Brain & Mind Center

Headache, Migraine and Women’s Health Unit

The unit

Expertise in diagnosis. Judgement in tailoring treatment.

The Headache, Migraine and Women’s Health Unit at Publio Cordón Memorial Hospital treats migraine and persistent headaches through accurate diagnostic assessment and personalised treatment, with a particular focus on the influence of hormones at different stages of a woman’s life.

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Dr Javier Casas Limón
Head of the unit

Dr Javier Casas Limón

Specialist in
  • Prevention and management of cerebrovascular risk.

  • Epilepsy.

  • Neuro-ophthalmology and neuro-otology.

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Medical team

Our specialists

Dr Nuria González García

Dr Nuria González García

Specialist in
  • Migraine.

  • Trigeminal-autonomic headaches.

  • Use of botulinum toxin in chronic migraine.

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Patient information

Headache, Migraine and Women’s Health Unit

The Headache, Migraine and Women’s Health Unit treats patients with recurrent headaches who require expert assessment when the frequency, intensity or functional impact of their symptoms exceed the scope of routine care. It offers a specialised approach to migraine and other headaches, with particular attention to their relationship with the hormonal stages of a woman’s life.

Specialist assessment for migraine and persistent headaches

The unit is aimed at people who suffer from episodic or chronic migraine, tension-type headaches or other types of primary headache that significantly affect their quality of life. A specialist assessment is particularly recommended when the pain interferes with work, family or social life, or when previous treatments have not been effective.

For women, the relationship between headaches and the menstrual cycle, pregnancy, the postnatal period or the menopause is specifically analysed, with treatment tailored to each stage of life.

When to consult a specialist When headaches increase in intensity or frequency, or begin to interfere with daily activities, a specialist assessment is recommended. This clinical assessment enables a distinction to be made between different types of migraine and helps to optimise treatment.

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Differential diagnosis and accurate classification of headache types

Each case is studied in detail through a comprehensive medical history, identification of triggers and the use of specific scales that measure the frequency, intensity and functional impact of the pain.

The aim is to accurately determine the type of headache and rule out secondary causes where warning signs are present. This analysis enables the development of a treatment strategy tailored to each patient’s clinical characteristics and current life circumstances.

A specialist valuation saves years of uncertainty.
A specialist valuation saves years of uncertainty.

Preventative treatment and advanced therapies for chronic migraine

Treatment combines preventative and therapeutic measures tailored to the frequency and severity of the migraine. The unit utilises state-of-the-art medication targeting specific mechanisms of migraine pain, as well as interventional techniques in selected cases.

Treatment options include peripheral anaesthetic blocks and botulinum toxin treatment for chronic migraine, always in accordance with defined clinical criteria.

Where the headache has a significant hormonal component, the treatment plan is coordinated with gynaecologists to optimise management at every stage of life.

Management of migraine associated with hormonal changes Hormonal fluctuations can affect the frequency and severity of headaches. Treatment is tailored to the menstrual cycle, pregnancy or the menopause, based on individual criteria.

Structured clinical monitoring and support at every stage of life

The care model combines clinical expertise with personalised and well-organised care. During consultations, sufficient time is set aside to explain the diagnosis, the triggering factors and the various treatment options, ensuring a clear understanding of the process and realistic expectations regarding treatment.

The patient plays an active role in treatment planning, particularly where hormonal factors are involved or decisions relate to pregnancy or the menopause. The team ensures a clinical setting where concerns can be addressed calmly and each step reviewed before starting or adjusting treatment.

Regular follow-up appointments are held to adjust medication, assess the clinical response and prevent the condition from becoming chronic. Coordination with other specialities, where necessary, helps to maintain clinical stability in the medium and long term.

The unit combines sound medical judgement, innovative therapies and ongoing support that prioritises autonomy, therapeutic safety and sustained improvement in quality of life.

Specialist assessment of migraine and headaches

In cases of frequent migraines, persistent pain or migraines linked to hormonal changes, the Unit carries out a comprehensive assessment to confirm the diagnosis and devise a safe, personalised treatment plan.

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