Skip to main content

Headache, Migraine

Karly Pippitt, MD and Seniha Ozudogru, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Recurrent headache disorder manifesting in attacks lasting 4-72 hours. Typically: unilateral location, pulsating quality, moderate to severe intensity, and associated nausea and/or p...

DIAGNOSIS

Clinical diagnosis; recommend thorough history and neurologic examination 

HISTORY

  • Validated migraine screening tool: ID Migraine  (2)

  • In the last 3 months did you have the following symptoms w...

TREATMENT

GENERAL MEASURES

  • Consistent sleep hours and eating habits

  • Cold compresses to area of pain

MEDICATION

First-line abortive treatments 
  • Mild to moderate attacks:

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Quarterly or more frequent appointments when headaches not well controlled

  • Monitor frequency of attacks and medication usage via headache diary.

  • M...

REFERENCES

1
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
2
Sacco S, ...

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 pain that may be associated with additional neurologic symptoms.

  • Consider OTC an...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×