The Secondary Headaches · ICHD-3 · 9

Headache and COVID-19

Headache is reported both in acute COVID-19 and in the weeks after. There is no fixed pattern that replaces a history. Red flags still stand, and COVID does not cancel them.

In clinic

Ask what the headache was like before COVID and what changed. Worsening of earlier migraine is common. A wholly new, progressive headache, or one with neurological signs, follows the usual secondary work-up. Limit daily painkillers early so an overuse pattern does not form.

These pages are written for health professionals. They do not replace a history, examination, or clinical judgment. Treatment is decided for each patient individually.