Migraine Aura Lasting Longer Than an Hour? Why I Order an MRI the Same Day
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.
Migraine, tension, cluster, and secondary headache classification
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.
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 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.
Visual aura with no headache is usually migraine aura without headache, but new-onset cases after 40 need a stroke and eye check. Here is how I sort them out.
A headache that began with COVID and never left is usually a migraine-type or daily persistent pattern, not mysterious. Here is how I sort it out, and what needs urgent care.
Told your dizziness is anxiety, BPPV, or Meniere’s? Here’s how I diagnose vestibular migraine, and why most patients wait years for the right answer.
Daily headache plus a whooshing pulse in the ear and brief vision greyouts can mean intracranial hypertension, not migraine. The eye exam that settles it.
Told you have basilar migraine and can never take a triptan? A neurologist explains migraine with brainstem aura, what it’s confused with, and why that rule is looser than you were told.
A headache that only hurts when you sit up after an epidural or lumbar puncture has a name and a fix. A neurologist explains the timeline and when to stop waiting.