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PBL-1 NEUROSCIENCE

PBL-1 NEUROSCIENCE. Dr. Abdulrahman AL- Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan. Case (1). A 27 year old female patient Complaining of HEADACHE .Duration .Progression .Nature .Aggravating factors & relieving factors .Associated symptoms.

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PBL-1 NEUROSCIENCE

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  1. PBL-1NEUROSCIENCE Dr. Abdulrahman AL-Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan

  2. Case (1) • A 27 year old female patient Complaining of HEADACHE .Duration .Progression .Nature .Aggravating factors & relieving factors .Associated symptoms

  3. Pathophysiology • Stretching of pain sensitive structures in the cranium or adjacent structures .Dura matter .Periosteum .Vessels BRAIN TISSUE IS NOT SENSITIVE TO PAIN

  4. LAYERS…….

  5. ARTERIES

  6. FACIAL SENSATION

  7. Remember… You look for diagnosis!!!!! Diagnosis will lead to…. MANAGEMENT & PROGNOSIS WHAT DO I NEED FOR DIAGNOSIS????

  8. STEPS….. .Knowledge .Clinical history .Clinical examination .Investigation .Diagnosis or Differential diagnosis .Management

  9. Type of Headache • Primary: Migraine, Tension, Cluster • Secondary: Space occupying lesions, Infections , Vascular

  10. Intracranial Pressure

  11. Stretching pain sensitive structures

  12. Space occupying lesions

  13. Clinical History • Age Pediatric,Young,Elderly • Gender Male,Female • Duration Acute,Chronic • Relieving factors Analgesia,position,Rest • Nature description,diffuse,localized

  14. Physical Examination • General Examination Rule out adjacent structure problem • Neurological Examination Rule out focal neurological deficit Secondary causes

  15. Investigation • Lab test • Radiological( X-ray, CT ,MRI ,Angiogram ) • Specific neurological Investigations

  16. Management • Primary Vs Secondary • Treat underlying cause • Treat by- Simple analgesia -Life style modification -Other level of analgesia or type specific medications

  17. CHOICES…..

  18. THANK YOU…..

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