Fast Five Quiz: Migraine Headache

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.

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Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Helmi L. Lutsep. Fast Five Quiz: Migraine Headache - Medscape - Jan 26, 2022.