Tricks & Tools
Simple test that may help determine if patient has a CSF leak
What is 48-hour flat test?
Unilateral V1 short lasting pain, 2-30 min, multiple attacks, indomethacin responsive
What is Paroxysmal Hemicrania?
Binds and blocks adenosine receptors
What is caffeine?
intense short-lasting stabbing headache triggered by diving into very cold water
What is Cold-stimulus headache?
Purple lines, yellow bean-like forms, pink zig-zags and corona effects
What are elementary visual symptoms (EVS) in visual migraine aura?
Pick which spinal needle has least risk for causing post dural puncture headache: a)Quincke(conventional/cutting) 23 gauge b)Whitacare (pencil point) 23 gauge
What is Whitacare spinal needle?
Short lasting headaches, single, in group and saw tooth pattern, respond to lamotrigine
What is SUNCT/SUNA?
Drug acting on 5HT1F receptor
What is Lasmiditan?
Continuous visual disturbance occupying entire visual field and described as tiny flickering dots that resemble the noise of a detuned analogue television
What is Visual Snow Syndrome?
visual aura of altered object perception/macropsia/micropsia
What is Alice in Wonderland syndrome?
What is Cine MRI?
Headache that only happens during sleep in middle aged; responds to caffeine
What is hypnic headache?
Cleave SNAP-25
What is Botox and Dysport?
Unilateral jaw pain, ear pain, throat pain/dysphagia exacerbated by head turn
What is Eagle's (stylohyoid) syndrome?
Phenomenon observed electrophysiologically in the brain during aura
What is cortical spreading depression?
35 y/o woman with migraines has MRI brain with T2/FLAIR hyperintensities in bilateral anterior temporal poles, diagnosis?
What is CADASIL?
Side-locked unilateral headache, constant, with autonomic features/agitation, responsive to indomethacin
What is Hemicrania Continua?
Therapeutic effect due to action on 5HT1D receptor, but affects also noradrenaline & dopamine also
What is dehydroergotamine [DHE]?
Head pain circumscribed to round or elliptical area 1-6 cm diameter anywhere in head
What is Nummular headache?
Migraine with aura of motor weakness, usually lasting <72 hours, gene mutation CACNA1A
What is Familial Hemiplegic Migraine Type 1?
What change in temperature can you detect when doing an SPG block?
What is increase in temperature by 1-2 degrees in cheek?
Hypothalamus is hyperactive in ipsilateral side to where headache happens
What is Cluster headache?
Target CGRP receptor (name all 5)
What "are" Erenumab, atogepant, rimegepant, ubrogepant, zavegepant?
Migraine phenotype happening with associated transient neurologic deficits [hemiparesis/hemisensory/aphasia] and CSF lymphocytosis
What is HaNDL syndrome?
Preferred prevention treatment for migraine aura without headache
What are Calcium channel blockers?