A 56yo lady has developed severe right sided headache which worsens whenever she comes to bright

  1. A 56yo lady has developed severe right sided headache which worsens whenever she comes to
    bright light since the last 4 days. She feels nauseated, but doesn’t vomit. What is the most likely
    dx?
    a. SAH
    b. Brain tumor
    c. Migraine
    d. Cluster headache
    e. Subdural headache

Q. 1. What is the key?
Q. 2. What is the type of the given case?
Q. 3. What are the points in favour of mentioned type?

Ans. 1. The key is C. Migraine.
Ans. 2. It is migraine without aura.
Ans. 3. Criteria of migraine without aura: ≥5 headaches lasting 4-72 hours + nausea/vomiting (or
photo/phono-phobia) + any 2 of: i) unilateral ii) pulsating iii) worsen by routine activity [OHCM, 9th
edition, page-462].

She has pain since 4 days which is > 72 hours.

1 Like