Which physical findings are characteristic of migraine headache?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Physical findings during a migraine headache may include the following:

  • Cranial/cervical muscle tenderness

  • Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache)

  • Conjunctival injection

  • Tachycardia or bradycardia

  • Hypertension or hypotension

  • Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)

  • Adie-type pupil (ie, poor light reactivity, with near dissociation from light)

See Clinical Presentation for more detail.


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