Headache (neurology)

Our specialist service sees people with headache conditions, including:

  • migraine
  • hemiplegic migraine
  • cluster headache
  • hemicrania continua
  • paroxysmal hemicrania
  • SUNCT and SUNA syndrome headaches
  • medication overuse headache
  • post-dural puncture headache
  • headache due to low cerebrospinal fluid pressure
  • spontaneous intracranial hypotension
  • specialist headache transition clinic for young adults previously seen in the headache service at Great Ormond Street
  • other primary headache conditions, such as:
    • primary cough headache
    • primary exercise headache
    • hypnic headache
    • new daily persistent headache

We offer a range of treatments, including:

  • greater occipital nerve injection, given with local anaesthetic and steroid
  • botox injections to the head and neck to treat chronic migraine 
  • transcranial magnetic stimulation, a non-invasive neuromodulation device for migraine
  • antibody injections and infusions (calcitonin gene-related peptide (CGRP) monoclonal antibodies) for migraine
  • CGRP antagonist tablet treatment
  • vagus nerve stimulation, a non-invasive neuromodulation device for cluster headache

For post-dural puncture headache and spontaneous intracranial hypotension we work with colleagues in anaesthetics and neuroradiology. They provide an advanced range of treatments and investigations, including:

  • CT myelography
  • epidural blood patches (including CT-guided)
  • CT-guided targeted fibrin patches
  • surgical referrals where necessary

Our consultants

Shazia Afridi

Alexander Nesbitt

Diana Wei

Last updated: March 2024

Contact us

Phone: 020 7188 8883

Email: [email protected]


Neurology department, 1st floor, Southwark Wing, Guy’s Hospital, Great Maze Pond, London SE1 9RT

Outpatient Centre, Gassiot House, St Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH

We're open from Monday to Friday, 9am to 5pm.

Do you have any comments or concerns about your care?

Contact our Patient Advice and Liaison Service (PALS)

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