Migraine evaluation at Kathmandu Neurology Clinic
Accurate migraine diagnosis starts with a structured history following ICHD-3 criteria — throbbing pain, often one-sided, with nausea, photophobia and functional impairment. Diary review verifies frequency, triggers, associated features (aura, nausea, light sensitivity) and medication days, allowing classification as migraine without aura, with aura, or chronic migraine. This step is essential: mistaking tension-type headache for migraine, or vice versa, leads to different and often ineffective treatment.
Acute treatment options are paired with frequency limits (typically ≤2–3 days/week) to prevent medication-overuse headache. Preventive options are considered when diary shows high burden, with explicit discussion of benefits, risks, alternatives and expected timeline for response. Education and diary remain central regardless of medicines chosen.
- ICHD-3 classification — accurate diagnosis guides treatment
- Diary-based review — frequency, severity, triggers, medication days
- Medication-overuse identification — reversible contributor assessment
- Preventive discussion — benefits, risks, alternatives and follow-up
Related: Migraine Care → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
How to reach from Lalitpur
Kathmandu Neurology Clinic & Cognitive Center at Durbar Marg, Opposite of Yak & Yeti Hotel is easily reachable from Lalitpur across the Bagmati River — a short drive depending on traffic. The clinic serves patients from Lalitpur, Patan and surrounding areas. Direct booking is available — no referral is needed. Bring symptom diary, medication list, and prior reports to the first visit.
For patients unable to travel, an initial telephone consultation can be arranged to triage urgency and determine whether an in-person visit is required. The clinic operates Sunday through Saturday, 9 AM to 7 PM by appointment.
- Short drive from Lalitpur across the Bagmati River
- Direct booking available — no referral required
- Bring symptom diary, medication list and prior investigations
- Telephone consultation available for triage