Changes

Jump to navigation Jump to search
913 bytes added ,  22:00, 9 January 2023
Line 50: Line 50:  
|-
 
|-
 
| '''Tension''' || dull/tight/pressure, bilateral, band-like, can extend into the neck and shoulders, triggered by stress, lasts up to 7 days || NSAIDs/APAP, massage, heat, relaxation || Avoid triggers
 
| '''Tension''' || dull/tight/pressure, bilateral, band-like, can extend into the neck and shoulders, triggered by stress, lasts up to 7 days || NSAIDs/APAP, massage, heat, relaxation || Avoid triggers
 +
|}
 +
{| class="wikitable"
 +
|+ Secondary Headaches
 +
|-
 +
! Etiology !! Presentation !! Treatment
 +
|-
 +
| [[IIH]] || Can mimic migraine. Shows up in young, obese females, worse in the morning or with straining, can have papilledema on exam, elevated opening pressure on LP. || Acetazolamide (CA inhibitor '''decreases CSF production'''). Weight loss. Therapeutic LPs.
 +
|-
 +
| Tumor || Progressively worsening headache, worse in the morning. Can have focal neural deficits based on location. || Treat the cancer
 +
|-
 +
| Aneurysm || Can mimic migraine or SAH (if ruptured). May be seen on MRI, CTA. || May be able to coil or clip. Control BP.
 +
|-
 +
| [[Giant Cell Arteritis]] || Jaw claudication, pain with hair combing, ipsilateral vision loss, associated with [[RA]], middle aged females. Temporal artery biopsy will show large vessel vasculitis with giant cells. || High dose steroids for 1-2 months. Don't wait for biopsy results.
 
|}
 
|}
  

Navigation menu