A 24-year-old woman on a COC develops numbness and tingling in her left hand lasting 15 minutes before the onset of a headache. She has never experien...

Question

A 24-year-old woman on a COC develops numbness and tingling in her left hand lasting 15 minutes before the onset of a headache. She has never experienced this before. Is this relevant to her CHC?

Accepted Answer

Yes, sensory aura (paraesthesia) preceding headache constitutes migraine with aura; CHC is UKMEC 4 and must be stopped

Answer

No, sensory symptoms are unrelated to migraine

Answer

This is carpal tunnel syndrome; no change to CHC

Answer

She should switch to a lower-dose COC

Answer

Sensory aura only counts if it lasts over 1 hour

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

A 24-year-old woman on a COC develops numbness and tingling in her left hand lasting 15 minutes before the onset of a headache. She has never experienced this before. Is this relevant to her CHC?