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
Medscape © 2022 WebMD, LLC
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.