Niederdruck-Kopfschmerz
Über den Vortrag
Der Vortrag „Niederdruck-Kopfschmerz“ von Roy Strowd, MD ist Bestandteil des Kurses „Kopfschmerzen“.
Quiz zum Vortrag
What is a key symptom that is related specifically to low-pressure headaches?
- There is a positional component with worsening pain upon sitting up.
- There is a positional component with worsening pain upon lying down.
- There is a positional component in which the pain is improved with sitting up.
- The headache is usually unilateral.
- The headache pain is described as shooting, stabbing, or electric.
What is a potential cause of a spontaneous CSF leak?
- A dural tear seen in a patient with a connective tissue disorder
- A lumbar puncture
- A ventriculoperitoneal shunt
- Cranial surgery
- A motorcycle accident
When is a blood patch used to treat a patient with a post-lumbar puncture headache?
- After 5–7 days of conservative therapy
- After 1–2 days of conservative therapy
- After 3–4 days of conservative therapy
- After 10 days of conservative therapy
- After 2 weeks of conservative therapy
What MRI finding is seen in a patient with low CSF pressure?
- Sinking or sagging of the brain
- Flattened cerebral venous sinuses
- Shrinking of the pituitary
- Increase in size of the ventricles
- Patchy dural enhancement
What is a mechanism of compensation for CSF volume depletion that can be seen on MRI?
- Venous hyperemia with engorgement of the venous sinuses
- Shrinking of the pituitary
- Descent of the cerebellar tonsils
- Engorgement of the ventricles
- Patchy dural enhancement
What is TRUE regarding conservative measures used to treat a post-lumbar puncture headache?
- Aggressive oral hydration and caffeine help the production of CSF.
- Aggressive oral hydration and avoidance of caffeine help the production of CSF.
- Avoiding both excessive oral hydration and caffeine help the production of CSF.
- Lying flat may exacerbate the headache.
- An epidural blood patch should be the first modality of treatment for a CSF leak after a lumbar puncture.
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Dozent des Vortrages Niederdruck-Kopfschmerz
Roy Strowd, MD
Dr. Roy Strowd is the Assistant Dean of Undergraduate Medical Education at the Wake Forest Baptist Medical Center, in North Carolina, USA.
He obtained his MD from Wake Forest School of Medicine in 2009, and his MEd from Johns Hopkins University in 2021. Currently, he co-directs the Neurofibromatosis and Tuberous Sclerosis Clinics at Wake Forest Baptist Medical Center, and is a researcher for the Adult Brain Tumor Consortium (ABTC) and Alliance for Clinical Trials in Neuro-Oncology.
Due to his achievements, he earned the M. Brownell Anderson Award from the Association of American Medical Colleges.
Within Lecturio, Dr. Strowd teaches courses on Clinical Neurology.
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