Podcast
Questions and Answers
What is headache primarily considered as?
What is headache primarily considered as?
- A specific disease entity
- A vascular disturbance
- A symptom rather than a disease entity (correct)
- A stress response
What is a primary headache?
What is a primary headache?
- One related to a specific disease entity
- One for which no organic cause can be identified (correct)
- One primarily caused by stress
- One caused by cranial arteritis
What is the typical time of onset for migraine?
What is the typical time of onset for migraine?
- During old age
- At puberty (correct)
- In adulthood
- In childhood
What is the cause of migraine primarily considered as?
What is the cause of migraine primarily considered as?
What did the International Headache Society (IHS) issue in 1988?
What did the International Headache Society (IHS) issue in 1988?
What is cranial arteritis considered as?
What is cranial arteritis considered as?
What are the subtypes of migraine headache mentioned in the text?
What are the subtypes of migraine headache mentioned in the text?
What is the incidence of migraine in women compared to men?
What is the incidence of migraine in women compared to men?
What is the duration of severe headache in migraine?
What is the duration of severe headache in migraine?
What is migraine primarily considered as?
What is migraine primarily considered as?
Which type of headache is the most common?
Which type of headache is the most common?
What is a cause of severe headache in the older population?
What is a cause of severe headache in the older population?
What is a characteristic of the premonitory phase of a migraine with aura?
What is a characteristic of the premonitory phase of a migraine with aura?
What is the pathophysiology of migraine related to?
What is the pathophysiology of migraine related to?
What may trigger tension headaches?
What may trigger tension headaches?
What are trigeminal autonomic cephalalgias inclusive of?
What are trigeminal autonomic cephalalgias inclusive of?
What are secondary headaches associated with?
What are secondary headaches associated with?
What are the focal neurologic symptoms characteristic of the aura phase of a migraine with aura?
What are the focal neurologic symptoms characteristic of the aura phase of a migraine with aura?
What is one of the triggers for migraine?
What is one of the triggers for migraine?
What is thought to cause cluster headache?
What is thought to cause cluster headache?
Which type of headache is characterized by a steady, constant feeling of pressure that usually begins in the forehead, temple, or back of the neck?
Which type of headache is characterized by a steady, constant feeling of pressure that usually begins in the forehead, temple, or back of the neck?
What type of headache is often bandlike or may be described as 'a weight on top of my head'?
What type of headache is often bandlike or may be described as 'a weight on top of my head'?
Which type of headache is unilateral and comes in clusters of one to eight daily, with excruciating pain localized to the eye and orbit and radiating to the facial and temporal regions?
Which type of headache is unilateral and comes in clusters of one to eight daily, with excruciating pain localized to the eye and orbit and radiating to the facial and temporal regions?
What type of headache is often described as penetrating and accompanied by watering of the eye and nasal congestion?
What type of headache is often described as penetrating and accompanied by watering of the eye and nasal congestion?
What type of headache often begins with general manifestations such as fatigue, malaise, weight loss, and fever?
What type of headache often begins with general manifestations such as fatigue, malaise, weight loss, and fever?
Which headache type is associated with inflammation such as heat, redness, swelling, tenderness, or pain over the involved artery?
Which headache type is associated with inflammation such as heat, redness, swelling, tenderness, or pain over the involved artery?
What type of headache may have visual problems caused by ischemia of the involved structures?
What type of headache may have visual problems caused by ischemia of the involved structures?
During which phase of the headache may physical exertion exacerbate the pain?
During which phase of the headache may physical exertion exacerbate the pain?
What phase of the headache may patients sleep for extended periods?
What phase of the headache may patients sleep for extended periods?
What is the typical duration of each attack of cluster headache?
What is the typical duration of each attack of cluster headache?
Which type of headache is characterized by a steady, constant feeling of pressure that usually begins in the forehead, temple, or back of the neck?
Which type of headache is characterized by a steady, constant feeling of pressure that usually begins in the forehead, temple, or back of the neck?
Which type of headache is unilateral and comes in clusters of one to eight daily, with excruciating pain localized to the eye and orbit and radiating to the facial and temporal regions?
Which type of headache is unilateral and comes in clusters of one to eight daily, with excruciating pain localized to the eye and orbit and radiating to the facial and temporal regions?
Which type of headache often begins with general manifestations such as fatigue, malaise, weight loss, and fever, and is associated with inflammation and visual problems?
Which type of headache often begins with general manifestations such as fatigue, malaise, weight loss, and fever, and is associated with inflammation and visual problems?
During which phase do patients with headache pain sleep for extended periods?
During which phase do patients with headache pain sleep for extended periods?
Which type of headache is often described as penetrating and is accompanied by watering of the eye and nasal congestion?
Which type of headache is often described as penetrating and is accompanied by watering of the eye and nasal congestion?
What is a common characteristic of tension-type headaches?
What is a common characteristic of tension-type headaches?
Which headache type is characterized by a crescendo–decrescendo pattern and each attack lasting 15 minutes to 3 hours?
Which headache type is characterized by a crescendo–decrescendo pattern and each attack lasting 15 minutes to 3 hours?
What is a common manifestation associated with cranial arteritis?
What is a common manifestation associated with cranial arteritis?
What is a distinguishing feature of cluster headaches?
What is a distinguishing feature of cluster headaches?
What is a common characteristic of tension-type headaches?
What is a common characteristic of tension-type headaches?
Study Notes
Understanding Different Types of Headaches and Their Manifestations
- Migraine without an aura is the most common type of headache, while tension-type headaches are chronic and less severe, and trigeminal autonomic cephalalgias include cluster headaches and paroxysmal hemicrania.
- Other primary headache types include those triggered by cough, exertion, and sexual activity, and cranial arteritis is a cause of severe headache in the older population.
- Secondary headaches are symptoms associated with other causes such as brain tumors, aneurysms, or lumbar puncture.
- Serious disorders related to headache include brain tumors, subarachnoid hemorrhage, stroke, severe hypertension, meningitis, and head injuries.
- The pathophysiology of migraine involves a hyperexcitable brain susceptible to cortical spreading depression, which activates inflammatory neuropeptides and neurotransmitters, resulting in the stimulation of meningeal nociceptors.
- Migraine can be triggered by hormonal changes, bright lights, stress, depression, sleep deprivation, fatigue, odors, and certain foods containing tyramine, monosodium glutamate, and chocolate.
- Emotional or physical stress may cause contraction of the muscles in the neck and scalp, resulting in tension headaches.
- The pathophysiology of cluster headache is not fully understood, with one theory suggesting it is caused by dilation of orbital and nearby extracranial arteries.
- Cranial arteritis is thought to represent an immune vasculitis, and a biopsy may be performed on the involved artery to make the diagnosis.
- The migraine with aura can be divided into four phases: premonitory, aura, the headache, and recovery (headache termination and postdrome).
- The premonitory phase involves symptoms such as depression, irritability, food cravings, and change in activity level, occurring hours to days before a migraine headache.
- The aura phase is characterized by focal neurologic symptoms, with visual disturbances being the most common, followed by numbness, tingling, confusion, weakness, and drowsiness.
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Description
Test your knowledge of various types of headaches and their manifestations with this quiz. Learn about migraine, tension-type, cluster headaches, and more, as well as the triggers and pathophysiology behind these conditions. Gain insights into different phases of migraines and how they can be differentiated.
