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 development
- 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.