What is the focus of clinical history for the evaluation of migraine in children?

Updated: Jan 31, 2018
  • Author: William C Robertson, Jr, MD; Chief Editor: Amy Kao, MD  more...
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Answer

Answer

No specific diagnostic test is available; the diagnosis is made by history and examination. The International Classification of Headache Disorders, 3rd edition, beta version [ICHD-3 (beta)] was published in 2013 and serves as a reference for signs and symptoms currently used as diagnostic criteria. The history should address the following:

  • Possible reasons for the current presentation, including past history, previous test results, allergies, and current and previous medication usage

  • Family history of headache

  • Quality of the headache (eg, throbbing, pounding, squeezing, pressing, pulsating, aching, burning, lancinating, dull)

  • Other aspects of the headache (eg, location, timing, severity, precipitating events, associated symptoms such as photophobia, phonophobia, or nausea/vomiting, and duration)


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