Long-form essays from the clinic — in-depth reads by a neurologist, beyond the quick guides.
Many people hold off on migraine medicine until the pain is severe. A neurologist explains why waiting can turn a drug that works into one that seems to fail.
A migraine aura that lasts more than 60 minutes is not the same as your usual one. A neurologist explains when to wait, when to go to the ER, and why a diffusion MRI matters.
Told your headache is just stress or anxiety? A neurologist explains why mood and migraine are two separate diagnoses, and what treating both actually looks like.
Told you’re “refractory” after several failed migraine preventives? A neurologist explains what to re-check first and which evidence-based options are usually still untried.
Headaches that arrive on Saturday mornings or the first day of vacation are often caffeine withdrawal, not migraine. Here is how I tell, how to fix it, and the one cause I never miss.
A new headache that comes with effort and fades with rest after age 50 can be the heart, not the head. A neurologist explains cardiac cephalalgia and why triptans can be risky.
A child who vomits for hours, then is completely well for weeks, may have cyclic vomiting syndrome or abdominal migraine. A neurologist explains the pattern, the red flags and treatment.
A throbbing headache with a red, aching eye, blurred vision or halos around lights can be acute angle-closure glaucoma, not migraine. Here is how I tell them apart.
A round, coin-sized patch of scalp pain that stays in the same spot for months is often nummular headache. Here is how I confirm it, what to rule out, and what helps.
A headache that builds over days, worsens lying down, and comes with a clotting risk may be cerebral venous thrombosis. A neurologist explains why a normal CT can miss it and what to ask for.
