03/03/2026

Anotacoes

03/03/2026 1 Cefaleia na Emergência Prof. Pedro Ivo Machado Campos Neurologista pedroi.costa@faa.edu.br 2 1 3 4 03/03/2026 Abordagem inicial Estabilização Clínica Anamnese e exame físico direcionados Avaliar a presença de sinais de alarme (SNNOOP10) Avaliar a necessidade de exames complement ares Plano terapêutico direcionado Relembre os sinais de alarme S N N O O P P P P P P P P P P • Systemic symptoms including fever • Neoplasm history • Neurologic deficit (including decreased consciousness) • Onset is sudden or abrupt = Thunderclap • Older age (onset after age 50 years) • Pattern change or recent onset of new headache • Positional headache • Precipitated by sneezing, coughing, or exercise • Papilledema • Progressive headache and atypical presentations • Pregnancy or puerperium • Painful eye with autonomic features • Post-traumatic onset of headache • Pathology of the immune system such as HIV • Painkiller (analgesic) overuse or new drug at onset of headache Do, et al., 2019. DOI: 10.1212/WNL.0000000000006697 2 5 6 Fenótipo Dor facial e sintomas em ouvidos, nariz, garganta Fenótipo Cefaleia em Thunderclap, náusea, meningismo 03/03/2026 IVAS / Sinusite Hemorragia Subaracnoidea 3 m...