A Patient-centered Approach to Management of Migraine in Primary Care

Abstract

Primary care physicians are in a prime position to enhance the diagnosis and treatment of migraine for a large
number of patients since they see a large number of migraine patients for the first time in these settings. Case report: This
is a case report of a young woman with a known history of migraine headaches with aura who presented to the Emergency
Unit of a primary care facility with complaints of severe headaches, which were not improving after long-term use of herbal
preparations. The onset of her symptoms was associated with generalized weakness, loss of appetite, nausea and seizure
of the right side of the upper body lasting for 10 seconds, which was self-limiting. There was no associated vomiting or
dizziness. The initial workup included a computed tomographic (CT) scan of the head and an electroencephalogram (EEG),
which were unremarkable. The patient’s perspectives were explored and patient-centered approaches were employed
to manage the patient with analgesics and oral amitriptyline and propranolol combination as a migraine prophylaxis.
Conclusion: A patient-centered approach to care can be a crucial strategy for efficient migraine treatment once a patient
has been diagnosed with the condition