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BrainWaves #166 Not just a headache

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.

Originally released: June 25, 2020

It’s more than just a headache. Migraine is a disturbance of normal neurologic function, and as you are aware, it causes more than just severe head pain. This week on BrainWaves, Dr. Deborah Friedman (UT Southwestern) shares her experience evaluating and managing the unusual neurologic manifestations of migraine that aren’t just the misery from recurrent attacks.

Produced by James E Siegler and Deborah Friedman. Music courtesy of Josh Woodward, Kevin McLeod and Lee Rosevere. The opening theme was composed by Jimothy Dalton. Sound effects by Mike Koenig and Daniel Simion. Unless otherwise mentioned in the podcast, no competing financial interests exist in the content of this episode. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast.


Bianchin MM, Londero RG, Lima JE, Bigal ME. Migraine and epilepsy: a focus on overlapping clinical, pathophysiological, molecular, and therapeutic aspects. Curr Pain Headache Rep 2010;14(4):276-83. PMID 20495966

Dreier JP, Reiffurth C, Woitzik J, et al. How spreading depolarization can be the pathophysiological correlate of both migraine aura and stroke. Acta Neurochir Suppl 2015;120:137-40. PMID 25366613

Goadsby PJ. Unique migraine subtypes, rare headache disorders, and other disturbances. Continuum (Minneap Minn) 2015;21(4 Headache):1032-40. PMID 26252589

Orr SL, Friedman BW, Christie S, et al. Management of adults with acute migraine in the emergency department: The American Headache society evidence assessment of parenteral pharmacotherapies. Headache 2016;56(6):911-40. PMID 27300483

Rozen TD, Niknam RM, Shechter AL, Young WB, Silberstein SD. Cluster headache in women: clinical characteristics and comparison with cluster headache in men. J Neurol Neurosurg Psychiatry 2001;70(5):613-7. PMID 11309454

Shah DR, Dilwali S, Friedman DI. Migraine aura without headache [corrected]. Curr Pain Headache Rep 2018;22(11):77. PMID 30225597

Solomon S, Grosberg BM, Friedman DI, Lipton RB. Retinal migraine. J Neuroophthalmol 2007;27(3):243-4; author reply 244-5. PMID 17895829

Tippin J, Corbett JJ, Kerber RE, Schroeder E, Thompson HS. Amaurosis fugax and ocular infarction in adolescents and young adults. Ann Neurol 1989;26(1):69-77. PMID 2774503

Viana M, Tronvik EA, Do TP, Zecca C, Hougaard A. Clinical features of visual migraine aura: a systematic review. J Headache Pain 2019;20(1):64. PMID 31146673

We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode’s original release date.

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