In this week’s episode I interview Dr. Rachel Darken on the diagnosis and treatment of migraine. Dr. Rachel Darken is a Neurologist here at Washington University who treats patients with headache and sleep disorders. She got her MD and PhD from Cornell University. She completed a Neurology residency here at Washington University followed by a research fellowship and became a faculty member at Washington University after completion of her fellowship.
Time stamps:
1:18: Introduction and professional background
9:20: Migraine patient case
10:20: Approaching patients with headache
23:27: Screening for migraine aura
27:35: Neurological exam for headache
31:20: International classification of headache disorders (ICHD) 3 criteria
33:40: Lab workup and neuroimaging
35:30: Family history in migraine
37:32: Patient education
38:50: Approach to treatment
43:40: Acute treatment options
49:35: Nonpharmacologic treatment for migraines/ trigger identification
51:15: Headache diary for migraine
53:45: Modifying treatment to response/patient education
58:00: Migraine prognosis
Disclosures:
Dr. Rachel Darken reports no relevant financial disclosures. Brain Boy Neurology reports no relevant financial disclosures.
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