Remote neurological consultation on Headache and Facial neuralgia

Remote medical consultation is that the well-known physicians provide further diagnosis of the patient’s headache or cranial neuralgia and make treatment recommendations for patients and their domestic treating physicians with the modern tools. Patients can enjoy the diagnosis and treatment report written by a leading expert in Italy without travel, which greatly reducing the probability of misdiagnosis. The consultation is a great way for those patients who are still unable to personally go to Italy for diagnosis and treatments. It can help patients break through geographical and language limitations and take advantage of the world’s most advanced diagnostic tools.

Patients just upload to: medicinadellecefalee@gmail.com their medical records and test reports. The material has to be in English language. Headache Medicine Center in responsible for data organization and for consultation appointments.. The live video consultation can maximize close to the traditional way, with authentic physician experts themselves “face to face” which eliminate your confusion and doubt and may last 30 or 60 minutes. If required, the consultant neurologist will make specific and detailed consultation report in 10 business days.
Urgent consultation can be committed to 3-5 days to get a consultation report by the Headache and Pain expert. Furthermore, the remote consultation also provides the better basis for the final decision whether you will visit for medical treatment.

Headache Medical Center composed of top medical experts i n Neurology provide patients the most authoritative diagnostic advices and treatment . In case the patient my require hospitalization for analgesic withdrawal and/or further investigation a professional support at the Neurological Emergency Unit – National Neurological Institute – C Mondino Foundation- Pavia Italy can be provided. The expert provide you comprehensive, professional, appropriate diagnosis and treatment plan based on your condition.

The remote medical consultation is a great way for those patients who are still unable to personally go to the for diagnosis and treatments. It can help patients break through geographical and language limitations and take advantage of the world’s most advanced diagnostic tools and experience of top doctors.


The importance of remote Neurological consultation

Accurate diagnosis and effective treatment:. Many of the latest achievements and advanced medical treatments are successfully used in our patients . If you hire an authoritative medical expert for consultation, it will relieve the patient’s stress and provide the greatest hope for patients.

Avoid misdiagnosis: The misdiagnosis can be significantly reduced through the independent authoritative expert consultation. The independent advice diagnosis and treatment will help patients make the right medical decisions.

Spiritual support and comfort: patients often suffer from serious head or neck pain syndromes , mental stress, anxiety and even despair. When we do our best to help patients find world-class medical diagnosis and treatment, they will receive consolation or build their confidence. This will also play a positive role for the treatment of diseases.

Who are suitable for remote neurological consultation services?

Remote neurological consultation can help patients break through geographical and language limitation and maximize global medical resource sharing. Patients can take advantage of the world’s most advanced diagnostic tools and experience of top doctors. In general, patients with the following conditions will be suitable for remote medical consultation to get a Second Medical Opinion:

  • Patients have been diagnosed with a serious headache, and hope to be confirmed by other experts
  • The diagnosis was not confirmed or the disease is incurable in their home countries
  • Patients are not satisfied with the previous treatments or the therapeutic effect is not ideal
  • The diagnosis and treatment plans are different from domestic hospitals
  • Acknowledge the latest or ideal treatment solutions from top neurologist


  • Material required for remote medical consultation ( From EHF: Pereira Monteiro et al 2010, JHP):
  • Patient identification (name/initials, gender, birth date/ age, country/nationality, language)
  •  A brief present disease (headache) history including a. Headache characteristics (type 1,2,3 or more), date of onset, location (unilateral, side shifting, bilateral), quality of pain (pulsating, tightening, stabbing), whether headache worsens with physical activity, the presence of aura symptoms (visual,sensory, motor) and associated symptoms (phonophobia, photophobia, nausea or vomiting), as well as dysautonomic symptoms (red eye, tearing, rhinorrhoea, pacing around) or basilar artery symptoms (diplopia, vertigo, tinnitus, hypoacusia,ataxia), or any others.
  • It is also important to indicate the temporal pattern of the headache using the temporal definitions given in the IHS criteria [10 ] (acute/episodic; subacute/progressive; chronic paroxysmal or continuous), as this aspect may be difficult to establish without a clinician’s contribution.
  • Details of the patient’s previous medical history, particularly with regard to comorbid psychiatric and internal diseases and the medications used to treat them. This information is very important, and should always be available.
  • Family medical history, as well as social and professional background and habits. This information, too, can be highly relevant.
  • A full clinical examination. It is crucial to have an overview of the patient’s clinical conditions, including the results of general and neurological examinations (mental status, cranial nerves, motor system, reflexes, sensory and cerebellar system evaluation), but the quality of this overview will depend on the quality of the clinician information provided.
  • Results of diagnostic work up, namely of:
  1. Blood laboratory tests: haematology, biochemistry, immunology and serology, (ESR, CRP);
  2. Neurophysiological examinations (EEG, EMG orEP) and echo-Doppler, USG, transcranial-Doppler of extracranial (carotid, vertebral) and intracranial vessels
  3. Neuroimaging studies (CT, MRI, or ANGIO MRI), when advisable and available.
  4. All other evaluations, including, for example, cardiological, ophthalmological and ENT consultations. It is also important to know the suggested clinical diagnosis (headache type or types), as formulated by the PCP, as well as the patient’s other current comorbid medical conditions.
  5. Information should be given regarding current headache treatments (prescribed and over-the-counter medications) for acute and for prophylactic therapy (drugs, doses, treatment duration, response and side effects). Use/overuse of OTC drugs and/or other substance use or abuse should be reported, as should treatments used for other comorbidities.