Headache   

I am aware that the radiological signs can be subtle or overlooked, or confused with a Chiari malformation, hence, I will typically review images with...

Does your strategy change depending on whether or not it is a secured or unsecured aneurysmal SAH?

If a patient progresses from discrete episodes (hours long) of mild vertigo with rare headaches, but associated migrainous features (photophobia and n...

For example, a patient who is already on botulinum toxin injections, CGRP inhibitors, as well as an SSRI. Are there any new treatment modalities avail...

Do you favor specific medications or surgical interventions?

If so, how long would you hold? This medication is given for migraines as q3 month infusions and some data suggest that CGRP plays a role in immune-mo...

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

Short-term glucocorticoids are often prescribed as "bridge" therapy to avoid ER visits. What else should we consider?

I found a study in which 32 patients continued on Botox for the treatment of chronic migraine. Only one had a miscarriage at 9 weeks and the rest seem...

In patients with chronic migraine and possible medication overuse headaches due to chronic narcotic use, what’s your strategy for those patients...

Are there variations with different patient populations?

What are the diagnosis and treatment for hypnagogic shooting headache?

If a patient is has GERD or avoids NSAIDs, do you avoid Ketorolac IV?

Are there any diagnostic tests or imaging that you recommend?

There are some data supporting the use of IV lidocaine as an abortive treatment for migraine, NDPH, and some trigeminal autonomic cephalalgias, when d...

Is there data for CGRP inhibitors?

What is your preferred approach to a pregnant patient who is in status migrainosus that is refractory to first line treatments?  

When do you consider a blood patch? 

Which triptans are safer in stroke induced migraines?

What is the etiology/pathology for tinnitus in Intracranial hypotension? How often is this symptom encountered in patients with intracranial hypotensi...

Do you perform routine screening for coronary artery disease in aging patients already taking these therapies?

Which holistic treatments for migraine without aura do you recommend for patients who are refractory to standard treatments? 

What effective modalities have you found for acute exacerbations of trigeminal neuralgia including in patients who present to the ED? 

In patients diagnosed with pseudotumor cerebri, is vaginal delivery safe? How do you manage this condition during the pregnancy?

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

How do you approach treatment?

Are there contra-indications while breast-feeding?