What is the focus of the clinical history in the diagnosis 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

Because no specific diagnostic test is available for migraine, the diagnosis is made by history and examination. Elicit possible reasons for the current presentation, including past history, previous test results, allergies, and current and previous medication usage. A family history of headache should also be investigated.

The patient should describe the quality of his or her headache (eg, throbbing, pounding, squeezing, pressing, pulsating, aching, burning, lancinating, dull). Other aspects of the headache to ask about include the following:

  • Location

  • Timing

  • Severity

  • Precipitating events

  • Duration


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