Overview

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