13th August 2024

A 52-year-old female is referred to the neurology clinic for a review of her headache treatment

A 52-year-old female is referred to the neurology clinic for a review of her headache treatment. She has been suffering from intermittent headaches for the last 2 years. She experiences headaches 2-3 times per week and reports they are right sided, severe and throbbing in nature. They last for 24 to 48 hours and she is unable to go to work during these periods as her headaches are so bad. She was advised by her GP to take aspirin or ibuprofen to control her symptoms when they develop. She reports these medications do improve the pain slightly. However, over the last 6 months she has noticed that she has developed a milder bilateral headache in between the acute episodes which is not resolved with analgesia. Her neurological examination is normal.

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