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5 Cards in this Set
- Front
- Back
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What is trigeminal neuralgia?
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-Severe, lancinating, brief, electric shock-like pain that recurs up to dozens of times per day
-Often triggered by contact of specific area of skin -Ephaptic transmission is most commonly caused by small aberrant loop of artery lying against the root entry zone, but may be caused by MS or mass lesion -More females than males -Age of onset usually around 50-60 years -Usually happens to V2 or V3; sometimes V1 -Rarely loss of facial sensation |
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What is a migraine?
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-Location: Unilateral head
-Duration: 4-72 hours -Quality: Pulsating, throbbing -Mild to moderate to severe -Nausea, vomiting, photophobia, phonophobia -Most common age of onset 20-40 -More common in women; occurs in 30% of general population |
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What is the diagonstic criteria for migraine without aura?
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Two of the following:
-unilateral headache -pulsating quality -nausea -photophobia and phonophobia Both of the following -similar pain in past -no evidence of organic underlying cause |
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What is the diagnostic criteria for migraine with aura?
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Headache pain preceded by at least one of the following:
-visual scotoma, fortification spectra, or photopsia -sensory paresthesia, numbness, unilateral weakness, aphasia No evidence of organic underlying disease |
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What features suggest a diagnosis of migraine?
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-Features of the attack follow the international headache society standards
-Family history of headache -Onset between ages 5 and 35 -Childhood history of motion sickness, vertigo, abdominal complaints -General sensitivity to environment -Menstrual association -Non progressive symptoms |
