How Do You Diagnose Migraine?

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When I have a patient come into my office with complaint of headache, that's highest to my list, because of the statistics that again support that it's most likely cause of somebody coming to their doctor with complaint of headache. That said, then the patient has to meet criteria for migraine and there are a number of characteristics to their episodes that they have to meet in order to be diagnosed with migraine.

Specifically, they have meet three of essentially the following risks but the importantly they don't have to mean all this criteria. So the headache can be one sided, and can be pulsating, there can be nausea and vomiting, there can give be light sensitivity and importantly their headache can be severe and their headache can be worsened by movement, so what that means is if you're have a patient who comes in saying my headache is everywhere and it doesn't pulsate but it's severe, it worsens when I climb upstairs and I get nausea, that meets criteria for migraine.

And again part of the misdiagnoses or patients not being diagnosed with migraine is because there is this idea that it has to be one sided and pulsating and that's not the case.