General Internal Medicine

Headache

Questions discussed in this category

How do you approach new onset idiopathic intracranial hypertension (IIH) with someone who has history of systemic lupus erythematosus? Would you consider this to be neuropsychiatric SLE (NPSLE) manifesting as IIH?

How do you approach someone with a history of SLE that has been well controlled for decades on CellCept and Plaquenil, who develops dizziness with a w...

2 Answers available

How do you decide on switching to a different preventative anti-CGRP treatment in migraine patients who are experiencing reduced effectiveness with their current treatment?

Is there a point of diminishing returns after switching between multiple anti-CGRP treatments?

3 Answers available

What types of cardiac conduction abnormalities would lead you to avoid using tricyclic antidepressants?

8 Answers available

In patients with suspected RCVS, is there a role for preventative CCB if headache has resolved/now asymptomatic?

4 Answers available

Do you typically give GI prophylaxis when providing patients with steroid taper for status migrainosus?

3 Answers available

What work-up and treatment do you recommend for exertional headaches?

1 Answer available

What workup do you recommend for otherwise healthy migraine patients that develop dizziness with episodes?

1 Answer available

What type of visual disturbance qualifies as a visual aura?

Visual aura is commonly described as a scintillating scotoma. In practice, there is a much wider spectrum of visual symptoms in the migraine populatio...

2 Answers available

How do you manage pregnant individuals with newly diagnosed idiopathic intracranial hypertension?

1 Answer available

Are there any contraindications using nurtec in patients with headaches in the setting of recent RCVS?

1 Answer available

Do you ever use ocular ultrasound in evaluation of papilledema?

1 Answer available

What imaging do you recommend for patients with suspected CSF leak?

2 Answers available

How would you best evaluate and manage a patient with hemiplegic migraine and a history of ischemic stroke?

1 Answer available

How do you treat persistent headache after RCVS?

2 Answers available

How do you manage patients with ice-pick headaches?

2 Answers available

Do you avoid SSRIs in patients with a history of RCVS?

2 Answers available

Would you use sumatriptan in a patient with a history of cerebral aneurysm rupture?

1 Answer available

What is the normal range of spinal tap opening pressure?

Are there variations with different patient populations?

3 Answers available

When do you recommend neuropsychiatric testing in patients with post-concussive syndrome?

4 Answers available

When do you consider genetic testing in patients with concern for hemiplegic migraine?

2 Answers available

How do you treat patients with hemiplegic migraine?

2 Answers available

When do you consider use of ketamine in patients with migraine with aura?

1 Answer available

How do you diagnose and manage patients with hypnagogic shooting headache?

What are the diagnosis and treatment for hypnagogic shooting headache?

2 Answers available

How do you manage patients with post spinal tap headaches?

Are there any diagnostic tests or imaging that you recommend?

3 Answers available

How do you diagnose and treat patients with cervicogenic headache?

5 Answers available

What symptomatic management do you recommend in patients with post LP headaches?

When do you consider a blood patch?

1 Answer available

What is the most effective treatment for a patient with persistent post-stroke headache?

4 Answers available

How do you treat post-IVIG headache that is not responsive to Tylenol or NSAIDs?

Specifically, how do you treat the delayed headache, not the headache that develops during the infusion where pre-hydration and slowing down the rate ...

4 Answers available

What workup do you recommend for patients with stabbing headaches?

How do you approach treatment?

1 Answer available

What DHE migraine protocol works best for acute treatment both in terms of dosage and timeframe?

1 Answer available