohol
- Stabbing Pain
- 15 min - 3 Hours
- Repetitive Attacks in Clusters
- High Flow 100% O2
- Ergots
- Sumatriptan
Pseudotumor Cerebri: Risk Factors And Presentation
- Increased Intracranial Pressure With Unknown Etiology
- Women of Childbearing Age
- Obesity
- Vitamin A Excess
- Tetracyclines
- Papilledema
- Headache
- Diplopia
- Cranial Nerve VI (Abducens) Palsy
- No Altered Mental Status
Pseudotumor Cerebri: Diagnosis and Management
- Lumbar Puncture with Increased Opening Pressure
- Normal MRI or CT
- Weight Loss
- Acetazolamide
- Topiramate
- Surgery
- Avoid Triggers