Migraine Mimics

Evans, Randolph W.

doi:10.1111/head.12518

Cited by 15 publications

(9 citation statements)

References 86 publications

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“…29 There are numerous other mimics including sphenoid sinusitis, reversible cerebral vasoconstriction syndrome, subarachnoid hemorrhage, subdural hematoma, pseudotumor cerebri, brain tumor, intermittent hydrocephalus, meningitis, and acute glaucoma. 30 Primary headaches can also be mimics to SM. A persistent unilateral headache could be hemicrania continua.…”

Section: Expert Opinionmentioning

confidence: 99%

Status Migrainosus in Children and Adults

2019

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Section: Expert Opinionmentioning

confidence: 99%

Status Migrainosus in Children and Adults

2019

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“…27 What is the risk of rupture?-The annual rate of hemorrhage with AVMs depends on whether they are ruptured or not. [38][39][40] Additionally, if there is an aura, it is usually on the opposite side of the AVM. 31,32 This risk is even higher if the AVMs have a deep venous drainage or are associated with aneurysms.…”

Section: Arterviovenous Malformationsmentioning

confidence: 99%

Cerebral Vascular Malformations and Headache

2015

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“…3 • Discomfort with migraine as a clinical diagnosis, ie, "our stubborn quest for diagnostic certainty." 3 • Discomfort with migraine as a clinical diagnosis, ie, "our stubborn quest for diagnostic certainty."…”

Section: Introductionmentioning

confidence: 99%

“…• Excluding secondary conditions that mimic migraine. 3 • Discomfort with migraine as a clinical diagnosis, ie, "our stubborn quest for diagnostic certainty." 4 • Cognitive bias.…”

Section: Introductionmentioning

confidence: 99%

Neuroimaging for Migraine: The American Headache Society Systematic Review and Evidence‐Based Guideline

et al. 2019

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Objective.-To provide updated evidence-based recommendations about when to obtain neuroimaging in patients with migraine.Methods.-Articles were included in the systematic review if they studied adults 18 and over who were seeking outpatient treatment for any type of migraine and who underwent neuroimaging (MRI or CT). Medline, Web of Science, and Cochrane Clinical Trials were searched from 1973 to August 31, 2018. Reviewers identified studies, extracted data, and assessed the quality of the evidence in duplicate. We assessed study quality using the Newcastle-Ottawa Scale.Results.-The initial search yielded 2269 publications. Twenty three articles met inclusion criteria and were included in the final review. The majority of studies were retrospective cohort or cross-sectional studies. There were 4 prospective observational studies. Ten studies evaluated the utility of CT only, 9 MRI only, and 4 evaluated both. Common abnormalities included chronic ischemia or atrophy with CT and MRI scanning, and non-specific white matter lesions with MRI. Clinically meaningful abnormalities requiring intervention were relatively rare. Clinically significant neuroimaging abnormalities in patients with headaches consistent with migraine without atypical features or red flags appeared no more common than in the general population.Recommendations.-There is no necessity to do neuroimaging in patients with headaches consistent with migraine who have a normal neurologic examination, and there are no atypical features or red flags present. Grade A Neuroimaging may be considered for presumed migraine for the following reasons: unusual, prolonged, or persistent aura; increasing frequency, severity, or change in clinical features, first or worst migraine, migraine with brainstem aura, migraine with confusion, migraine with motor manifestations (hemiplegic migraine), late-life migraine accompaniments, aura without headache, side-locked headache, and posttraumatic headache. Most of these are consensus based with little or no literature support. Grade C.(Headache 2020;60:318-336) OBJECTIVESThe American Headache Society (AHS) develops guidelines and practice parameters for clinicians. This guideline summarizes evidence from the existing literature about when to recommend neuroimaging in patients with migraine. We specifically reviewed Headache Maximum scores: Selection = 5, Comparability = 2, Outcome = 3, Total Quality Score = 10.

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Migraine Mimics

Cited by 15 publications

References 86 publications

Status Migrainosus in Children and Adults

Status Migrainosus in Children and Adults

Cerebral Vascular Malformations and Headache

Neuroimaging for Migraine: The American Headache Society Systematic Review and Evidence‐Based Guideline

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