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Review of Case Materials
Reviews records, documents, testimony, data, and other relevant materials and consults with counsel regarding technical issues related to the matter.
Provide Expert Analysis
Applies specialized knowledge and experience to evaluate the technical or professional issues involved.
Form Expert Opinions
Develops independent, supportable opinions based on the available evidence and relevant standards.
Prepare Expert Reports
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Primary headache disorders include migraine, tension-type headache, and cluster headache, while secondary headaches are attributed to another disorder, injury, or exposure capable of causing headache. An expert may compare the timing and pattern of symptoms with trauma, infection, vascular disease, medication or substance exposure, neck injury, and other clinical findings to determine which diagnosis is best supported. A preexisting primary headache disorder and a secondary headache may also coexist when the underlying circumstances support both diagnoses.
Relevant information may include the timing of headache onset, headache characteristics, emergency and neurological records, associated concussion symptoms, imaging when clinically indicated, prior headache history, and the subsequent course. Post-traumatic headache can resemble migraine or tension-type headache, so the relationship between the injury and the development or worsening of symptoms is important. A prior headache disorder should also be considered when determining whether the injury was followed by a new headache pattern or a significant change in an existing one.
Prescription history, preventive and acute medications, injections or other therapies, headache diaries, adverse effects, and changes in headache frequency or severity may document the treatment course and response over time. Patterns of acute medication use can also help identify possible medication-overuse headache. That diagnosis depends on both headache frequency and regular medication overuse over time rather than medication use alone.
Important details may include when the headaches began, attack frequency and duration, pain location and quality, and associated symptoms such as nausea, light or sound sensitivity, visual symptoms, tearing, nasal symptoms, or neurological changes. Triggers, aggravating factors, and response to medication may provide additional clues about the headache pattern.
Prepares clear, well-supported expert reports outlining methodology, analysis, findings, and opinions.
Provide Deposition Testimony
Explains findings and opinions under oath and responds to questioning during deposition testimony.
Testify in Court
Presents specialized findings and opinions clearly to judges, juries, arbitrators, or other decision-makers.
Yes. Many primary headache disorders, including migraine, are diagnosed primarily from the clinical history and examination rather than from abnormalities on routine CT or MRI. Neuroimaging is generally used when the history, examination, or other clinical features raise concern for a secondary cause or another neurological condition.
