Contents
Section 1: The Migraines
Commentary 1: Chronology of Acute Migraine Attack
CASE 1: A Young Boy with Recurrent Headaches and Visual Loss
CASE 2: A Middle-aged Man with Headache, Visual Disturbance, and Recurrent
Episodes of Confusion and Altered Sensorium
Commentary 2: Diagnosis and Acute Treatment of Migraine: Current Trends
Commentary 3: Pharmacological Prophylaxis for Migraine: Current Trends
Commentary 4: Calcitonin Gene-related Peptide Antagonists in Migraine Treatment: To Use or Not to Use?
Commentary 5: Monoclonal Antibodies against Calcitonin Gene-related Peptide: For Whom to Use?
CASE 3: A Doctor with Unremitting Headache
CASE 4: An Unusual Cause of Febrile Encephalopathy in a Migraine Patient
Commentary 6: Non-headache Symptoms of Migraine and Their Pathophysiology and Management
Commentary 7: Genetics of Familial Hemiplegic Migraine
CASE 5: A Young Girl with Transient Limb Weakness
CASE 6: Can Hemiplegic Migraine Occur without Any Headache?
CASE 7: Neurology after an Airplane Flight
CASE 8: The Lady Who Fooled the Surgeon!
CASE 9: A Middle-aged Lady with Migraine with Aura and Rapidly Progressive Dementia
CASE 10: A Middle Aged Lady with Gait Instability and Incontinence
CASE 11: A Similar Case but with Something More
CASE 12: A Case of Headache and Vertigo
CASE 13: Another Case of Headache and Vertigo
CASE 14: A Devastating Episode in a Football Ground
Commentary 8: Migraine, Stroke, and Other Related Issues
CASE 15: A Young Girl with Migraine Who Lost Her Vision
CASE 16: A Middle-aged Lady with Recurrent Ophthalmoplegia
Section 2: Migraine and Epilepsy
Commentary 9: Migraine and Epilepsy
CASE 17: Migraine Epilepsy Interface
CASE 18: Another Case of Migraine - Epilepsy Interface
CASE 19: More Epilepsy Migraine Interface
CASE 20: Yet Another Case of Headache - Epilepsy Interface
CASE 21: Yet Another Case of Seizure and Headache
Section 3: Trigeminal Autonomic Cephalalgias
Commentary 10: Clinical Assessment of Patients with Headache and Autonomic Symptoms
Commentary 11: Trigeminal Autonomic Cephalalgia: Pathophysiology and Treatment of Intractable Cases
CASE 22: An Elderly Man with Intractable Ocular Jabs with a Red Eye and Tearing
CASE 23: Never Miss This Diagnosis!
CASE 24: A Lady with Unilateral Jabs with Tearing from Ipsilateral Eye
Commentary 12: Pitfalls in the Diagnosis of Cluster Headaches
Commentary 13: Pitfalls in the Diagnosis of Hemicrania Continua
CASE 25: An Elderly Man with Severe Throat Pain Shooting up to Ipsilateral Eye and Temple with ANS Features including Salivation
CASE 26: A Young Girl with Intractable Headache and Severe Photophobia which Changed Pattern over the Years
CASE 27: Young Boy with Side-locked Headache and Restlessness
CASE 28: Does Cluster Migraine Exist?
CASE 29: A Lady with Side-locked and Time-locked Headache: A Diagnostic and Therapeutic Dilemma
CASE 30: Yet Another Case of Hemiplegia with Severe Headache and Autonomic Features
CASE 31: A Neuroendocrine Problem: A Case of Secondary Cluster Headache
CASE 32: Traps in Trigeminal Autonomic Cephalalgias: A Doctor's Mistake!
CASE 33: A Man with an Intractable Abdominal Pain
CASE 34: A Lady with Side Shifting Headaches
CASE 35: A Young Man with Cluster Headaches, Sleep Disturbance, and Sulfa Drug Allergy
Commentary 14: Trigeminal Autonomic Cephalalgias and Long-lasting
Autonomic Symptoms with Associated Hemicranias: A Spectrum Disorder
Section 4: Other Primary Headache Disorders
Introduction
CASE 36: A Case of Secondary Stabbing Headache
Commentary 15: Thunderclap Headache
CASE 37: Headache in the Shower
CASE 38: Another Case of Headache in the Shower
CASE 39: Sex Headache: May be a Very Serious Matter Indeed!
CASE 40: Why You Need to Do Angiography Even in CT-negative Sex Headaches
CASE 41: A Very Rare Cause of Headache Related to Sexual Activity
CASE 42: A Curious Case of Headache in the Shower
CASE 43: A Middle-aged Lady with Bursting Headache Following Micturition
CASE 44: Yet Another Case of Thunderclap Headache
CASE 45: Pregnant Lady with Headache and Convulsion
CASE 46: Postpartum Headache: Role of Early Imaging
CASE 47: Alarm Clock Headache that Woke Her Up from Sleep Every Night
CASE 48: A Lady Who had Hemicranial Headache on Coughing
Section 5: Secondary Headaches, Other Headaches and Cranial Neuralgias
Commentary 16: How Not to Miss the Diagnosis of Serious Secondary Headaches
CASE 49: An Elderly Man with an Intractable Headache
CASE 50: An Elderly Man Who Woke Up with a Headache and Visual Loss
CASE 51: An Elderly Man with Headache and Double Vision
CASE 52: A Middle-aged Man with Recurrent Headaches, Fever, Stroke-like Episodes, and an Iatrogenic Complication
CASE 53: A Young Lady with Intermittent Headaches, Stroke-like Episodes, and Abnormal Movements
CASE 54: A Middle-aged Lady with Intractable Headache
CASE 55: Another Lady with Intractable Headache and Similar Imaging Abnormality with a Definitive Diagnosis
CASE 56: Chronic Nasal Sinusitis and Pachymeningitis: Is There Any Link?
CASE 57: An Unusual Indomethacin-responsive Headache
CASE 58: A Young Lady with an Intractable Head and Face Pain
CASE 59: A Young Girl with an Apparently Serious Illness with Spontaneous Improvement
CASE 60: A Middle-aged Man with an Explosion in the Head
CASE 61: Another Case of Explosion in the Head
CASE 62: A Young Boy with Recurrent Headaches and Falls
CASE 63: A Young Lady with Unilateral Eye Pain and Tenderness
CASE 64: A Lady with a Linear Burning Sensation on the Face
CASE 65: Recurrent Eye/Periorbital Pain and Visual Loss: Could it have been Prevented?
CASE 66: An Elderly Man with Facial Twitching and Burning Tongue
CASE 67: An Elderly Man with Severe Left Facial Pain and a Miraculous Cure!
CASE 68: A Middle-aged Lady with Intractable Left Facial Pain and Double Vision
CASE 69: A Sinister Facial Pain
CASE 70: Hemicranial Pain, Facial Numbness, and Double Vision: An Unsolved Mystery
CASE 71: Intermittent Progressive Headache Progressing to Encephalopathy: Case Vignette-1
CASE 72: Intermittent Progressive Headache Progressing to Encephalopathy: Case Vignette-2
CASE 73: Progressive Headache with New-onset Ptosis
CASE 74: Altered Consciousness in a Hospitalized Patient with Subarachnoid Hemorrhage
CASE 75: Sudden-onset Severe Headache without Evidence of Vascular Abnormality
CASE 76: Sudden-onset Lower Extremity Weakness with Loss of Bladder and Bowel Control
Section 6: Headache and Covid-19 Infection
Commentary 17: Challenges in Headache Diagnosis in the Era of COVID-19 Pandemic
CASE 77: Post-COVID-19 Headache 1
CASE 78: Post-COVID-19 Headache 2
CASE 79: Post-COVID-19 Vaccination Headache
Section 7: Traps in Headache Diagnosis
CASE 80: An Elderly Man Who Woke Up with Severe Headache and Visual Loss
CASE 81: A Middle-aged Lady with Left Hemicranial Headache and a Red Eye
