Fast Five Quiz: Migraine Headache

Helmi L. Lutsep, MD

Disclosures

January 26, 2022

Neuroimaging is not necessary in patients with a history of recurrent migraine headaches and a normal neurologic examination. Neuroimaging is indicated for any of these characteristics:

  • First or worst severe headache

  • Change in the pattern of previous migraine

  • Abnormal neurologic examination (eg, confusion, stiff neck, papilledema)

  • Onset of migraine after age 50 years

  • New onset of headache in an immunocompromised patient (eg, one with cancer or HIV infection)

  • Headache with fever

  • Migraine and epilepsy

  • New daily, persistent headache

  • Escalation of headache frequency/intensity in the absence of medication overuse headache

  • Posteriorly located headaches (especially in children, but also in adults)

  • Resistance to treatment

Learn more about the workup of migraine headache.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....