How do you manage headaches in stroke patients?

In general, I treat headaches based on phenotype. If they have associated migraine features then I treat them with migraine medications. If tension type then I address all the headache hygiene components. If cervicogenic then physical therapy for these. Always screen for and counsel on medication ov...

It's generally the same as someone without a stroke. Triptans and some other medical classes are relatively contraindicated based on theoretical concerns and not hard data. So I use them only if other measures fail and with informed consent of potential risk.