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Difference between a branchial cleft cyst and a thyroglossal cyst?
- thyroglossal is in midline moves with swallowing
- Branchial cleft cyst is on the lateral side of SCM
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Pathophisiology of A migraine?
- Nuclei release substance P, neurokinin which simtulate 5HT and NE from raphe and L.cerelus.
- 5HT and NE stimulate COX to release PG-->sterile inflammation of trigeminal nerve---> perceived by nociceptors--->headache
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Tx for Migraine?
- sumtriptan
- ergotamine
- lidocaine
- Nsaids
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WHat precipitates a Cluster Headache?
Etoh
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To be classified as a cluster headache what else must be there?
headache + autonomic dysfunction-ptosis, sweating, drooling
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Tx for trigeminal Neuralgia?
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What other condition accompanies Temporal(Giant Cell) arteritis?
Polymyalgia Rheumatica
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Why is the weight loss in Temporal arteritis?
High ESR
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Headache +vision loss?
- temporal arteritis
- Migraine
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Amaurosis Fugax?
transient vision loss due to ischemia as in temporal cell arteritis
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Elevated optic disk, Bilateral papilledema, headache in an obese close to menopause woman?
Pseudotumor Cerebri
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Psedotumor cerebri is due to what?
high CSF
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WHat polyposis syndrome is associatd with brain tumors?
Turcots---+ medulloblastoma and glioblastoma multiforme
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WHich NF is associated with optic gliomas/hamartomas?
bilateral acoustic shwanomma?
- NF1-optic glioma
- NF2--bilateral acoustic shwanommas
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Headache that resolves on laying down is caused by what?
hypotension
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Triad of Menier's?
- vertigo
- Tinnuitis
- Sensoryneuronal hearing loss
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PID?
inflammation of uterus, fallopian tubes, cervix, ovaries
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Adnexal Mass
mass around the ovaries
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