A 40-year-old woman has 18 headache days monthly, with migrainous features on 10 days. She uses ibuprofen almost daily and triptans 12 days monthly.

Question

A 40-year-old woman has 18 headache days monthly, with migrainous features on 10 days. She uses ibuprofen almost daily and triptans 12 days monthly. Neurologic examination is normal. Which of the following is the most likely explanation for this patient's findings?

Accepted Answer

Medication overuse contributing to chronic migraine

Answer

Acute bacterial meningitis

Answer

Subarachnoid hemorrhage

Answer

Temporal arteritis

Answer

Cluster headache

Medication-overuse headache — USMLE Step 3 MCQ

A 40-year-old woman has 18 headache days monthly, with migrainous features on 10 days. She uses ibuprofen almost daily and triptans 12 days monthly. Neurologic examination is normal. Which of the following is the most likely explanation for this patient's findings?