Question

A 38-year-old accountant comes to your clinic for evaluation of a headache. the throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. it started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. she does not know of any inciting factors. there has been no change in the frequency of her headaches. she usually takes an over-the-counter analgesic and this results in resolution of the headache. based on this description, what is the most likely diagnosis of the type of headache?

Answer 1

The diagnosis we can make according, to this information, is a migraine with aura.
- A migraine is a chronic headache, most likely genetic. It is often a disturbing disease because of the frequency, duration and intensity of crises, with repercussions on daily life, work or school.
A migraine with aura (a classic migraine, Unlike a commune migraine without aura): There's a recurrent headaches, typically preceded by neurological manifestations (like a light sensitivity), reflecting a localized, transient brain dysfunction.

The cause can be the abuse of drugs, according to the fact that she takes over-the-counter drugs. It can also be anxiety or depression or even due to genetic factors.