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Headache, Migraine

Benjamin N. Schneider, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

Recurrent headache disorder manifesting in attacks lasting 4 to 72 hours. Typical characteristics are unilateral location, pulsating quality, moderate or severe intensity, aggravatio...

DIAGNOSIS

Migraine is a clinical diagnosis; thorough history and neuro examination are usually all that are necessary. 

HISTORY

  • Screening mnemonic “POUND”: Pulsating, duration of 4 to 72 hOurs, Unilater...

TREATMENT

GENERAL MEASURES

  • Most patients manage attacks with self-care.

  • Cold compresses to area of pain

  • Withdrawal from stressful surroundings

  • Sleep is desirable.

  • See also “General Prevention.”

MEDICATION

  • Fi...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Early intervention is key at the onset of an attack.

  • Preventative treatment to decrease frequency and severity of attacks, make acute treatments more efficacious, ...

REFERENCES

1
1 Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia.  2013;33(9)...

SEE ALSO

Algorithm: Headache, Chronic 

CODES

ICD10

  • G43.909 Migraine, unsp, not intractable, without status migrainosus

  • G43.109 Migraine with aura, not intractable, w/o status migrainosus

  • G43.409 Hemiplegic migraine, not intractable, w/o statu...

CLINICAL PEARLS

  • Migraine is a chronic headache disorder of unclear etiology often characterized by unilateral, throbbing headaches that may be associated with additional neurologic symptoms.

  • Accurate d...

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