Which studies are included in the workup of migraine in children?

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

Answer

Laboratory and imaging studies are unnecessary for the diagnosis of migraine but may be indicated for the exclusion of other disorders. Investigative studies that may be considered include the following:

  • Neuroimaging studies – Such studies may be worthwhile for children with chronic, progressive headaches; those younger than 4 years; those with a history of seizures, recent head trauma, or significant change in the headache; and those with physical findings suggestive of focal neurologic deficits or papilledema

  • Electroencephalography – This should be reserved for patients with an atypical migraine aura, episodic loss of consciousness, or symptoms suggestive of a seizure disorder

  • Lumbar puncture – This is indicated if meningitis, encephalitis, subarachnoid hemorrhage, or high/low pressure syndromes are considered


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!