How is a non-migraine headache differentiated from migraine during the physical exam?

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

Pertinent physical examination findings that suggest a headache diagnosis other than migraine include the following:

  • Dim scotoma lasting a few seconds to several minutes (ie, amaurosis)

  • Temporal artery tenderness in the elderly

  • Meningismus

  • Increased lethargy (unrelated to medication use)

  • Mental status changes


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