Does This Patient With Headache Have a Migraine or Need Neuroimaging?

Abstract

The presence of 4 simple historical features can accurately diagnose migraine. Several individual clinical features were found to be associated with a significant intracranial abnormality, and patients with these features should undergo neuroimaging.

Imaging patients with suspected brain tumour: guidance for primary care

“…32 Headache with associated features. A recent review of the literature of headache with associated features 33 found the following relevant positive likelihood ratios (likelihood ratio = post probability/prior probability) with 95% confidence intervals (95% CIs): headache with abnormal findings on clinical neurological examination 5.3 (95% CI = 2.4 to 12); headache aggravated by exertion or Valsalva-like manoeuvre 2.3 (95% CI = 1.4 to 3.8); headache with vomiting 1.8 (95% CI = 1.2 to 2.6); headache with focal symptoms 3.1 (95% CI = 0.37 to 25); worsening headache 1.6 (95% CI = 0.23 to 10); and cluster headache 10.7 (95% CI = 2.2 to 52). Another review has given rapidly increasing headache frequency 12 (95% CI = 3 to 48); headache causing awakening from sleep 98 (95% CI = 10 to 960); and dizziness or lack of coordination 49 (95% CI = 3 to 710).…”

Temperomandibular disorders Clinical and Modern Method In Differential Diagnosis

“…Evaluation for neurovascular compression with MRI has a reported high sensitivity and specificity [28 ,29].Headaches are another indication for advanced imaging. Headache may indicate the presence of tumors, aneurysms,orarteriovenous malformations depending on nature of theheadache [30].…”

Abklärung von Kopfschmerzen

“…Eine ausführliche und präzise Anamnese ist dabei unerlässlich und hilft unnötige apparative Abklärungen zu vermeiden [6]. …”