Neuroimaging for Migraine

Publication Date: December 31, 2019
Last Updated: March 14, 2022

Recommendations

It is not necessary to do neuroimaging in patients with headaches consistent with migraine who have a normal neurologic examination. (SH)
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Neuroimaging may be considered for presumed migraine for the following reasons: unusual, prolonged, or persistent aura; increasing frequency, severity, or change in migraine clinical features, first or worst migraine, migraine with brainstem aura, confusional migraine, hemiplegic migraine, late-life migrainous accompaniments, migraine aura without headache, side-locked migraine, and posttraumatic migraine. Most of these are consensus based with little or no literature support. (SL)
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Recommendation Grading

Overview

Title

Neuroimaging for Migraine

Authoring Organization

Publication Month/Year

December 31, 2019

Last Updated Month/Year

February 2, 2024

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

Summarizes evidence from the existing literature about when to recommend neuroimaging in patients with migraine.

Inclusion Criteria

Female, Male, Adolescent, Adult, Child

Health Care Settings

Ambulatory, Outpatient, Radiology services

Intended Users

Radiology technologist, nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Diagnosis, Prevention

Diseases/Conditions (MeSH)

D008881 - Migraine Disorders, D006261 - Headache, D020326 - Migraine without Aura, D020325 - Migraine with Aura

Keywords

migraine, headache, neuroimaging

Supplemental Methodology Resources

Systematic Review Document

Methodology

Number of Source Documents
73
Literature Search Start Date
December 5, 2016
Literature Search End Date
August 31, 2018