Headache

Introduction to the headache service

It is very common for people to experience headache. When headache becomes more severe or is associated with other symptoms, it may be a cause of significant concern and can require specialized investigation or treatment.

The Walton Centre provides a comprehensive service for investigation and treatment of headache disorders.

Treatment/services/procedures performed

Headache is one of the commonest causes for neurological consultation at The Walton Centre, where all consultant neurologists offer diagnostic and treatment services in their general neurology clinics.

Carl Bradley offers a dedicated specialist nurse clinician service for headache disorders and accepts referrals from general practitioners.

Dr Nicholas Silver runs a clinic for severe and refractory headache disorders weekly that mainly accepts referrals from other consultant specialist colleagues in neurology, neurosurgery and pain.

Dr Anita Krishnan is a consultant neurologist who also has a special interest in headache.

There is a close collaboration with consultant colleagues in the departments of neuroradiology, pain management, neuroophthalmology and neurosurgery.

All known headache disorders are treated at The Walton Centre and there is particular expertise within the Trust in treating chronic migraine, medication overuse headache, cluster headache, hemicrania continua, low CSF pressure headache, idiopathic intracranial hypertension, giant cell arteritis, etc.

Many current therapies are used at The Walton Centre to manage patients with headache disorders.

Specialised procedures and treatments (in highly selected cases only) include:

  • Detoxification from medication/caffeine overuse
  • Greater occipital nerve blocks
  • Multiple cranial nerve blocks
  • IV Lidocaine
  • IV Dihydroergotamine
  • Botulinum toxin for chronic migraine (highly selected cases with PCT/commissioner approval only)
  • GTN Challenge
  • Indometacin tests (oral and intramuscular)
  • IV Caffeine infusions (e.g. for low CSF pressure headache)

Consultant/Practitioner details

Dr Nicholas Silver, Consultant Neurologist

Dr Anita Krishnan, Consultant Neurologist

Dr Ranjith Menon, Consultant Neurologist

Mona Ghadiri-Sani, Consultant Neurologist 

Carl Bradley, Headache Nurse Specialist 

 

Headache Resources

Information is available regarding headaches, treatment and support:

Cluster Headache: OUCH UK
www.ouchuk.org

tel: 01646 651 979

Migraine: Migraine Action
www.migraine.org.uk

tel: 0116  275 8317

The Migraine Trust
www.migrainetrust.org

tel: 020 7631 6970

Guidelines for diagnosis and management of headache disorders:
British Association for the Study of Headache (BASH) Guidelines:
http://217.174.249.183/upload/NS_BASH/2010_BASH_Guidelines.pdf