Thanks for posting this question in HCM
Let me tell you that headache can be due to various reasons like brain infection, tumor, migraine, cluster headache
, tension headache
, problems in the blood vessels of the brain and so on. Migraine, cluster headache, tension headache and chronic daily headache are diagnoses of exclusion. I mean these diagnostic labeling is done when secondary causes of headache are excluded.
Back to your problem, I feel that there a good possibility of migraine in your case. However, as I told it is a diagnosis of exclusion. So, I advise you to get examined by a headache specialist/local neurologist
who will evaluate you through clinical evaluation and investigations including scans. Though the twitching can be seen as a part of migraine, the possibility of coexistent epilepsy cannot be excluded definitely.
If the diagnosis turns out to be migraine,
You will benefit with the following
1. Acute attack: when the severity is more: you may take analgesics/ sumatriptan nasal spray
. Learn to avoid the precipitating factor like stress, lack of sleep, coffee, perfumes, and excessive use of commuters and so on.
2. During the chronic phase: Medicines that help are valproate, topiramate
, amitriptiline. Your neurologist will help you select one of these appropriate medicines.
Hope this helps