Cefalea

CEFALEA EN URGENCIAS Dra. Ana Rodríguez Servei de Neurologia

“ La cefalea es el dolor más común en los humanos” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mecanismo de la cefaleas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACIÓN DE LAS CEFALEAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object]

Anamnesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exploración física ,[object Object],[object Object],[object Object],[object Object],[object Object]

Exploraciones complementarias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ El diagnóstico de las cefaleas es clínico” ,[object Object],[object Object],[object Object]

Manifestaciones clínicas de alarma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indicaciones de TC craneal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Recomendaciones grupo de estudio de cefalea. SEN 1998

Indicaciones de punción lumbar ,[object Object],[object Object],[object Object],Recomendaciones grupo de estudio de cefalea. SEN 1998

Indicaciones de RM craneal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Recomendaciones grupo de estudio de cefalea. SEN 1998

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tipos (IHS 1988) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Criterios (IHS 1988) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento ,[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento profiláctico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraña. Tratamiento profiláctico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cefalea en racimos (cluster) Criterios (IHS 1988) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cefalea en racimos. Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cefalea tensional . Criterios (IHS 1988) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cefalea tensional. Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemicránea paroxística crónica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arteritis de Horton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Meningitis y encefalitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neoplasias benignas Meningioma frontal derecho ,[object Object],[object Object],[object Object],[object Object],[object Object]

Neoplasias malignas Astrocitoma grado IV ,[object Object],[object Object],[object Object]

Ante una cefalea secundaria a neoplasia dianosticada en Urgencias solicitar siempre una Rx tórax para descartar origen metastásico pulmonar. ,[object Object],[object Object],[object Object],[object Object]

Ictus isquémico/hemorrágico Hematoma ganglios basales izquierdo Infarto isquémico parieto-occipital izquierdo

HSA Complicaciones Infartos por vasoespasmo Hidrocefalia obstructiva ,[object Object],[object Object],[object Object],HSA polígono de Willis

Hematoma subdural ,[object Object],[object Object],[object Object],[object Object]

Trombosis de senos venosos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trombosis de senos venosos Trombosis de seno longitudinal superior Trombosis de seno lateral izquierdo

Pseudotumor cerebrii ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neuralgia del trigémino ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neuralgia del trigémino Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neuralgia del trigémino Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dolor facial atípico

Cefalea

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Cefalea