What to Bring to a Neurologist: Migraine Diary Export Tips
Prepare for a neurologist or headache specialist visit with attack counts, medication history, and PDF or CSV exports from your migraine diary—plus questions that use appointment time well.
Neurology and headache clinic slots are short. The clinician has your chart; you have the lived experience. A structured migraine export—attack dates, severity, acute meds, and disability—bridges the gap so you spend less time reconstructing March and more time choosing next steps.
What specialists typically ask for
Questions vary by practice, but patterns repeat:
- How many migraine days or headache days per month?
- How many days did you use acute medication (triptans, NSAIDs, combination pain relievers)?
- Average severity and impact on work, school, or caregiving
- Preventive medications tried, doses, duration, and side effects
- Aura, nausea, or other symptoms that change diagnosis or treatment
- Triggers you suspect, with humility about uncertainty
Your job in the waiting room is not to interpret—it is to present counts and timelines clearly.
Build a 30–90 day snapshot before the visit
Open your diary and note:
- Date range you are summarizing (last 30, 60, or 90 days)
- Total attack count in that window
- Worst cluster (e.g., “five attacks in nine days in late September”)
- Acute med use by name and approximate days used
- Current preventive plan and when it started
If your app offers statistics, screenshot or export the chart view. If it offers PDF or CSV, generate the file the night before so upload portals or email attachments are ready.
What belongs in a PDF or CSV export
Exports should be readable without your phone unlocked. Useful fields include:
- Start and end datetime (or duration)
- Severity
- Symptoms and location
- Triggers tagged
- Medications with dose and time
- Free-text notes you still trust (short and factual)
Remove unrelated personal details from notes before sharing if your clinic uses open email.
Medication list: keep it aligned with your pharmacy
Diary meds and real prescriptions can drift. The week before your visit, reconcile:
- Preventive daily meds
- Acute meds and allowed monthly limits your clinician set
- Supplements that might interact (magnesium, riboflavin, caffeine patterns)
Bring the bottle list or a pharmacy printout and your digital log so timing stories match.
Questions that use the appointment well
Pick three priorities so you do not leave with generic advice only:
- “Am I a candidate for preventive therapy at my current attack frequency?”
- “Is my acute plan too late or too often based on this log?”
- “Should we investigate menstrual, sleep, or medication overuse patterns first?”
- “What functional goal should we aim for—days per month, work attendance, faster relief?”
Write them in Notes and tick them off during the visit.
After the visit: update your diary to match the plan
When doses or drugs change, log the start date of the new plan in your next attack entry or a pinned note. Future-you will compare before-and-after months without guessing when the switch happened.
Set a reminder to review outcomes four weeks later—frequency and acute use are the usual early metrics clinicians watch.
If you are new to digital migraine tracking
You do not need perfect history on day one. Start logging now, export what you have, and tell the clinician the data is partial but recent weeks are accurate. Honest partial data beats confident fiction.