055 Insights into a secondary care headache service

Le résumé fourni par la source

Background Headache is an extremely common presentation to primary care, with some patients requiring referral to general neurology or specialist headache services. Aims Here we describe the cohort of patients who are referred to secondary care for management of headaches. Methods Neurology outpatient clinics at Brighton and Sussex University Hospitals NHS during June 2019 were retrospectively analysed using electronic records. Results Of the 538 patients seen, 123 (23.4%) presented with headache. 48 patients were new referrals and 75 were follow up. 38% of new patients required a follow up appointment. 26 patients (21%) had 2 simultaneous headache disorders. 77 patients (63%) presented with migraine while cervicogenic (n=9), cluster (n=8) and idiopathic intracranial hypertension (n=6) were the next most prevalent. 22 patients with migraine were initiated on a preventative medication while 7 had a dose adjustment. 11 were prescribed an abortive treatment. 1 patient was prescribed simple analgesia. 10 patients received greater occipital nerve block while 6 received Erenumab. For 9 patients, their headache had resolved by the time they attended clinic. Conclusion As new treatments such as monoclonal antibodies become available for migraine, ongoing discussion will be vital to ensure headache services can adapt and deliver these therapies effectively. j.scott3@uni.bsms.ac.uk|ABN Bursary

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