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Updated: Nov 12, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
[COVID-19 and Headaches]
Heiko Pohl1, Andreas R Gantenbein1,2
1Klinik für Neurologie, Universitätsspital Zürich.
Insights
Headaches are a frequent symptom of COVID-19, often presenting as severe, frontal pain. While ibuprofen is safe for treatment, mask-wearing may trigger headaches, though lockdowns reduced migraine frequency.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Headaches are a common manifestation of COVID-19.
- COVID-19-associated headaches are typically bilateral, frontal, squeezing, and moderate to severe.
Purpose of the Study:
- To characterize headaches associated with COVID-19.
- To evaluate the safety of ibuprofen for COVID-19 headache treatment.
- To explore the impact of COVID-19 and related measures on primary headaches.
Main Methods:
- Review of clinical descriptions of COVID-19 headaches.
- Analysis of prospective studies on ibuprofen use.
- Observation of headache patterns during COVID-19 lockdowns and quarantine.
Main Results:
- COVID-19 headaches are often accompanied by fever, cough, and elevated inflammatory markers, aiding differentiation from primary headaches.
- No contraindications were found for ibuprofen use in managing COVID-19 headaches.
- Facial mask use was linked to headaches, while lockdown measures decreased migraine frequency for some patients.
Conclusions:
- Headache is a significant symptom of COVID-19 requiring symptomatic treatment.
- Ibuprofen can be safely used for COVID-19-related headaches.
- Public health measures influenced primary headache patterns, necessitating adaptive treatment strategies like telemedicine.
Abstract:
COVID-19 and Headaches Abstract. Headaches are a common symptom of COVID-19 infections. Patients generally describe them as bilateral, predominantly frontal, squeezing and of moderate or severe intensity. Searching for "Red Flags" often allows distinction from primary headaches - usually fever, cough, and elevated inflammatory markers accompany COVID-19-associated headaches. Prospective studies did not confirm caveats against the use of ibuprofen as symptomatic treatment. While carrying facial masks often caused headaches, probably by compressing sensory nerves, many patients' migraine frequencies dropped during lockdown. Treatment of patients with primary headaches was complicated by quarantine and many centres offered online consultations.
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