A 31-year-old woman using CHC develops new-onset unilateral visual field loss lasting 30 minutes followed by a throbbing headache. This is the first s...

Question

A 31-year-old woman using CHC develops new-onset unilateral visual field loss lasting 30 minutes followed by a throbbing headache. This is the first such episode. What type of migraine is this and what should happen to her CHC?

Accepted Answer

Migraine with typical visual aura; stop CHC immediately as this is UKMEC 4

Answer

Migraine without aura; continue CHC with monitoring

Answer

Tension headache; no change to CHC

Answer

Cluster headache; refer to neurology only

Answer

Retinal migraine; reduce the oestrogen dose

uk-dfsrh MCQ (SBA): New Visual Aura on CHC UKMEC 4

A 31-year-old woman using CHC develops new-onset unilateral visual field loss lasting 30 minutes followed by a throbbing headache. This is the first such episode. What type of migraine is this and what should happen to her CHC?