What headache clinic evaluation includes
Headache clinic evaluation follows the International Classification of Headache Disorders (ICHD-3) to provide accurate, standardised diagnosis. Accurate classification � migraine with or without aura, chronic migraine, tension-type headache, cluster headache, medication-overuse headache, or secondary headache with red flags � directly changes treatment. Without classification, patients may receive ineffective acute therapy, miss preventive opportunities, or unknowingly worsen their condition through medication overuse. A headache diary is the foundation of evaluation, capturing frequency, severity, triggers, associated symptoms (nausea, photophobia, aura) and medication days.
The evaluation begins with structured history following ICHD-3 criteria, followed by neurological examination and red-flag screening. The diary guides classification and identifies medication-overuse when present � a reversible contributor to chronic daily headache. Acute treatment options are paired with frequency limits to prevent medication-overuse headache; preventive options are considered when diary shows high burden. The clinic provides individualized discussion of benefits, risks, alternatives and expected timeline for response.
- ICHD-3 classification � migraine, tension-type, cluster, chronic migraine
- Diary-based review � frequency, severity, triggers, medication days
- Medication-overuse identification � reversible contributor assessment
- Red-flag screening � thunderclap, fever+stiffness, progressive worsening
Related: Headache Medicine → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
How patients from across Nepal access care
Kathmandu Neurology Clinic & Cognitive Center at Durbar Marg, Opposite of Yak & Yeti Hotel serves patients from all seven provinces of Nepal. For patients who can travel to Kathmandu, initial in-person evaluation establishes the diagnosis, classification and treatment plan comprehensively. The clinic allocates adequate time for patients travelling from distant regions, and patients should bring a 4-week headache diary, current and past medication list, and any prior investigations to maximise the value of the visit.
For patients unable to travel, initial telephone consultation may triage urgency and help determine whether an in-person visit is required. After the initial in-person assessment, selected follow-up consultations can be conducted remotely by telephone or video � suitable for diary review, medication adjustment and monitoring of established conditions. The clinician discusses the most appropriate consultation format during booking. Call 974-7736624 or use /book-appointment to schedule.
- In-person evaluation at Durbar Marg, Opposite of Yak & Yeti Hotel for patients across Nepal
- Extended appointments for patients travelling from distant regions
- Telemedicine follow-up after initial in-person assessment
- Bring 4-week headache diary and medication list to all consultations