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Migraine with medication overuse — RACP Written MCQ

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HardNeurologyMigraine with medication overuseRACP Written

A 22-year-old woman has recurrent episodes of unilateral throbbing headache with photophobia, nausea and visual scintillation. Neurological examination is normal. She has 6 headache days monthly and uses codeine several times weekly. What is the most likely cause?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Migraine with aura complicated by medication overuse

Recurrent throbbing headaches with aura, photophobia and nausea are migraine; frequent codeine use can worsen headache frequency through medication overuse.

Reference: Australian stroke and neurology guideline principles; Therapeutic Guidelines