Is there a difference in headache management in ischemic stroke versus hemorrhagic stroke?
How to best manage patients with underlying migraine who developed stroke/TIA?
Is there a difference in headache management post-tPA?
Answer from: at Academic Institution
In general, I treat headaches based on phenotype. If they have associated migraine features then I treat them with migraine medications. If tension type then I address all the headache hygiene components. If cervicogenic then physical therapy for these. Always screen for and counsel on medication ov...
It's generally the same as someone without a stroke. Triptans and some other medical classes are relatively contraindicated based on theoretical concerns and not hard data. So I use them only if other measures fail and with informed consent of potential risk.