Primary Headache

Context and Definition

Basic Science and Pathophysiology

Clinical Assessment and Risk Stratification

Red Flag Symptoms

8 Topics

Tension Headaches

Introduction to Migraine

Migraine Sub-types

Cluster Headaches

Exertional Headaches

Trigeminal Neuralgia

Knowledge Check

Imaging for Primary Headaches

Management of Primary Headaches

3 Topics

Primary Headache

Case 2

Primary Headache Clinical Cases Case 2

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Question 1 of 3

1. Question
A 45-year-old stockbroker attends the ED. He has had symptoms of headache every day for a month. He has no past medical history and your examination of him is normal. He is concerned he may have a brain tumour and is demanding a CT scan.

Which of the following statements is incorrect?
- Most patients with brain tumours have headaches
- Most patients with brain tumours have cognitive or focal neurological defects
- In patients under 50, most brain tumours are primary neoplasms
- In order to reassure this man, a CT scan is indicated
- A benign diagnosis is unlikely
Correct

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Question 2 of 3

2. Question
Which of the following is not a ‘red flag’?
- Headache in a patient aged >50 years
- ‘Thunderclap’ headache
- Headaches increasing in severity
- Headaches worsening through the day
- Focal neurological symptoms or signs
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Question 3 of 3

3. Question
Which of the following questions is the most specific for a given headache aetiology?
- Use of analgesic medication
- Diurnal pattern
- Psychological stresses
- Use of recreational drugs
- Effects on work and recreation
Correct

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