Headache assessment and referral
Headaches have many possible causes. Migraine is one common headache disorder, but persistent or changing symptoms require a careful history and examination. A headache alone does not prove a brain tumour or a need for neurosurgery.
Headache and migraine patterns
Migraine may include throbbing pain, nausea and sensitivity to light or sound, sometimes with aura. Other headaches may relate to medicines, infection, blood pressure, eyes, sinuses, sleep or different neurological and non-neurological causes.
Evaluation
Assessment considers onset, pattern, triggers, medicines, associated symptoms and examination findings. Tests or imaging are selected when the history or examination indicates they may help; they are not automatically required for every headache.
Treatment and referral pathway
Treatment depends on the likely headache type and individual health factors. Some patients need physician or neurology-led headache care. Neurosurgical evaluation is relevant when imaging or clinical findings suggest a structural condition.
Consultation and next steps
Assessment is used to understand the symptom pattern, identify warning signs and decide whether tests, non-surgical care, referral or a surgical opinion may be appropriate.
Frequently asked questions
No. Most headaches have other causes, but persistent, changing or concerning symptoms should be assessed appropriately.
No. Many migraine patients are managed through primary care or neurology. Neurosurgical review is used when structural disease is suspected or identified.