Archives for June 2020

Neuro-ophthalmology Illustrated Chapter 19 – Diagnosis of Headache and Facial Pain 3

Questions:
15. What should be measured in all patients with headache?
16. What must be ruled out in all patients with headache?
17. What must be measured in all patients with recurrent, unilateral pain localized around the eye?
18. What lab tests should be done in all patients over age 50 with any headache or facial pain?
19. What should be considered and done when a patient presents with a thunderclap headache? 

Neuro-ophthalmology Illustrated Chapter 19 – Diagnosis of Headache and Facial Pain 2

Questions:
7. What differentiates classic from symptomatic trigeminal neuralgia?

8. Name several triggers for trigeminal neuralgia?

9. For Classic Trigeminal Neuralgia, what are the:
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

10. For Symptomatic Trigeminal Neuralgia, what are the:
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

11. For Cluster (Histamine) Headache, what are the: 
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

12. For Episodic or Chronic Paroxysmal Hemicrania, what are the:
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

13. For SUNCT Syndrome (Short-lasting, Unilateral, Neuralgiform headache attacks with Conjunctival injection and Tearing), what are the:
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

14. For Hemicrania Continua, what are the:
1. Age range
2. Gender ratio
3. Location of pain
4. Type of pain
5. Duration of pain
6. Temporal pain profile
7. Associated signs
8. Interictal exam
9. Treatment

Neuro-ophthalmology Illustrated Chapter 19 – Diagnosis of Headache and Facial Pain 1

Questions:
1. What are the characteristics of a typical migraine aura?
2. What is the longest duration of a typical migraine aura?
3. Does a typical migraine aura develop gradually?
4. What are the characteristics of the most common type of migraine aura?
5. At what point in a migraine with aura attack should vasoconstrictive treatments used to abort the attack be administered (e.g. ergotamine and triptans)?

Neuro-ophthalmology Illustrated Chapter 18 – Nonorganic Neuro-ophthalmologic Signs and Symptoms 2

Questions:
10. What should 2 conditions should be suspected in a patient with binocular diplopia, marked esotropia, and an apparent bilateral gaze palsy?
11. What are the findings of convergence spasm?
12. In a patient with binocular horizontal diplopia, marked esotropia, and an apparent bilateral gaze palsy what exam 4 techniques can be used to rule-out convergence spasm?
13. What are 3 characteristics of voluntary nystagmus?
14. What is the visual complaint of patients with voluntary nystagmus?
15. What pharmacologic agents should be used to rule-out pharmacologic mydriasis in a patient with a fixed dilated pupil?
16. Will mydriasis from a 3rd nerve palsy constrict to 0.1% pilocarpine?
17. If a pupil constricts with 0.1% pilocarpine what condition is present?
18. Will mydriasis from a 3rd nerve palsy constrict to 1% pilocarpine?
19. Will a pupil with pharmacologic mydriasis fully constrict to 1% pilocarpine?
20. A patient with best corrected distance visual acuity of 20/20, is unable to read better than J10 at near. What test can determine if the cause is inorganic?
21. How can nonorganic unilateral ptosis be differentiated from organic ptosis?
22. How can nonorganic blepharospasm be treated?
23. After it has been established that the patient’s symptoms are functional, what approach to treatment should be taken?