Rafael Medina Subspecialty VMR - Neurology - September 23, 2026 - Headache

Separate primary from secondary headache and look for red flags (SNOOP10). Localizing symptoms matter: ear pain here pointed to mastoiditis. Always consider giant cell arteritis over 50. Skull base osteomyelitis can cause multiple cranial neuropathies; if antibiotics fail, consider metagenomic sequencing.